The National Diet and Nutrition Survey (NDNS) is a cross-sectional survey designed to gather data representative of the UK population on food consumption, nutrient intakes and nutritional status. The objectives of the present paper were to identify and describe food consumption and nutrient intakes in the UK from the first year of the NDNS rolling programme and compare these with the 2000-01 NDNS of adults aged 19 -64 years and the 1997 NDNS of young people aged 4 -18 years. Differences in median daily food consumption and nutrient intakes between the surveys were compared by sex and age group (4-10 years, 11-18 years and 19-64 years). There were no changes in energy, total fat or carbohydrate intakes between the surveys. Children aged 4 -10 years had significantly lower consumption of soft drinks (not low calorie), crisps and savoury snacks and chocolate confectionery in 2008 -09 than in 1997 (all P,0·0001). The percentage contribution of non-milk extrinsic sugars to food energy was also significantly lower than in 1997 in children aged 4-10 years (P,0·0001), contributing 13·7 -14·6 % in 2008-09 compared with 16·8 % in 1997. These changes were not as marked in older children and there were no changes in these foods and nutrients in adults. There was still a substantial proportion (46 %) of girls aged 11-18 years and women aged 19-64 years (21 %) with mean daily Fe intakes below the lower reference nutrient intake. Since previous surveys there have been some positive changes in intakes especially in younger children. However, further attention is required in other groups, in particular adolescent girls.
BackgroundEating context is the immediate environment of each eating occasion (EO). There is limited knowledge on the effects of the eating context on food consumption in children, due to the difficulty in measuring the multiple eating contexts children experience throughout the day. This study applied ecological momentary assessment using food diaries to explore the relationships between eating context and fruit and vegetable consumption in UK children.MethodsUsing 4 d unweighed food diaries, data were collected for 642 children aged 1.5-10y in two years of the UK National Diet and Nutrition Survey (2008–2010). Participants recorded all foods and drinks consumed at each EO, where and with whom the food was consumed, whether the TV was on and if eaten at a table. Mixed logistic regression and mixed multinomial logistic regression were used to calculate associations between eating contexts and fruit and vegetables (FV) consumed by quartiles.ResultsOf 16,840 EOs, 73% took place at home and 31% with parents only. Frequency of eating alone and with friends increased with age. Compared to eating at home, children aged 1.5-3y were more likely to consume fruit at care outside home (>10-50g OR:2.39; >50-100g OR:2.12); children aged 4-6y were more likely to consume fruit (>50-100g OR:3.53; >100g OR:1.88) and vegetables at school (>30-60g OR:3.56). Compared to eating with parents only, children aged 1.5-3y were more likely to consume fruit with friends (>10-50g OR:2.69; >50-100g OR:3.49), and with carer and other children/others (>10-50g OR:2.25); children aged 4-6y were more likely to consume fruit (>50-100g OR:1.96) and vegetables with friends (>30-60g OR:3.56). Children of all ages were more likely to eat vegetables when the TV was off than on and at a table than not at table.ConclusionsThe use of food diaries to capture multiple eating contexts and detailed fruit and vegetable consumption data was demonstrated at a population level. Higher odds of FV consumption were seen from structured settings such as school and care outside home than at home, as well as when eating at a table and the TV off. This study highlights eating contexts where provision of fruit and vegetables could be improved, especially at home. Future research should take eating context into consideration when planning interventions to target children’s food consumption and eating behaviour.
High saturated fat intake is an established risk factor for several chronic diseases. The objective of the present study is to report dietary intakes and main food sources of fat and fatty acids (FA) from the first year of the National Diet and Nutrition Survey (NDNS) rolling programme in the UK. Dietary data were collected using 4 d estimated food diaries (n 896) and compared with dietary reference values (DRV) and previous NDNS results. Total fat provided 34 -36 % food energy (FE) across all age groups, which was similar to previous surveys for adults. Men (19 -64 years) and older girls (11 -18 years) had mean intakes just above the DRV, while all other groups had mean total fat intakes of , 35 % FE. SFA intakes were lower compared with previous surveys, ranging from 13 to 15 % FE, but still above the DRV. Mean MUFA intakes were 12·5 % FE for adults and children aged 4-18 years and all were below the DRV. Mean n-3 PUFA intake represented 0·7-1·1 % FE. Compared with previous survey data, the direction of change for n-3 PUFA was upwards for all age groups, although the differences in absolute terms were very small. Trans-FA intakes were lower than in previous NDNS and were less than 2 g/d for all age groups, representing 0·8 % FE and lower than the DRV in all age groups. In conclusion, dietary intake of fat and FA is moving towards recommended levels for the UK population. However, there remains room for considerable further improvement.Key words: Dietary intake: National Diet and Nutrition Survey: Fat: Fatty acids: UK Fat has an essential role in our diet. It is the most energy-dense nutrient providing 37 kJ (9 kcal)/g; it is the medium for the absorption of fat-soluble vitamins; it is a primary contributor to palatability of food; and it has a crucial role in membrane structures, the immune system and brain development (1) . However, high intakes of specific types of fat are also an established risk factor for several chronic diseases, such as CVD, obesity, diabetes and cancer (2,3) . There is evidence that replacing SFA with PUFA could decrease the risk of CHD (4) .Recommendations on fat intakes have been established in several countries. In the UK, the Department of Health recommends a maximum daily intake of total fat of 35 % of food energy (FE), SFA of 11 % FE, PUFA of 6·5 % FE and trans-fat of 2 % FE (5) . It is important to monitor the consumption of fat and fatty acids (FA) in populations using dietary surveillance programmes to determine how well recommendations are being met (4) .In the UK, household food purchase surveys have been carried out for many years to monitor food purchases; these show that purchases of fat (including all types of fat) have remained stable since 2005 -06, and that whole milk, which is a contributor to fat intake, is on a downward trend (6) . However, household surveys do not necessarily reflect individual food intake. Therefore, the National Diet and Nutrition Survey (NDNS) was set up in 1992 following the 1986-87 Dietary and Nutritional Survey of British Adults to o...
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