Phenolic acids, flavonoids, proanthocyanidins, and ellagitannins are polyphenols that may have beneficial effects on human health and provide protection against chronic diseases. To date, limited data exist on quantitative intake of polyphenols. The aims of this study were to estimate the quantitative intakes of polyphenols by using analyzed concentrations together with individual food consumption records and to determine major dietary sources. Analyzed concentrations of phenolic acids, anthocyanidins, and other flavonoids, proanthocyanidins, and ellagitannins (44 total polyphenol compounds) were entered into the national food composition database, Fineli. The absolute intakes of the polyphenols and the corresponding food sources were calculated on the basis of 48-h dietary recalls of 2007 Finnish adults. The mean total intake of polyphenols was 863 +/- 415 mg/d. Phenolic acids comprised the dominant group of polyphenols (75% of total intake) followed by proanthocyanidins (14%) and anthocyanidins and other flavonoids (10%). Due to their high consumption and high concentrations of phenolic acids, coffee and cereals were the main contributors to total polyphenol intake. Berries and berry products were the main source for anthocyanidins, ellagitannins, and proanthocyanidins, and fruits were the main source for flavonols, flavones, and flavanones. The results give additional support to the recommendations for a varied diet with fruits, berries, cereals, and vegetables.
As snacks appear to have a higher energy density and a lower content of micronutrients than main meals, a snack-dominating meal pattern is inadvisable. However, further studies are needed to examine the association between meal pattern and health status.
Objective: In diet surveys, quantitative underestimation of food consumption may be due to intentional misreporting or false portion-size reporting. Perception of food photographs used as aids for assessing the actual amounts may have an effect. This study was carried out to assess the validity of food photographs. Design: A real-time test protocol where 52 presented food servings were compared against photographed portions with similar food items. Subjects: Volunteers from the Rehabilitation Company Petrea (in Turku) were recruited, 161 adults participated, and for 146 subjects, complete data were collected. Methods: The proportions of correct estimations and reporting errors, in weights and percentages, are presented by gender and food group. Food descriptors, portion-size options and subject characteristics were studied as potential determinants of accuracy in portion-size estimation. Results: The total proportion of exactly correct estimations was 51% in men and 49% in women. The overall reporting error was À10 g in men and þ 1 g in women for the 52 food servings. Underreporting was typical for bread, spread and cold cuts and dishes in both genders. Over-reporting was typical for cereals in both genders and for snacks, vegetables and fruit in women. The estimation error was associated with the portion-size options but not associated with the energy density of food items, education or body mass index. Conclusions: Food portions in photographs seem to be a useful aid for the quantification of most food items. However, validation studies are needed to test the applicability of photographs for estimating current portions and for searching better tools in dietary surveys.
Objective: High sodium intake increases the risk of cardiovascular diseases and may also be associated with higher rates of stomach cancer, asthma disorders and infections. In Finland, cross-sectional population surveys to monitor cardiovascular risk factors have been carried out since the 1970s. The main aim of this paper is to present trends in urinary sodium and potassium excretion from 1979 to 2002. Design: Cross-sectional population surveys on cardiovascular risk factors. Setting: Surveys were carried out in Finland in 1979Finland in , 1982Finland in , 1987Finland in and 2002 in four geographical areas: North Karelia, the Kuopio area, Southwestern Finland and the Helsinki area. Subjects: For each survey a random sample stratified by age and sex was drawn from the population register. In this analysis, participants of urine collection subsamples aged 25-64 years (n ¼ 4648) were included. Interventions: A 24-h urinary collection was carried out in subsamples (n ¼ 2218-2487) in connection with population risk factor surveys. Urinary sodium and potassium concentrations were analyzed in the same laboratory throughout, using a flame photometer in 1979, 1982 and 1987 and an ion-selective electrode in 2002. Results: Between 1979 and 2002 urinary sodium excretion in Finland decreased from over 220 to less than 170 mmol/day among men and from nearly 180 to less than 130 mmol/day among women. Although potassium excretion decreased somewhat as well, the decrease in sodium-potassium molar ratio was also significant. Conclusions: The 24-h urinary sodium excretion in Finland has decreased significantly during the last 20 years. However, excretion levels are still considerably higher than recommendations. A further decrease in sodium intake remains a goal for the Finnish food industry and consumers.
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