Prioritizing micronutrients for the purpose of reviewing their requirements: a protocol developed by EURRECA

Cavelaars, Adriënne E J M; Doets, Esmée L.; Dhonukshe-Rutten, R.A.M.; Hermoso, Maria; Fairweather‐Tait, Susan J.; Koletzko, Berthold; Gurinović, Mirjana; Moreno, Luís A.; Cetin, Irene; Matthys, Christophe; Veer, P. van ‘t; Ashwell, Margaret; Groot, Lisette C. P. G. M. de

doi:10.1038/ejcn.2010.57

Cited by 34 publications

(31 citation statements)

References 18 publications

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“…To answer our research question, we used the standardized dietary intake/status methodology recommended by EURRECA (more details are below). We focused on the EURRECA top ten micronutrients, prioritized on the basis of the amount of new scientific evidence, their relevance to public health and the variations in current micronutrient recommendations (vitamin B 12 , folate, Fe, Zn and iodine (intake and status) and vitamin C, vitamin D, Ca, Se and Cu (intake only)) (14) .…”

Section: Eurrecamentioning

confidence: 99%

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Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Novaković

Cavelaars

Bekkering

et al. 2012

Public Health Nutr.

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Objective: To compare micronutrient intakes and status in Central and Eastern Europe (CEE) with those in other European countries and with reference values. Design: Review of the micronutrient intake/status data from open access and grey literature sources from CEE. Setting: Micronutrients studied were folate, iodine, Fe, vitamin B 12 and Zn (for intake and status) and Ca, Cu, Se, vitamin C and vitamin D (for intake). Intake data were based on validated dietary assessment methods; mean intakes were compared with average nutrient requirements set by the Nordic countries or the US Institute of Medicine. Nutritional status was assessed using the status biomarkers and cut-off levels recommended primarily by the WHO. Subjects: For all population groups in CEE, the mean intake and mean/median status levels were compared between countries and regions: CEE, Scandinavia, Western Europe and Mediterranean. Results: Mean micronutrient intakes of adults in the CEE region were in the same range as those from other European regions, with exception of Ca (lower in CEE). CEE children and adolescents had poorer iodine status, and intakes of Ca, folate and vitamin D were below the reference values. Conclusions: CEE countries are lacking comparable studies on micronutrient intake/ status across all age ranges, especially in children. Available evidence showed no differences in micronutrient intake/status in CEE populations in comparison with other European regions, except for Ca intake in adults and iodine and Fe status in children. The identified knowledge gaps urge further research on micronutrient intake/status of CEE populations to make a basis for evidence-based nutrition policy.

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Section: Eurrecamentioning

confidence: 99%

“…This network aims to advance methodology for setting micronutrient requirements and recommendations, and to identify vulnerable groups regarding micronutrient intake and status (14,15) . To answer our research question, we used the standardized dietary intake/status methodology recommended by EURRECA (more details are below).…”

Section: Eurrecamentioning

confidence: 99%

Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Novaković

Cavelaars

Bekkering

et al. 2012

Public Health Nutr.

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“…org) and has focused on one of the prioritized relationships set by the network (17) as illustrated in Fig. 1.…”

Section: Methodsmentioning

confidence: 99%

Association between vitamin B₁₂intake and EURRECA's prioritized biomarkers of vitamin B₁₂in young populations: a systematic review

Iglesia¹,

Dhonukshe-Rutten²,

Bel‐Serrat³

et al. 2012

Public Health Nutr.

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Objective: To review evidence on the associations between vitamin B 12 intake and its biomarkers, vitamin B 12 intake and its functional health outcomes, and vitamin B 12 biomarkers and functional health outcomes. Design: A systematic review was conducted by searching electronic databases, until January 2012, using a standardized strategy developed in the EURRECA network. Relevant articles were screened and sorted based on title and abstract, then based on full text, and finally included if they met inclusion criteria. A total of sixteen articles were included in the review. Setting: Articles covered four continents: America (n 4), Europe (n 8), Africa (n 1) and Asia (n 3). Subjects: Population groups included healthy infants, children and adolescents, and pregnant and lactating women. Results: From the total number of 5815 papers retrieved from the initial search, only sixteen were eligible according to the inclusion criteria: five for infants, five for children and adolescents, and six for pregnant and lactating women. Conclusions: Only one main conclusion could be extracted from this scarce number of references: a positive association between vitamin B 12 intake and serum vitamin B 12 in the infant group. Other associations were not reported in the eligible papers or the results were not provided in a consistent manner. The low number of papers that could be included in our systematic review is probably due to the attention that is currently given to research on vitamin B 12 in elderly people. Our observations in the current systematic review justify the idea of performing well-designed studies on vitamin B 12 in young populations.

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“…As micronutrient recommendations should be regularly updated to reflect new scientific evidence, a decision tree on how to prioritise micronutrients for the purpose of reviewing their requirements has been developed by EUR-RECA (Cavelaars et al, 2010a). The strategy of priority setting will be a helpful procedure for policy makers and scientific advisory bodies who face the problem of making optimal use of limited resources.…”

Section: Scientific Triage Of Micronutrientsmentioning

confidence: 99%

“…At present, systematic reviews to estimate requirements of prioritised micronutrients (iron, zinc, vitamin B12, folate and iodine (Cavelaars et al, 2010a)) are being undertaken using EURRECA's best practice guidelines on biomarkers and intake assessment (see above). Centralised searches are conducted to collate papers on associations between micronutrient intake and status, nutrient status and health, and nutrient intake and health.…”

Section: Literature Review Databasesmentioning

confidence: 99%

EURRECA: development of tools to improve the alignment of micronutrient recommendations

et al. 2010

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Approaches through which reference values for micronutrients are derived, as well as the reference values themselves, vary considerably across countries. Harmonisation is needed to improve nutrition policy and public health strategies. The EURRECA (EURopean micronutrient RECommendations Aligned, http://www.eurreca.org) Network of Excellence is developing generic tools for systematically establishing and updating micronutrient reference values or recommendations. Different types of instruments (including best practice guidelines, interlinked web pages, online databases and decision trees) have been identified. The first set of instruments is for training purposes and includes mainly interactive digital learning materials. The second set of instruments comprises collection and interlinkage of diverse information sources that have widely varying contents and purposes. In general, these sources are collections of existing information. The purpose of the majority of these information sources is to provide guidance on best practice for use in a wider scientific community or for users and stakeholders of reference values. The third set of instruments includes decision trees and frameworks. The purpose of these tools is to guide non-scientists in decision making based on scientific evidence. This platform of instruments will, in particular in Central and Eastern European countries, contribute to future capacity-building development in nutrition. The use of these tools by the scientific community, the European Food Safety Authority, bodies responsible for setting national nutrient requirements and others should ultimately help to align nutrient-based recommendations across Europe. Therefore, EURRECA can contribute towards nutrition policy development and public health strategies.

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Prioritizing micronutrients for the purpose of reviewing their requirements: a protocol developed by EURRECA

Abstract: Micronutrient recommendations should be regularly updated to reflect new scientific nutrition and public health evidence. The strategy of priority setting described in this paper will be a helpful procedure for policy makers and scientific advisory bodies.

Cited by 34 publications

References 18 publications

Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Association between vitamin B₁₂intake and EURRECA's prioritized biomarkers of vitamin B₁₂in young populations: a systematic review

EURRECA: development of tools to improve the alignment of micronutrient recommendations

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Prioritizing micronutrients for the purpose of reviewing their requirements: a protocol developed by EURRECA

Abstract: Micronutrient recommendations should be regularly updated to reflect new scientific nutrition and public health evidence. The strategy of priority setting described in this paper will be a helpful procedure for policy makers and scientific advisory bodies.

Cited by 34 publications

References 18 publications

Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Micronutrient intake and status in Central and Eastern Europe compared with other European countries, results from the EURRECA network

Association between vitamin B12intake and EURRECA's prioritized biomarkers of vitamin B12in young populations: a systematic review

EURRECA: development of tools to improve the alignment of micronutrient recommendations

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Product

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Association between vitamin B₁₂intake and EURRECA's prioritized biomarkers of vitamin B₁₂in young populations: a systematic review