The Development and Validation of Food Atlas for Portion Size Estimation in the Balkan Region

Nikolić, Marina; Milešević, Jelena; Zeković, Milica; Gurinović, Mirjana; Glibetić, Marija

doi:10.3389/fnut.2018.00078

Cited by 35 publications

(35 citation statements)

References 23 publications

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“…Recalls were administered according to multiple-pass approach with standardized protocol, interview structure, and probing questions. To facilitate the evaluation of food servings and improve accuracy of reporting, participants were prompted with validated two-dimensional portion size estimation aid i.e., booklet comprising photograph-series illustrating a range of reference portions for 135 items (both simple foods and recipes) commonly consumed in the Balkan region [42]. In conjunction with the photographic atlas, household measures, package/labelling data, the standard serving size information and natural units were used to quantify the amount of food consumed.…”

Section: Assessment Of Dietary Zn Intakementioning

confidence: 99%

Is There a Link between Zinc Intake and Status with Plasma Fatty Acid Profile and Desaturase Activities in Dyslipidemic Subjects?

et al. 2019

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The prevalence of obesity and dyslipidemia has increased worldwide. The role of trace elements in the pathogenesis of these conditions is not well understood. This study examines the relationship between dietary zinc (Zn) intake and plasma concentrations of Zn, copper (Cu) and iron (Fe) with lipid profile indicators, fatty acid composition in plasma phospholipids and desaturase enzyme activities in a dyslipidemic population. The role of the newly proposed biomarker of Zn status, the linoleic:dihomo-gama-linolenic acid (LA:DGLA) ratio, in predicting Zn status of dyslipidemic subjects has been explored. The study included 27 dyslipidemic adults, 39-72 years old. Trace elements were determined using atomic absorption spectrometry and fatty acid composition by a liquid gas chromatography. Desaturase activities were calculated from product-precursor fatty acid ratios. Dietary data were obtained using 24 h recall questionnaires. Insufficient dietary intake of Zn, low plasma Zn concentrations and an altered Cu:Zn ratio is related to modified fatty acid profile in subjects with dyslipidemia. Plasma Zn status was associated with obesity. There was no correlation between dietary Zn intake and plasma Zn status. The LA:DGLA ratio was inversely linked to dietary Zn intake. Cu, in addition to Zn, may directly or indirectly, affect the activity of desaturase enzymes. region of Europe (54% for both sexes). Successful treatment of dyslipidemia significantly reduces morbidity and mortality from cardiovascular diseases [7]. Basically 10% reduction in serum lipid levels has been reported to result in a 50% reduction in heart disease within 5 years [1].Trace elements have crucial roles in metabolism, growth, immunological and neurological functions [8][9][10]. Zinc (Zn) is required for an adequate activity of more than 300 enzymes involved in protein synthesis, fatty acid metabolism, reproduction and oxidative clearance [11]. Iron (Fe) is needed for proper oxygen transport, while copper (Cu) is important for the oxido-reduction and detoxification and is involved in growth, development of cellular elements of arterial walls, lipoprotein metabolism and immune function [9,12,13]. The concentrations of serum/plasma minerals Zn, Cu and Fe are associated with the development of chronic diseases [10,14,15]. Deficiency in microelements leads to an increase in fat deposition and obesity [16]. Hypoferremia is often seen in people suffering from hypertension and plasma Zn concentrations have been directly correlated with total cholesterol and LDL-C levels [15,17]. Zn, Cu and Fe plasma levels are related to the extent of myocardial damage [18]. Epidemiological studies show a direct correlation between low plasma Zn and Fe concentrations and increased risk of cardiovascular diseases [19]. Elevated plasma levels of Cu were reported in patients with coronary artery disease [20]. Although deficiencies of trace elements may alter metabolism of lipids and lipoproteins, the mechanism of their action is not yet completely understood. The fatty acid (FA)...

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Section: Assessment Of Dietary Zn Intakementioning

confidence: 99%

Is There a Link between Zinc Intake and Status with Plasma Fatty Acid Profile and Desaturase Activities in Dyslipidemic Subjects?

et al. 2019

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“…The dietary and ancillary data collection protocol was developed by synthesizing the best practice of NHANES and the European Food Safety Agency 11 , 30 . The protocol provided detailed instructions for interviewers on contacting participants, keeping records, conducting both dietary interviews (with particular attention to the multiple-pass method) 32 and use of the food atlas 33 . The protocol developed could be used in the next survey and passed on to any new members of staff.…”

Section: Developing the Systemmentioning

confidence: 99%

“…This approach is regarded as the preferred survey method for obtaining a good level of detail on diet 13 , 36 . To determine the quantities of food consumed, we used the Diet Assess food atlas, 33 which features colour images of eating utensils, dishes, individual foods and meals.…”

Section: Developing the Systemmentioning

confidence: 99%

“…Another common obstacle for dietary surveys is the lack of a local food composition database 13 . Our data were analysed using the Balkans Food Composition Database, 23 , 33 which has been developed over the past decade using data from the European Food Information Resource Network, 37 from the local food industry and from chemical analyses (of mineral and fatty acid content) performed at the Institute for Medical Research in Belgrade, Serbia 25 . As the local database is a work in progress, before performing our analyses, we supplemented the Balkan database with data from the United States’ Department of Agriculture’s database and incorporated some new foods (e.g.…”

Section: Developing the Systemmentioning

confidence: 99%

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Feasibility and sustainability of dietary surveillance, Bosnia and Herzegovina

Gicevic

Kremic²,

Fung

et al. 2019

Bull. World Health Organ.

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National dietary surveillance systems are necessary for monitoring people’s intake of foods and nutrients associated with health and disease, and for implementing national and global dietary goals. However, these systems do not exist in many low- and middle-income countries. The development of a model of dietary surveillance for Bosnia and Herzegovina, described here, provides insights into the feasibility and sustainability of dietary surveillance systems in resource-constrained settings and illustrates the challenges involved. In 2016, a year-long dietary survey was initiated in collaboration with the country’s Institute for Statistics using a subsample of households that participated in the 2015 national Household Budget Survey. Interviewers collected lifestyle, anthropometric and health data and participants answered two 24-hour dietary recall questionnaires. The survey included a representative sample of 853 participants and was performed efficiently by a small team of highly motivated, well-trained staff. Conducting a high-quality dietary survey was found to be feasible despite constrained resources. In addition, the ability to link dietary intake and regular household survey data provided an effective way of associating dietary variables with socioeconomic determinants of health. This dietary survey, the first conducted by an official institution in Bosnia and Herzegovina, represents an important starting point for building a sustainable nutritional surveillance system for the country. The cost–effective, low-burden approach to dietary surveillance described here could be applied in other low- and middle-income countries, many of which already carry out regular economic surveys.

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“…The sampling methodology was designed to reflect the demographic distribution of the Serbian population as whole. Dietary data was collected using two un-announced 24-h recalls following the guidelines of the European Food Safety Authority and a standard demographic questionnaire [ 14 , 15 ]. In this nationally-representative sample, we report the relationships between timing of meal intakes, BMI and major indicators of dietary quality: fruit, vegetables, fiber, saturated fat, sugar and sodium intakes.…”

Section: Introductionmentioning

confidence: 99%

Association of meal timing with dietary quality in a Serbian population sample

et al. 2020

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Background The world-wide adoption of Western lifestyles and eating patterns is associated with adverse effects on nutrient intakes. Here we evaluated the relationships between timing of meals and diet quality in Serbia, a Balkan country with a traditional eating pattern that includes the largest meal of the day as a late lunch. Methods A dietary survey was done in the Republic of Serbia using a nationally-representative sample of 74 children and 260 non-pregnant adults. Nutrient intakes were calculated from two 24-h recalls. A Dietary Quality Score (DQS) enumerated how many European Union (EU) Science Hub recommendations were met for fruit and vegetables, fiber, saturated fat, sodium, and sugar. We evaluated whether the timing of dietary intakes is associated with DQS and body mass index. Results The dietary intakes of children ages 10–17 and adults were similar and were high in total fat intake, with an average of 40% of energy from fat. Mean fruit and vegetable intakes of 473 g/day in adults exceeded the minimal EU recommendation. The most worrisome aspects of the Serbian diet were high intakes of saturated fat, sugar and sodium. Lunch was the meal with the highest mean content of energy, followed by breakfast and dinner, and the average time for lunch was 15:15. Consumption of a higher percentage of calories before 16:00 in adults was associated with higher fruit and vegetable intakes and with higher DQS. The subgroup of adults consuming their largest meal after 20:00 had a lower mean age, more men, and a larger percentage was employed outside of the home. There were no associations of meal timing with BMI, but the prevalence of obesity in this population sample was only 13%. Conclusions These results indicate that an earlier meal pattern, and especially consuming the largest meal of the day earlier in the day, was associated with better quality diets. Public health efforts are needed to preserve nutrient intakes as the population shifts away from the traditional Serbian eating pattern. Long-term, deterioration of nutrient intakes could contribute to the increasing rates of obesity that have been observed in Serbia and world-wide.

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The Development and Validation of Food Atlas for Portion Size Estimation in the Balkan Region

Cited by 35 publications

References 23 publications

Is There a Link between Zinc Intake and Status with Plasma Fatty Acid Profile and Desaturase Activities in Dyslipidemic Subjects?

Is There a Link between Zinc Intake and Status with Plasma Fatty Acid Profile and Desaturase Activities in Dyslipidemic Subjects?

Feasibility and sustainability of dietary surveillance, Bosnia and Herzegovina

Association of meal timing with dietary quality in a Serbian population sample

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