The Intake of Phosphorus and Nitrites through Meat Products: A Health Risk Assessment of Children Aged 1 to 9 Years Old in Serbia

Milešević, Jelena; Vranić, Danijela; Gurinović, Mirjana; Korićanac, Vladimir; Borović, Branka; Zeković, Milica; Šarac, Ivana; Milićević, Dragan; Glibetić, Maria

doi:10.3390/nu14020242

Cited by 11 publications

(12 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study, the implemented methodology, and harmonized data present a basis for further food and nutrition research, policy and strategy initiatives, exposure and environmental impact of food consumption assessment, development of dietary recommendations, and are a high-quality foundation for the establishment of food system research. For instance, the dataset has already been employed for exposure risk assessments to aflatoxin M1 in milk products and nitrites and phosphorus intake from meat products in the child population ( 38 , 39 ). All four countries successfully submitted food consumption data to EFSA (two national study reports are already available online at the moment) ( 40 , 41 ), which can now become part of the pan-European pool of harmonized data resources within the EU Menu umbrella ( 42 ).…”

Section: Resultsmentioning

confidence: 99%

Implementation of Harmonized Food Consumption Data Collection in the Balkan Region According to the EFSA EU Menu Methodology Standards

et al. 2022

Self Cite

View full text Add to dashboard Cite

Initiatives in the Capacity Development in Nutrition Research in the Balkan region in the last decade have been toward the creation of contemporary, harmonized Research Infrastructure (RI) compliant with European standards. This study describes the process of creation and implementation of the European Food Safety Authority (EFSA) EU Menu methodology in the Balkan region during the EFSA support projects for food consumption data collection in four countries (Serbia, Montenegro, Bosnia and Herzegovina, and North Macedonia). This process entailed the application and improvement of an innovative tool, the DIET ASSESS and PLAN (DAP), a platform for standardized food consumption data collection and dietary intake assessment. DAP comprises computerized food consumption, anthropometric measurements, and physical activity questionnaires, validated food picture book, and FoodEx2 exposure hierarchy with sets of facet descriptors of the interest. It hosts the Balkan food platform with a Serbian food composition database (FCDB) and Regional FCDB, compliant with European Food Information Resource (EuroFIR™) standards. The implementation of the DAP platform in national dietary surveys conducted with the support of the EFSA EU Menu project in Balkan countries enabled harmonized food consumption data compilation and reporting. Application of the methodology entailed the development of study protocol and extensive education and training of study personnel. The entire data collection process was managed by internal and external survey coordinators. A pilot study was conducted to test the entire data collection and control process and was afterward used to make necessary improvements and adjustments to meet EU Menu requirements. Data collected are internationally comparable with food consumption data in other European countries within the framework of the EU Menu program. The existence of such data in the Balkan region will catalyze research activities in emerging topics, such as identification of dietary patterns, the establishment of national nutrient reference values and food-based dietary guidelines (not only in Serbia, but in the whole Balkan region), dietary exposure assessments, the endorsement and evaluation of new food legislations, the environmental and other effects of diet on the food system. The developed and implemented methodology underpins evidence-based policy-making processes lacking in the field of public health nutrition in the region.

show abstract

Section: Resultsmentioning

confidence: 99%

Implementation of Harmonized Food Consumption Data Collection in the Balkan Region According to the EFSA EU Menu Methodology Standards

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Some additives (for example, sodium nitrate) are used more often than others [ 59 ]. Not all additives may affect all consumers, and in some cases, children may be particularly vulnerable [ 60 ]. Concerns about meat consumption also refer to such threats as: the legacy of the avian influenza epidemic, mad cow disease, genetic modification, bacterial infections, and the use of antibiotics and pesticides [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Sustainable or Not? Insights on the Consumption of Animal Products in Poland

Mazur-Włodarczyk

Gruszecka‐Kosowska

2022

IJERPH

View full text Add to dashboard Cite

Animal products are one of the main constituents of the human diet. They are the main source of energy, proteins, microelements, and bioactive substances. The most popular negative health impacts linked with the consumption of animal products are obesity, atherosclerosis, heart attacks, and cancer. Apart from human health, consuming animal products is also controversial lately, due to farm animals’ well-being and environmental protection issues. Thus, within the context of sustainability, the consumption trends of animal products were investigated through our on-line questionnaire surveys. The following animal products were involved in the survey: unprocessed meat (pork, beef, lamb, veal, mutton, chicken, duck, goose, turkey), processed meat (cold-cuts, sausages, pates), fish products, and eggs. Our research concluded that consumption among respondents with higher education was unsustainable for both unprocessed and processed meat, as eating habits in terms of type and quantity of consumed meat indicated respondents’ unawareness. The consumption of fish products was also revealed as unsustainable regarding the quantity of fish consumed in terms of its beneficial nutritional values. Egg consumption was revealed as the most sustainable among the investigated animal products. However, insignificant egg consumption among the respondents showed the actual need of social education in terms of the current knowledge regarding the beneficial aspects of eggs.

show abstract

“…Due to differences in the design of the studies estimating the nitrate and nitrite intakes from processed meat products that have been conducted at EU level [12] and in other countries [16][17][18][19][20][21][22][23][24] (such as additive evaluations, sources of intake, occurrence data, age groupings, dietary assessment methodologies, conversion factors utilized, and more), the results are quite difficult to compare. Children aged 3 to 9 years in the EU were found to have a mean dietary exposure to nitrites from their use solely as food additives ranging from 0.03 to 0.027 mg/kg bw/day [12].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have been published to assess dietary exposure to nitrite and nitrate from processed meat products in other countries [16][17][18][19][20][21][22][23][24]; however, to our knowledge, no relevant research has been conducted to date for Greek consumers. Moreover, Greeks seem to follow a dietary pattern that differs significantly from the Mediterranean diet, presenting a high intake of red meat and fast food [25] and the gradual adoption of harmful eating habits appears to have accelerated since the onset of the Greek debt crisis [26].…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment of Nitrite and Nitrate Intake from Processed Meat Products: Results from the Hellenic National Nutrition and Health Survey (HNNHS)

Kotopoulou

Zampelas

Magriplis

2022

IJERPH

View full text Add to dashboard Cite

Long-term exposure to a high nitrite and nitrate intake through processed meat is of concern, as it has been related to adverse health effects. Individual consumption data from 2152 participants (46.7% males) in the Hellenic National Nutrition and Health Survey (HNNHS) were linked with current Maximum Permitted Levels (MPLs) to calculate exposure to nitrite and nitrate from processed meat products (assessed as nitrite equivalent), evaluate potential risk and identify the major contributors. Processed meat intakes were determined by combining data from 24 h recalls and frequency of consumption reported in Food Propensity Questionnaires (FPQs). Median exposure was estimated to be within safe levels for all population groups. However, 6.6% (n = 143) of the consumers exceeded the Acceptable Daily Intake (ADI) of nitrite (0.07 mg/kg bw/day), of which 20.3% were children aged 0–9 years (N = 29) (15.3% of all children participants in the study, N = 190). In total, pork meat was the major contributor (41.5%), followed by turkey meat (32.7%) and sausages (23.8%), although contribution variations were found among age groups. The outcomes are of public health concern, especially exposure among children, and future research is warranted to evaluate possible associations with health effects, by using more refined occurrence data if available.

show abstract

The Intake of Phosphorus and Nitrites through Meat Products: A Health Risk Assessment of Children Aged 1 to 9 Years Old in Serbia

Cited by 11 publications

References 55 publications

Implementation of Harmonized Food Consumption Data Collection in the Balkan Region According to the EFSA EU Menu Methodology Standards

Implementation of Harmonized Food Consumption Data Collection in the Balkan Region According to the EFSA EU Menu Methodology Standards

Sustainable or Not? Insights on the Consumption of Animal Products in Poland

Risk Assessment of Nitrite and Nitrate Intake from Processed Meat Products: Results from the Hellenic National Nutrition and Health Survey (HNNHS)

Contact Info

Product

Resources

About