Von Nährstoffen zu Lebensmitteln und Mahlzeiten: das Konzept der Optimierten Mischkost für Kinder und Jugendliche in Deutschland

Kersting, Mathilde; Kalhoff, Hermann; Lücke, Thomas

doi:10.1055/s-0043-116499

Cited by 31 publications

(26 citation statements)

References 26 publications

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“…While some European countries, such as the Nordic countries and Spain, do not provide quantitative but only qualitative recommendations for dairy intake, most countries generally recommend two to three servings daily [ 28 ]. The German dietary guidelines recommend a daily intake of about 260 g/1000 kcal corresponding to the three servings of dairy [ 29 ]. Median intake among DONALD participants in the current investigation was lower, in particular in older study participants.…”

Section: Discussionmentioning

confidence: 99%

“…While some European countries, such as the Nordic countries and Spain, do not provide quantitative but only qualitative recommendations for dairy intake, most countries generally recommend two to three servings daily [28]. The German Table 3 Age and time trends in dairy intake of n = 10,333 dietary records of n = 1275 DONALD participants, aged 3.5-18.5 years, collected between 1985 and 2019 Significant p-values in the adjusted model are bolded w%TD intake weight as % of TD; TEI total energy intake (kcal/day) Age and time trends were tested using polynomial mixed-effect regression models a Age = linear age trend, age 2 = quadratic age trend, age 3 dietary guidelines recommend a daily intake of about 260 g/1000 kcal corresponding to the three servings of dairy [29]. Median intake among DONALD participants in the current investigation was lower, in particular in older study participants.…”

Section: Discussionmentioning

confidence: 99%

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Age and time trends of dairy intake among children and adolescents of the DONALD study

et al. 2021

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Purpose To describe age and time trends in dietary intake of Total Dairy (TD) (g/1000 kcal Total Energy Intake) and types of dairy (weight percent of total dairy intake, w%TD) represented as Low Fat Dairy (LFD), High Sugar Dairy (HSD), Fermented Dairy (FD) and Liquid Dairy (LD) among children and adolescents in Germany. Methods Overall, 10,333 3-day dietary records kept between 1985 and 2019 by 1275 DONALD participants (3.5–18.5 years; boys: 50.8%) were analyzed using polynomial mixed-effects regression models. Results TD intake decreased with age (♂: linear trend p < 0.0001; ♀: linear and quadratic trend p < 0.0001), whereas FD (♀: linear, quadratic, cubic trend p ≤ 0.02) increased slightly in girls. HSD (♂: linear, quadratic, cubic trend p ≤ 0.004; ♀: linear, quadratic, cubic trend p ≤ 0.005) and LD (linear, quadratic trend p ≤ 0.0002) decreased with age. In terms of time trends, TD intake decreased in the last three decades, especially since 1995 (quadratic trend for ♂ 0.0007 and ♀ p = 0.004). LFD intake increased until 2010 and decreased thereafter (linear, quadratic, cubic trend p < 0.0001). HSD decreased until 1995, then increased until 2010 and decreased again afterwards (♂: linear, quadratic, cubic trend p ≤ 0.001; ♀: linear, quadratic, cubic trend p ≤ 0.003). While FD intake increased linear (in both ♂ and ♀: p < 0.0001), LD intake decreased (linear, quadratic trend p ≤ 0.03). Conclusion Our results showed changes in dairy consumption patterns among children and adolescents over the past three decades, demonstrating a decrease in TD intake with age and time, and a shift from liquid to solid dairy products with a simultaneous increase in fermented dairy products, while LFD and HSD fluctuated over time. Further evaluations will examine the health significance of these consumption patterns.

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“…While some European countries, such as the Nordic countries and Spain, do not provide quantitative but only qualitative recommendations for dairy intake, most countries generally recommend two to three servings daily [ 28 ]. The German dietary guidelines recommend a daily intake of about 260 g/1000 kcal corresponding to the three servings of dairy [ 29 ]. Median intake among DONALD participants in the current investigation was lower, in particular in older study participants.…”

Section: Discussionmentioning

confidence: 99%

“…While some European countries, such as the Nordic countries and Spain, do not provide quantitative but only qualitative recommendations for dairy intake, most countries generally recommend two to three servings daily [28]. The German Table 3 Age and time trends in dairy intake of n = 10,333 dietary records of n = 1275 DONALD participants, aged 3.5-18.5 years, collected between 1985 and 2019 Significant p-values in the adjusted model are bolded w%TD intake weight as % of TD; TEI total energy intake (kcal/day) Age and time trends were tested using polynomial mixed-effect regression models a Age = linear age trend, age 2 = quadratic age trend, age 3 dietary guidelines recommend a daily intake of about 260 g/1000 kcal corresponding to the three servings of dairy [29]. Median intake among DONALD participants in the current investigation was lower, in particular in older study participants.…”

Section: Discussionmentioning

confidence: 99%

Age and time trends of dairy intake among children and adolescents of the DONALD study

et al. 2021

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“…Like in EsKiMo I those who got at least ten percent of their daily energy from fast food were defined as high consumers [ 29 ]. Other institutions also recommend limiting the energy intake from specific unhealthy foods to ten percent of total energy intake [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

Fast food consumption among 12- to 17-year-olds in Germany – Results of EsKiMo II

Moosburger¹,

Barbosa²,

Brettschneider³

et al. 2020

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Consuming high amounts of fast food can lead to an excessive intake of energy and subsequently promote obesity. Obesity increases a person’s risk for diabetes and cardiovascular diseases. The second wave of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014–2017) included the Eating study as a KiGGS Module (EsKiMo II, 2015–2017) which assessed the self-reported dietary habits of children and adolescents in Germany. The analysis of the data permits an overview of the fast food consumption of 12- to 17-year-olds (n=1,353). Girls consume 57.5 grams and boys 86.3 grams of fast food per day on average (around 400 grams and 600 grams per week, respectively). Pizza is the most consumed fast food product, followed by filled pita and sausage/meat products such as curry sausage. Adolescent girls on average get 6.5% and boys 7.8% of total daily energy intake from fast food. 23% of 12- to 17-year-olds get at least 10% of their daily energy intake from fast food (high consumers). Significant differences between the proportion of high consumers exist regarding sex, age, socioeconomic status, community size, type of school and media consumption. Compared to EsKiMo I (2006), girls’ daily energy intake from fast food has remained nearly constant, whereas that of boys has dropped substantially. From a nutrition physiology perspective, the aim should be to further reduce fast food consumption.

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“…For children of 20 kg body weight (b.w. ), the recommended daily food basket was taken as the basis for the calculations (Kersting et al 2017). Although this includes meat, it was assumed that only direct crop intake adds to Pb exposure for children (Table 4).…”

Section: Oral Exposure Via Cropsmentioning

confidence: 99%

Long-term simulation of lead concentrations in agricultural soils in relation to human adverse health effects

et al. 2020

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Lead (Pb) exposure of consumers and the environment has been reduced over the past decades. Despite all measures taken, immission of Pb onto agricultural soils still occurs, with fertilizer application, lead shot from hunting activities, and Pb from air deposition representing major sources. Little is known about the intermediate and long-term consequences of these emissions. To gain more insight, we established a mathematical model that considers input from fertilizer, ammunition, deposition from air, uptake of Pb by crops, and wash-out to simulate the resulting Pb concentrations in soil over extended periods. In a further step, human oral exposure by crop-based food was simulated and blood concentrations were derived to estimate the margin of exposure to Pb-induced toxic effects. Simulating current farming scenarios, a new equilibrium concentration of Pb in soil would be established after several centuries. Developmental neurotoxicity represents the most critical toxicological effect of Pb for humans. According to our model, a Pb concentration of ~ 5 mg/kg in agricultural soil leads to an intake of approximately 10 µg Pb per person per day by the consumption of agricultural products, the dose corresponding to the tolerable daily intake (TDI). Therefore, 5 mg Pb/kg represents a critical concentration in soil that should not be exceeded. Starting with a soil concentration of 0.1 mg/kg, the current control level for crop fields, our simulation predicts periods of ~ 50 and ~ 175 years for two Pb immission scenarios for mass of Pb per area and year [scenario 1: ~ 400 g Pb/(ha × a); scenario 2: ~ 175 g Pb/(ha × a)], until the critical concentration of ~ 5 mg/kg Pb in soil would be reached. The two scenarios, which differ in their Pb input via fertilizer, represent relatively high but not unrealistic Pb immissions. From these scenarios, we calculated that the annual deposition of Pb onto soil should remain below ~ 100 g/(ha × a) in order not to exceed the critical soil level of 5 mg/kg. We propose as efficient measures to reduce Pb input into agricultural soil to lower the Pb content of compost and to use alternatives to Pb ammunition for hunting.

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Von Nährstoffen zu Lebensmitteln und Mahlzeiten: das Konzept der Optimierten Mischkost für Kinder und Jugendliche in Deutschland

Cited by 31 publications

References 26 publications

Age and time trends of dairy intake among children and adolescents of the DONALD study

Age and time trends of dairy intake among children and adolescents of the DONALD study

Fast food consumption among 12- to 17-year-olds in Germany – Results of EsKiMo II

Long-term simulation of lead concentrations in agricultural soils in relation to human adverse health effects

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