Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Strasse 64, DE-12101 Berlin, Germany.
Br J Nutr. 2013 Aug;110(4):755-73. doi: 10.1017/S000711451200565X. Epub 2013 Jan 14.
Achieving an understanding of the extent of micronutrient adequacy across Europe is a major challenge. The main objective of the present study was to collect and evaluate the prevalence of low micronutrient intakes of different European countries by comparing recent nationally representative dietary survey data from Belgium, Denmark, France, Germany, The Netherlands, Poland, Spain and the United Kingdom. Dietary intake information was evaluated for intakes of Ca, Cu, I, Fe, Mg, K, Se, Zn and the vitamins A, B₁, B₂, B₆, B₁₂, C, D, E and folate. The mean and 5th percentile of the intake distributions were estimated for these countries, for a number of defined sex and age groups. The percentages of those with intakes below the lower reference nutrient intake and the estimated average requirement were calculated. Reference intakes were derived from the UK and Nordic Nutrition Recommendations. The impact of dietary supplement intake as well as inclusion of apparently low energy reporters on the estimates was evaluated. Except for vitamin D, the present study suggests that the current intakes of vitamins from foods lead to low risk of low intakes in all age and sex groups. For current minerals, the study suggests that the risk of low intakes is likely to appear more often in specific age groups. In spite of the limitations of the data, the present study provides valuable new information about micronutrient intakes across Europe and the likelihood of inadequacy country by country.
了解欧洲各国微量营养素充足程度是一项重大挑战。本研究的主要目的是通过比较比利时、丹麦、法国、德国、荷兰、波兰、西班牙和英国最近具有全国代表性的膳食调查数据,收集和评估不同欧洲国家低微量营养素摄入的流行情况。对钙、铜、碘、铁、镁、钾、硒、锌以及维生素 A、B₁、B₂、B₆、B₁₂、C、D、E 和叶酸的摄入量进行了评估。针对这些国家的多个特定性别和年龄组,对这些营养素的摄入量分布的平均值和第 5 百分位数进行了估计。计算了摄入量低于最低参考营养素摄入量和估计平均需求量的百分比。参考摄入量来自英国和北欧营养建议。还评估了膳食补充剂摄入以及包括明显低能量报告者对估计值的影响。除了维生素 D 之外,本研究表明,目前从食物中获取的维生素摄入量使所有年龄和性别组的低摄入量风险较低。对于目前的矿物质,研究表明,低摄入量的风险在特定年龄组中更有可能出现。尽管数据存在局限性,但本研究提供了有关欧洲各国微量营养素摄入量和国家不足可能性的宝贵新信息。