Dietary exposure assessments for children in europe (the EXPOCHI project): rationale, methods and design

Archives of Public Health

Jacob D Van Klaveren^1,17  Stefaan De Henauw⁷  Stefan Fabiansson⁸  Anthony Kafatos¹  Leif Busk⁵  Michael Tornaritis^1,12  Ellen Trolle^1,14  Jean-Luc Volatier⁹  Luis Serra-Majem³  Alicja Walkiewicz^1,10  Mathilde Kersting^1,14  Stefania Sette²  Mikel Azpiri⁴  Irena Rehurkova^1,11  Suvi Virtanen^1,13  Maciej Oltarzewski^1,10  Tue Christensen^1,14  Stalo Papoutsou^1,12  Annett Hilbig^1,15  Lourdes Ribas-Barba^1,16  Anna Westerlund⁵  Joanna Moschandreas¹  Davide Arcella⁸  Melissa De Neve⁷  Tero Hirvonen⁶  Pilar Amiano⁴  Aida Turrini²  Lionel Lafay⁹  Jiri Ruprich^1,11  Polly E Boon^1,17  Isabelle Sioen⁷  Inge Huybrechts⁷ 

[1]Department of Social Medicine, Faculty of Medicine, University of Crete, Greece

[2]National Institute for Research on Food and Nutrition (INRAN), Rome, Italy

[3]Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Spain

[4]Public Health Division of Gipuzkoa, Basque Covernement, San Sebastian, CIBER Epidemiología y Salud Pública (CIBERESP), Spain

[5]Livsmedelsverket, NFA - National Food Administration, Sweden

[6]Risk Assessment Unit, Finnish Food Safety Authority, Helsinki, Finland

[7]Department of Public Health, Ghent University, University Hospital, Ghent, Belgium

[8]European Food Safety Authority, Parma, Italy

[9]Agence Française de Sécurité Sanitaire des Aliments (AFFSA), France

[10]National Food and Nutrition Institute, Warsaw, Poland

[11]Department of Food Safety and Nutrition, National Institute of Public Health, Czech Republic

[12]Research and Education Institute of Child Health, Strovolos, Cyprus

[13]Nutrition Unit, National Institute for Health and Welfare, Helsinki, Finland

[14]Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark

[15]Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-Universitaet Bonn, Germany

[16]Nutrition Research Foundation, Science Park of the University of Barcelona, Spain

[17]RIKILT - Institute of Food Safety, Wageningen University and Research centre, Wageningen, The Netherlands

关键词: food colours;    selenium;    chromium;    lead;    consumption data;    health risk;    concentration data;    design;    Europe;    children;    dietary exposure assessment;    Food;   

Others  :  791345
DOI  :  10.1186/0778-7367-69-4

 received in 2010-12-22, accepted in 2011-10-24,  发布年份 2011

【 摘 要 】

Background/purpose

The number of dietary exposure assessment studies focussing on children is very limited. Children are however a vulnerable group due to their higher food consumption level per kg body weight. Therefore, the EXPOCHI project aims [1] to create a relational network of individual food consumption databases in children, covering different geographical areas within Europe, and [2] to use these data to assess the usual intake of lead, chromium, selenium and food colours.

Methods

EXPOCHI includes 14 food consumption databases focussed on children (1-14 y old). The data are considered representative at national/regional level: 14 regions covering 13 countries. Since the aim of the study is to perform long-term exposure assessments, only data derived from 24 hr dietary recalls and dietary records recorded on at least two non-consecutive days per individual were included in the dietary exposure assessments. To link consumption data and concentration data of lead, chromium and selenium in a standardised way, categorisation of the food consumption data was based on the food categorisation system described within the SCOOP Task report 3.2.11. For food colours, the food categorisation system specified in the Council Directive 94/36/EC was used.

Conclusion

The EXPOCHI project includes a pan-European long-term exposure assessment of lead, chromium, selenium and food colours among children living in 13 different EU countries. However, the different study methods and designs used to collect the data in the different countries necessitate an in-depth description of these different methods and a discussion about the resulting limitations.

【 授权许可】

   
2011 Huybrechts et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]EFSA: Reasoned opinion on the potential chronic and acute risk to consumers' health arising from proposed temporary EU MRLs. European Food Safety Authority (EFSA); 2007.
• [2]Leclercq C, Le Donne C, Arcella D, D'Addezio L, Turrini A: Esposizione a sostanze chimiche presenti nella dieta in eta pediatrica (Intake exposure to chemicals among children). 2005. Report No.: 35
• [3]Hilbig A, Kersting M, Sichert-Hellert W: Measured consumption of tap water in German infants and young children as background for potential health risk assessments: data of the DONALD Study. Food Addit Contam 2002, 19(9):829-36.
• [4]Hilbig A, Freidank N, Kersting M, Wilhelm M, Wittsiepe J: Estimation of the dietary intake of acrylamide by German infants, children and adolescents as calculated from dietary records and available data on acrylamide levels in food groups. Int J Hyg Environ Health 2004, 207(5):463-71.
• [5]Kroes R, Muller D, Lambe J, Lowik MR, van KJ, Kleiner J, Massey R, Mayer S, Urieta I, Verger P, Visconti A: Assessment of intake from the diet. Food Chem Toxicol 2002, 40(2-3):327-85.
• [6]VWA: Overschrijding van de gezondheidskundige advieswaarde voor chemische stoffen in de voeding van kinderen (Exceedances of health based limit values for chemicals present in food for children). Den Haag: Voedsel en Waren Autoriteit, Bureau Risicobeoordeling; 2008.
• [7]Huybrechts I, De HS: Energy and nutrient intakes by pre-school children in Flanders-Belgium. Br J Nutr 2007, 98(3):600-10.
• [8]Huybrechts I, Matthys C, Pynaert I, De Maeyer M, Bellemans M, De Geeter H, De Henauw S: Flanders preschool dietary survey: rationale, aims, design, methodology and population characteristics. The Archives of Public Health 2008, 66:5-25.
• [9]Ruprich J, DMRISERD: Individual food consumption - the national study SISP04. 2006. Prague: CHFCH NIPH
• [10]Lyhne N, Christensen T, Groth MV, Fagt S, Biltoft-Jensen A, Hartkopp H, Hinsch HJ, Matthiessen J, Møller A, Saxholt E, Trolle E: Dietary habits in Denmark 2000-2002, Main results. Copenhagen: Danish Institute for Food and Veterinary Research, Department of Nutrition; 2005.
• [11]Rasanen M, Kronberg-Kippila C, Ahonen S, Uusitalo L, Kautiainen S, Erkkola M, Veijola R, Knip M, Kaila M, Virtanen SM: Intake of vitamin D by Finnish children aged 3 months to 3 years in relation to sociodemographic factors. Eur J Clin Nutr 2006, 60(11):1317-22.
• [12]Simell O, Niinikoski H, Ronnemaa T, Raitakari OT, Lagstrom H, Laurinen M, Aromaa M, Hakala P, Jula A, Jokinen E, Valimaki I, Viikari J: Cohort Profile: the STRIP Study (Special Turku Coronary Risk Factor Intervention Project), an Infancy-onset Dietary and Life-style Intervention Trial. Int J Epidemiol 2009, 38(3):650-5.
• [13]AFSSA: Summary of the Report of the 2006/2007 Individual and National Study on Food Consumption 2 (INCA 2). Maison-Alfort: French Food Safety Authority (AFSSA); 2009.
• [14]Kroke A, Manz F, Kersting M, Remer T, Sichert-Hellert W, Alexy U, Lentze MJ: The DONALD Study. History, current status and future perspectives. Eur J Nutr 2004, 43(1):45-54.
• [15]Kersting M, Alexy U, Kroke A, Lentze MJ: Nutrition of children and adolescents. Results of the DONALD Study. Volume 47. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz; 2004::213-8.
• [16]Sichert-Hellert W, Kersting M, Schoch G: Consumption of fortified food between 1985 and 1996 in 2- to 14-year-old German children and adolescents. Int J Food Sci Nutr 1999, 50(1):65-72.
• [17]Linardakis M, Sarri K, Pateraki MS, Sbokos M, Kafatos A: Sugar-added beverages consumption among kindergarten children of Crete: effects on nutritional status and risk of obesity. BMC Public Health 2008, 8:279. BioMed Central Full Text
• [18]Leclercq C, Arcella D, Piccinelli R, Sette S, Le DC, Turrini A, on behalf of the INRAN-SCAI 2005-06 Study Group: The Italian National Food Consumption Survey INRAN-SCAI 2005-06: main results in terms of food consumption. Public Health Nutr 2009, 12:1-29.
• [19]Ocké MC, Van Rossum CTM, Fransen HP, Buurma EJM, De Boer EJ, Brants HAM, Niekerk EM, Van der Laan JD, Drijvers JJMM, Ghameshlou Z: Dutch National Food Consumption Survey - Young children 2005/2006 (350070001). Bilthoven: National Institute for Public Health and the Environment (RIVM); 2008.
• [20]Larrañaga LN, Amiano EP, Gorostiza GE, Pérez DY, Bidaurrazaga-Van-Dierdonck J, Sarasqueta EC, Arrizabalaga AJJ, Espada SM, Méndez NI: Encuesta de nutrición 2005: Hábitos alimentarios y estado de salud de la población vasca de 4 a 18 años. Primeros resultados. Vitoria-Gasteiz Servicio Central de Publicaciones del Gobierno Vasco, DL; 2006.
• [21]Serra-Majem L, Garcia-Closas R, Ribas L, Perez-Rodrigo C, Aranceta J: Food patterns of Spanish schoolchildren and adolescents: The enKid Study. Public Health Nutr 2001, 4(6A):1433-8.
• [22]Enghardt-Barbieri H, Pearson M, Becker W: Riksmaten - barn 2003. Livsmedels- och näringsintag bland barn i Sverige. Uppsala: Livsmedelsverket; 2006.
• [23]De Neve M: EXPOCHI-Manual on Food Categorisation (1). Version 1.3. Lead, Chromium and Selenium. Ghent, Research unit Nutrition and Food Safety, Department of Public Health, Ghent University; 2009.
• [24]De Neve M: EXPOCHI-Manual on Food Categorisation (2). Version 1.1. Food colours. Ghent, Research unit Nutrition and Food Safety, Department of Public Health, Ghent University; 2009.
• [25]De Neve M, Sioen I, Boon PE, Arganini C, Moschandreas J, Ruprich J, Lafay L, Amiano P, Arcella D, Azpiri M, Busk L, Christensen T, D'Addezio L, Fabiansson S, Hilbig A, Hirvoren T, Kersting M, Koulouridaki S, Liukkonen K-H, Oltarzewski M, Papoutsou S, Rehurkova L, Ribas-Barba L, Serra-Majem L, Tornaritis M, Trolle E, Van Klaveren JD, Verger E, Walkiewicz A, Westerlund S, et al.: Harmonization of food categorization systems for dietary exposure assessments among European children. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2010, 27(12):1639-51.
• [26]EFSA: Long-term dietary exposure to lead in young children living in different European countries. 2010.
• [27]EFSA: Long-term dietary exposure to different food colours in young children living in different European countries. 2010.
• [28]EFSA: Long-term dietary exposure to chromium in young children living in different European countries. 2010.
• [29]EFSA: Long-term dietary exposure to selenium in young children living in different European countries. 2010.
• [30]Diaz R, Lopez B, Henriquez S, Rodriguez E, Serra-Majem L: Serum selenium concentration in a representative sample of the Canarian population. Sci Total Environ 2001, 65-73.
• [31]European Commission: Assessment of the dietary exposure to arsenic, cadmium, lead and mercury of the population of the EU Member States Directorate General Health and Consumer Protection. 2004.
• [32]European Parliament and Council Directive. European Parliament and Council Directive 94/36/EC of 30 June 1994 on colours for use in foodstuffs 1994.
• [33]FAO/WHO: Safety evaluation of certain food additives and contaminants. Prepared by the fifty-third meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA). Geneva: World Health Organisation. WHO Food Additives Series, No. 44; 2000.
• [34]Scientific Committee on Food. Opinion of the Scientific Committee on Food on the Tolerable Upper Intake Level of Selenium (expressed on 19 October 2000) 2000.
• [35]WHO: Trace elements in human nutrition and health (A report of a re-evaluation of the role of trace elements in human health and nutrition). Geneva: World Health Organization; 1996.
• [36]Slob W: Probabilistic dietary exposure assessment taking into account variability in both amount and frequency of consumption. Food Chem Toxicol 2006, 44(7):933-51.
• [37]Dodd KW: A technical guide to C-side. Ames, Iowa: Department of Statistics and Center for Agricultural and Rural Development, Iowa State University. 1996.
• [38]Nusser SM, Carriquiry AL, Dodd KW, Fuller WA: A semiparametric transformation approach to estimating usual daily intake distributions. J Am Stat Assoc 1996, 91:1440-9.
• [39]Nusser SM, Fuller WA, Guenther PM: Estimating usual dietary intake distributions: adjusting for measurement error and nonnormality in 24-hour food intake data. Survey measurement and process quality. New York: Wiley; 1997.
• [40]de Boer WJ, van der Voet H, Release 6: A web-based programme for Monte Carlo Risk Assessment. Bilthoven, Wageningen: Biometris, Wageningen UR, RIKILT-Institute of Food Safety, Wageningen UR, and National Institute for Public Health and the Environment (RIVM). 2007.
• [41]De Boer WJ, Release 6: A web-based programme for Monte Carlo Risk Assessment. Wageningen: Biometrics and RIKILT-Institute of Food Safety, Wageningen UR; National Institute for Public Health and the Environment (RIVM). 2007.
• [42]Brussaard JH, Lowik MR, Steingrimsdottir L, Moller A, Kearney J, De HS, Becker W: A European food consumption survey method--conclusions and recommendations. Eur J Clin Nutr 2002, 56(Suppl 2):S89-S94.
• [43]EFSA: Revised exposure assessment for lycopene as a food colour. 2010. Report No.: 8(1)
• [44]Schofield WN: Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 1985, 39(Suppl 1):5-41.