Fluid intake survey among schoolchildren in Belgium

BMC Public Health

Isabelle Thiébaut¹  Michèle Dramaix²  Christelle Senterre² 

[1] Club Européen des Diététiciens de l’Enfance, Brussels, Belgium;Research Centre of Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université Libre de Bruxelles, Route de Lennik, 808 Brussels, Belgium

关键词: Added sugars;    Carbohydrate consumption;    Childhood obesity;    Beverages;    Water intake;    Fluid intake;    Children nutrition;    Nutritional education;    Nutritional epidemiology;    Public health;   

Others  :  1129077
DOI  :  10.1186/1471-2458-14-651

 received in 2013-09-30, accepted in 2014-06-23,  发布年份 2014

【 摘 要 】

Background

In childhood, inadequate fluid intakes can lead on the short term, to reduced physical and cognitive performances. However, few data are available on the fluid intake among schoolchildren in Belgium. The main aim of this study is to evaluate total fluid intake provided by different types of beverages in a sample of Belgian schoolchildren, in order to assess the percentage of individuals complying with the European Food Safety Authority recommendations for total fluid intake. A secondary aim was to characterize the study population in terms of determinants of the total fluid intake requirements.

Methods

A child friendly “fluids and liquid food” diary was used to prospectively record the volume and frequency of beverage consumption over 7 days from 1045 schoolchildren. This diary also recorded the practice of physical activity. An adequate fluid intake was defined as an intake ≥ 75% of the age-specific adequate intake recommended by the EFSA.

Results

The median (P25-P75) of habitual daily fluid intake was 864 (608–1104) ml/day, with 355 (194–579) coming from drinking water. This habitual daily fluid intake varied significantly among the three investigated EFSA groups (girls and boys aged from 8 years, girls from 9 to 13 and boys from 9 to 13), except for the drinking water (P = 0.906). The highest medians of fruit juice, sugar-sweetened beverages and milk and derivatives were found among boys of 9–13. Only 9.5% of the children had an adequate fluid intake, with a value of 19.2% among the 8 years old girls and boys, 7.0% among girls of 9–13 and 8.4% among boys of 9–13. In the whole sample, 27.7% of the children declared to drink less than 3-4x/day, 56% drunk water less than 2x/day and 7.7% drunk no water at all. Every day, 27.1% and 34.1% of the children drank respectively one fruit juice and one sugar-sweetened beverage.

Conclusion

Belgian schoolchildren have an inadequate total fluid intake. Given the potential health consequences, interventions involving parents and school environment to promote water consumption seem pertinent.

【 授权许可】

   
2014 Senterre et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Jéquier E, Constant F: Water as an essential nutrient: the physiological basis of hydration. Eur J Clin Nutr 2010, 64(2):115-123.
• [2]European Food Safety Authority: Scientific opinion on dietary reference values for water. EFSA J 2010, 8(3):14595.
• [3]Pross N, Demazieres A, Girard N, Barnouin R, Metzger D, Klein A, Perrier E, Guelinckx I: Effects of changes in water intake on mood of high and low drinkers. PLoS One 2014, 9(4):e94754. doi: 10.1371/journal.pone.0094754
• [4]Strippoli GF, Craig JC, Rochtchina E, Flood VM, Wang JJ, Mitchell P: Fluid and nutrient intake and risk of chronic kidney disease. Nephrology (Carlton) 2011, 16:326-334.
• [5]Curhan GC, Willett WC, Knight EL, Stampfer MJ: Dietary factors and the risk of incident kidney stones in younger women: Nurses’ Health Study II. Arch Intern Med 2004, 164:885-891.
• [6]Roussel R, Fezeu L, Bouby N, Balkau B, Lantieri O, Alhenc-Gelas F, Marre M, Bankir L, D.E.S.I.R Study Group: Low water intake and risk for new-onset hyperglycemia. Diabetes Care 2011, 34:2551-2554.
• [7]Edmonds CJ, Jeffes B: Does having a drink help you think? 6-7-Year-old children show improvements in cognitive performance from baseline to test after having a drink of water. Appetite 2009, 53(3):469-472.
• [8]D'Anci KE, Constant F, Rosenberg IH: Hydration and cognitive function in children. Nutr Rev 2006, 64(10):457-464.
• [9]National Health and Nutrition Examination Survey. [http://www.cdc.gov/nchs/nhanes.htm webcite]
• [10]Organisation Mondiale de la Santé: Rapport sur la santé bucco-dentaire dans le monde 2003. Poursuivre l’amélioration de la santé bucco-dentaire au XXIe siècle – l’approche du Programme OMS de santé bucco-dentaire. Genève: L’Organisation Mondiale de la Santé; 2003.
• [11]Ernährungskommission der Deutschen Gesellschaft für Kinder- und Jugendmedizin, Ernährungskommission der Österreichischen Gesellschaft für Kinder- und Jugendmedizin, Commission de nutrition de la Société Suisse de Pédiatrie: Consommation de boissons sucrées par les enfants et les adolescents. Paediatrica 2008, 19(4):29-30.
• [12]Collison KS, Zaidi MZ, Subhani SN, Al-Rubeaan K, Shoukri M, Al-Mohanna FA: Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children. BMC Public Health 2010, 10:234.
• [13]Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, DeVriendt T, Gottrand F, Widhalm K, Dallongeville J, Hallstrôm L, Gonzalez-Gross M, Dehenauw S, Moreno LA, Popkin BM: Beverage consumption among European adolescents in the HELENA Study. Eur J Clin Nutr 2012, 66(2):244-252.
• [14]International Obesity Taskforce[http://www.worldobesity.org webcite]
• [15]Bonnet F, Lepicard E, Cathrin L, Letellier C, Constant F, Hawili N, Friedlander G: French children start their school day with a hydratation deficit, France. Ann Nutr Metab 2012, 60:257-263.
• [16]Molloy CJ, Gandy J, Cunningham C, Slattery G: An exploration of factors that influence the regular consumption of water by Irish primary school children. J Hum Nutr Diet 2008, 21(5):512-515.
• [17]Kaushik A, Mullee MA, Bryant TN, Hill CM: A study of the association between children's access to drinking water in primary schools and their fluid intake: can water be ‘cool’ in school? Child Care Health Dev 2007, 33(4):409-415.
• [18]Debacker N, Temme L, Cox L, Huybrechts I, Van Oyen H: Consommation d’aliments. In Enquêtes de consommation alimentaire belge 2004 Edited by Institut Scientifique de Santé Publique. 2007, 19-43.
• [19]Health Behaviour in School-aged Children. World Health Organization Collaborative Cross-National Survey. [http://www.hbsc.org webcite]
• [20]Centre de Recherche pour l’Etude et l’Observation des Conditions de Vie. [http://www.credoc.fr webcite]
• [21]Lafay L, Mennen L, Six MA, Calamassi-Tran G, Hercberg S, Volatier JL, Castetbon K, Ambroise Martin A: Etude de validation d’un carnet de consommation alimentaire de 7 jours pour INCA2-ENNS. Insee-Méthodes: Actes des Journées de Méthodologie Statistique. Paris: L’Insee; 2002.
• [22]Agence Française de Sécurité Sanitaire des Aliments: Etude Individuelle Nationale des Consommations Alimentaires 2 (Inca 2) 2006–2007. Paris: L’Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail; 2009.
• [23]Cole T, Bellizzi M, Flegal K, Dietz W: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320:1-6.
• [24]Taylor RW, Jones IE, Williams SM, Goulding A: Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3–19 y, USA. Am J Clin Nutr 2000, 72:490-495.
• [25]Organisation Mondiale de la Santé: Recommandations mondiales sur l’activité physique pour la santé. [http://whqlibdoc.who.int/publications/2010/9789242599978_fre.pdf webcite]
• [26]Nubel Food Planner. 5th edition. 2010. [http://www.nubel.be webcite]
• [27]Volatier J-L: Enquête Inca - Enquête Individuelle et Nationale sur les Consommations Alimentaires. Collection AFSSA. Paris: Tec & Doc Lavoisier; 2000.
• [28]Turrini A, Saba A, Perrone D, Cialfa E, D’Amicis A: Food consumption patterns in Italy: the INN-CA Study 1994–1996. Eur J Clin Nutr 2001, 55:571-588.
• [29]Manz F, Wentz A: Hydration status in the United States and Germany. Nutr Rev 2005, 63(6 Pt 2):S55-S62.
• [30]Sichert-Hellert W, Kersting M, Manz F: Fifteen year trends in water intake in German children and adolescents: results of the DONALD study: Dortmund Nutritional and Anthropometric Longitudinally Designed Study. Acta Paediatr 2001, 90(7):732-737.
• [31]Popkin B, D’Anci K, Rosenberg I: Water, hydratation and health. USA Nutr Rev 2010, 68(8):439-458.
• [32]Feferbaum R, de Abreu LC, Leone C: Fluid intake patterns: an epidemiological study among children and adolescents in Brazil. BMC Public Health 2012, 12:1005.
• [33]Benton D, Burgess N: The effect of the consumption of water on the memory and attention of children. Appetite 2009, 53(1):143-146.
• [34]Fadda R, Rapinett G, Grathwohl D, Parisi M, Fanari R, Calò CM, Schmitt J: Effects of drinking supplementary water at school on cognitive performance in children. Appetite 2012, 59(3):730-737.
• [35]Bresson JL, Goudable J: Hydratation de l’enfant et comportement dipsique. Cah Nutr Diét 2013, 48:41-52.
• [36]Conseil Supérieur de la Santé: Recommandations nutritionnelles pour la Belgique (révision 200) Publication du CSS n°8309. Bruxelles: Le Conseil Supérieur de la Santé; 2009.
• [37]De Ruyter J, Olthof M, Seidell J, Katan M: A trial of sugar-free or sugar-sweetened beverages and body weight in children. N Engl J Med 2012, 367:1397-1406.
• [38]Qi Q, Chu AY, Kang JH, Jensen MK, Curhan GC, Pasquale LR, Ridker PM, Hunter DJ, Willett WC, Rimm EB, Chasman DI, Hu FB, Qi L: Sugar-sweetened beverages and genetic risk of obesity. N Engl J Med 2012, 367:1387-1396.
• [39]Ebbeling CB, Feldman HA, Chomitz VR, Antonelli TA, Gortmaker SL, Osganian SK, Ludwig DS: A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med 2012, 367:1407-1416.
• [40]Bergouignan A, Blanc S, Simon C: “Calories” et obésité: quantité ou qualité? Cah Nutr Diét 2010, 45:180-189.
• [41]Fulgoni VL 3rd, Quann EE: National trends in beverage consumption in children from birth to 5 years: analysis of NHANES across three decades. Nutr J 2012, 11:92.
• [42]Muckelbauer R, Libuda L, Clausen K, Toschke AM, Reinehr T, Kersting M: Promotion and provision of drinking water in schools for overweight prevention: randomized, controlled cluster trial. Pediatrics 2009, 123(4):661-667.
• [43]Vergne S: Methodological aspects of fluid intake records and surveys. Nutrition Today 2012, 47:7-10.
• [44]Thompson F, Subar A: Dietary assessment methodology. In Nutrition in the Prevention and Treatment of Disease. Edited by Coulston A, Rock C, Monsen. San Diego: Academic Press; 2001:3-22.