@article{41456,
  abstract     = {{<jats:title>Abstract</jats:title><jats:sec>
              <jats:title>Background</jats:title>
              <jats:p>The German total diet study (TDS)—BfR MEAL Study—established its food list in 2016 based on food consumption data of children (0.5–&lt;5 years) and adults (14–80 years). The list consists of 356 foods selected for analysis in order to ensure ≥90% coverage of the diet. Recently, new food consumption data for children (0.5–&lt;6 and 6–&lt;12 years) in Germany became available, which raised the opportunity to evaluate the applicability of the MEAL food list 2016 on new data.</jats:p>
            </jats:sec><jats:sec>
              <jats:title>Objective</jats:title>
              <jats:p>We tested the hypotheses that the MEAL food list 2016 also covers ≥90% of the diet of the new collected food consumption data, and that the selection of foods from younger children and adults was sufficient to also cover the middle age group (6–&lt;12 years). Strategies for updating the existing food list were assessed.</jats:p>
            </jats:sec><jats:sec>
              <jats:title>Methods</jats:title>
              <jats:p>Three approaches evaluated the reusability and potential adjustment strategies of the existing food list. Approach 1 applied the existing food list to new food consumption data. Approach 2 allowed the extension of the existing food list to improve coverage of food consumption. Approach 3 set up a new food list based on the new data.</jats:p>
            </jats:sec><jats:sec>
              <jats:title>Results</jats:title>
              <jats:p>The MEAL food list 2016 covered 94% of the overall diet of the new collected food consumption data. The diet of the middle age group was sufficiently covered with 91%. However, coverage on main food group or population subgroup level was &lt;90% in some cases. Approach 3 most accurately identified relevant modifications to the existing food list. 94% of the MEAL food list 2016 could be re-used and 51 new foods were identified as potentially relevant.</jats:p>
            </jats:sec><jats:sec>
              <jats:title>Significance</jats:title>
              <jats:p>The results suggest that a high investment in the coverage of a TDS food list will lower the effort and the resources to keep data updated in the long-term.</jats:p>
            </jats:sec><jats:sec>
              <jats:title>Impact</jats:title>
              <jats:p>There is no established approach to update a TDS food list. This study provides comparative approaches to handle newly collected food consumption data for follow-on TDS activities. The results provide useful information for institutions planning or updating a TDS. Furthermore, new food consumption data for children in Germany recently became available and are here presented for the first time.</jats:p>
            </jats:sec>}},
  author       = {{Kolbaum, Anna Elena and Ptok, Sebastian and Jung, Christian and Libuda, Lars and Lindtner, Oliver}},
  issn         = {{1559-0631}},
  journal      = {{Journal of Exposure Science &amp; Environmental Epidemiology}},
  keywords     = {{Public Health, Environmental and Occupational Health, Pollution, Toxicology, Epidemiology}},
  publisher    = {{Springer Science and Business Media LLC}},
  title        = {{{Reusability of Germany´s total diet study food list upon availability of new food consumption data—comparison of three update strategies}}},
  doi          = {{10.1038/s41370-023-00522-4}},
  year         = {{2023}},
}