---
_id: '41456'
abstract:
- lang: eng
text: "Abstract\r\n Background\r\n
\ The German total diet study (TDS)—BfR MEAL Study—established
its food list in 2016 based on food consumption data of children (0.5–<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–<6 and 6–<12 years) in Germany became available, which
raised the opportunity to evaluate the applicability of the MEAL food list 2016
on new data.\r\n \r\n Objective\r\n
\ 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–<12 years). Strategies for updating the existing food
list were assessed.\r\n \r\n Methods\r\n
\ 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.\r\n \r\n
\ Results\r\n 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 <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.\r\n \r\n Significance\r\n
\ 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.\r\n \r\n Impact\r\n
\ 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.\r\n "
author:
- first_name: Anna Elena
full_name: Kolbaum, Anna Elena
last_name: Kolbaum
- first_name: Sebastian
full_name: Ptok, Sebastian
last_name: Ptok
- first_name: Christian
full_name: Jung, Christian
last_name: Jung
- first_name: Lars
full_name: Libuda, Lars
id: '88682'
last_name: Libuda
orcid: 0000-0003-1603-3133
- first_name: Oliver
full_name: Lindtner, Oliver
last_name: Lindtner
citation:
ama: Kolbaum AE, Ptok S, Jung C, Libuda L, Lindtner O. Reusability of Germany´s
total diet study food list upon availability of new food consumption data—comparison
of three update strategies. Journal of Exposure Science & Environmental
Epidemiology. Published online 2023. doi:10.1038/s41370-023-00522-4
apa: Kolbaum, A. E., Ptok, S., Jung, C., Libuda, L., & Lindtner, O. (2023).
Reusability of Germany´s total diet study food list upon availability of new food
consumption data—comparison of three update strategies. Journal of Exposure
Science & Environmental Epidemiology. https://doi.org/10.1038/s41370-023-00522-4
bibtex: '@article{Kolbaum_Ptok_Jung_Libuda_Lindtner_2023, 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},
journal={Journal of Exposure Science & Environmental Epidemiology}, publisher={Springer
Science and Business Media LLC}, author={Kolbaum, Anna Elena and Ptok, Sebastian
and Jung, Christian and Libuda, Lars and Lindtner, Oliver}, year={2023} }'
chicago: Kolbaum, Anna Elena, Sebastian Ptok, Christian Jung, Lars Libuda, and Oliver
Lindtner. “Reusability of Germany´s Total Diet Study Food List upon Availability
of New Food Consumption Data—Comparison of Three Update Strategies.” Journal
of Exposure Science & Environmental Epidemiology, 2023. https://doi.org/10.1038/s41370-023-00522-4.
ieee: 'A. E. Kolbaum, S. Ptok, C. Jung, L. Libuda, and O. Lindtner, “Reusability
of Germany´s total diet study food list upon availability of new food consumption
data—comparison of three update strategies,” Journal of Exposure Science &
Environmental Epidemiology, 2023, doi: 10.1038/s41370-023-00522-4.'
mla: Kolbaum, Anna Elena, et al. “Reusability of Germany´s Total Diet Study Food
List upon Availability of New Food Consumption Data—Comparison of Three Update
Strategies.” Journal of Exposure Science & Environmental Epidemiology,
Springer Science and Business Media LLC, 2023, doi:10.1038/s41370-023-00522-4.
short: A.E. Kolbaum, S. Ptok, C. Jung, L. Libuda, O. Lindtner, Journal of Exposure
Science & Environmental Epidemiology (2023).
date_created: 2023-02-02T08:33:12Z
date_updated: 2023-02-02T08:33:33Z
department:
- _id: '35'
- _id: '17'
- _id: '22'
doi: 10.1038/s41370-023-00522-4
keyword:
- Public Health
- Environmental and Occupational Health
- Pollution
- Toxicology
- Epidemiology
language:
- iso: eng
publication: Journal of Exposure Science & Environmental Epidemiology
publication_identifier:
issn:
- 1559-0631
- 1559-064X
publication_status: published
publisher: Springer Science and Business Media LLC
status: public
title: Reusability of Germany´s total diet study food list upon availability of new
food consumption data—comparison of three update strategies
type: journal_article
user_id: '88682'
year: '2023'
...
---
_id: '28015'
abstract:
- lang: eng
text: "Background\r\nUnderstanding changes in dietary intake during puberty could
aid the mapping of dietary interventions for primary prevention. The present study
describes dietary changes from childhood to adolescence, and their associations
with parental education, family income, child education, body mass index (BMI),
pubertal onset and screen-time sedentary behaviour.\r\nMethods\r\nDietary data
(n = 1232) were obtained from food frequency questionnaires at the 10- and 15-year
follow-ups of the GINIplus birth cohort study. Intakes of 17 food groups, macronutrients
and antioxidant vitamins, were described by a) paired Wilcoxon rank sum tests,
comparing average intakes at each time-point, and b) Cohen’s kappa “tracking”
coefficients, measuring stability of intakes (maintenance of relative tertile
positions across time). Further, associations of changes (tertile position increase
or decrease vs. tracking) with parental education, family income, child education,
pubertal onset, BMI, and screen-time, were assessed by logistic regression and
multinomial logistic regression models stratified by baseline intake tertile.\r\nResults\r\nBoth
sexes increased average intakes of water and decreased starchy vegetables, margarine
and dairy. Females decreased meat and retinol intakes and increased vegetables,
grains, oils and tea. Males decreased fruit and carbohydrates and increased average
intakes of meat, caloric drinks, water, protein, fat, polyunsaturated fatty acids
(PUFAs), vitamin C and alpha-tocopherol. Both sexes presented mainly “fair” tracking
levels [κw = 0.21–0.40]. Females with high (vs. low) parental education were more
likely to increase their nut intake [OR = 3.8; 95 % CI = (1.7;8.8)], and less
likely to decrease vitamin C intakes [0.2 (0.1;0.5)], while males were less likely
to increase egg consumption [0.2 (0.1;0.5)] and n3 PUFAs [0.2 (0.1;0.5)]. Females
with a higher (vs. low) family income were more likely to maintain medium wholegrain
intakes [0.2 (0.1;0.7) for decrease vs. tracking, and 0.1 (0.0;0.5) for increase
vs. tracking], and were less likely to decrease vitamin C intakes [0.2 (0.1;0.6)].
Males with high education were less likely to increase sugar-sweetened foods [0.1
(0.1;0.4)]. Finally, BMI in females was negatively associated with decreasing
protein intakes [0.7 (0.6;0.9)]. In males BMI was positively associated with increasing
margarine [1.4 (1.1;1.6)] and vitamin C intakes [1.4 (1.1;1.6)], and negatively
associated with increasing n3 PUFA.\r\nConclusions\r\nAverage dietary intakes
changed significantly, despite fair tracking levels, suggesting the presence of
trends in dietary behaviour during puberty. Family income and parental education
predominantly influenced intake changes. Our results support the rationale for
dietary interventions targeting children, and suggest that sex-specific subpopulations,
e.g. low socio-economic status, should be considered for added impact."
article_type: original
author:
- first_name: 'Carla '
full_name: 'Harris, Carla '
last_name: Harris
- first_name: Claudia
full_name: Flexeder, Claudia
last_name: Flexeder
- first_name: Elisabeth
full_name: Thiering, Elisabeth
last_name: Thiering
- first_name: Anette
full_name: Buyken, Anette
id: '65985'
last_name: Buyken
- first_name: Dietrich
full_name: Berdel, Dietrich
last_name: Berdel
- first_name: Sibylle
full_name: Koletzko, Sibylle
last_name: Koletzko
- first_name: Carl-Peter
full_name: Bauer, Carl-Peter
last_name: Bauer
- first_name: Irene
full_name: Brüske, Irene
last_name: Brüske
- first_name: Berthold
full_name: Koletzko, Berthold
last_name: Koletzko
- first_name: Marie
full_name: Standl, Marie
last_name: Standl
citation:
ama: 'Harris C, Flexeder C, Thiering E, et al. Changes in dietary intake during
puberty and their determinants: results from the GINIplus birth cohort study.
BMC Public Health. 2015;15:841.'
apa: 'Harris, C., Flexeder, C., Thiering, E., Buyken, A., Berdel, D., Koletzko,
S., Bauer, C.-P., Brüske, I., Koletzko, B., & Standl, M. (2015). Changes in
dietary intake during puberty and their determinants: results from the GINIplus
birth cohort study. BMC Public Health, 15, 841.'
bibtex: '@article{Harris_Flexeder_Thiering_Buyken_Berdel_Koletzko_Bauer_Brüske_Koletzko_Standl_2015,
title={Changes in dietary intake during puberty and their determinants: results
from the GINIplus birth cohort study}, volume={15}, journal={BMC Public Health},
author={Harris, Carla and Flexeder, Claudia and Thiering, Elisabeth and Buyken,
Anette and Berdel, Dietrich and Koletzko, Sibylle and Bauer, Carl-Peter and Brüske,
Irene and Koletzko, Berthold and Standl, Marie}, year={2015}, pages={841} }'
chicago: 'Harris, Carla , Claudia Flexeder, Elisabeth Thiering, Anette Buyken, Dietrich
Berdel, Sibylle Koletzko, Carl-Peter Bauer, Irene Brüske, Berthold Koletzko, and
Marie Standl. “Changes in Dietary Intake during Puberty and Their Determinants:
Results from the GINIplus Birth Cohort Study.” BMC Public Health 15 (2015):
841.'
ieee: 'C. Harris et al., “Changes in dietary intake during puberty and their
determinants: results from the GINIplus birth cohort study,” BMC Public Health,
vol. 15, p. 841, 2015.'
mla: 'Harris, Carla, et al. “Changes in Dietary Intake during Puberty and Their
Determinants: Results from the GINIplus Birth Cohort Study.” BMC Public Health,
vol. 15, 2015, p. 841.'
short: C. Harris, C. Flexeder, E. Thiering, A. Buyken, D. Berdel, S. Koletzko, C.-P.
Bauer, I. Brüske, B. Koletzko, M. Standl, BMC Public Health 15 (2015) 841.
date_created: 2021-11-27T13:26:27Z
date_updated: 2022-01-06T06:57:50Z
department:
- _id: '35'
- _id: '22'
- _id: '571'
intvolume: ' 15'
keyword:
- Puberty
- Dietary intake
- Dietary changes
- Tracking
- Determinants
- Epidemiology
language:
- iso: eng
page: '841'
publication: BMC Public Health
publication_status: published
status: public
title: 'Changes in dietary intake during puberty and their determinants: results from
the GINIplus birth cohort study'
type: journal_article
user_id: '49428'
volume: 15
year: '2015'
...