Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation

The nutrient adequacy of a diet is typically assessed by comparing estimated nutrient intakes with established average nutrient requirements; this approach does not consider total energy consumed. In this multinational survey investigation in Indonesia, Mexico, and South Africa, we explore the appli...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Marieke Vossenaar, Noel W. Solomons, Siti Muslimatun, Mieke Faber, Olga P. García, Eva Monterrosa, Kesso Gabrielle van Zutphen, Klaus Kraemer
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	micronutrients nutritious diets nutrient density energy expenditure problem nutrients women Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/991722bafe2649a3aa9b76c86914b4b1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:991722bafe2649a3aa9b76c86914b4b1
record_format	dspace
spelling	oai:doaj.org-article:991722bafe2649a3aa9b76c86914b4b12021-11-25T18:36:06ZNutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation10.3390/nu131140162072-6643https://doaj.org/article/991722bafe2649a3aa9b76c86914b4b12021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4016https://doaj.org/toc/2072-6643The nutrient adequacy of a diet is typically assessed by comparing estimated nutrient intakes with established average nutrient requirements; this approach does not consider total energy consumed. In this multinational survey investigation in Indonesia, Mexico, and South Africa, we explore the applications of the “critical nutrient-density approach”—which brings energy requirements into the equation—in the context of public health epidemiology. We conducted 24 h dietary recalls in convenience samples of normal-weight (BMI 18.5–25 kg/m<sup>2</sup>) or obese (BMI > 30 kg/m<sup>2</sup>), low-income women in three settings (<i>n</i> = 290). Dietary adequacy was assessed both in absolute terms and using the nutrient density approach. No significant differences in energy and nutrient intakes were observed between normal-weight and obese women within any of the three samples (<i>p</i> > 0.05). Both the cut-point method (% of EAR) and critical nutrient density approach revealed a high probability of inadequate intakes for several micronutrients but with poor concordance between the two methods. We conclude that it may often require some approximate estimate of the habitual energy intake from an empirical source to apply a true critical nutrient density reference for a population or subgroup. This will logically signify that there would be more “problem nutrients” in the diets examined with this nutrient density approach, and efforts toward improved food selection or food- or biofortification will frequently be indicated.Marieke VossenaarNoel W. SolomonsSiti MuslimatunMieke FaberOlga P. GarcíaEva MonterrosaKesso Gabrielle van ZutphenKlaus KraemerMDPI AGarticlemicronutrientsnutritious dietsnutrient densityenergy expenditureproblem nutrientswomenNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4016, p 4016 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	micronutrients nutritious diets nutrient density energy expenditure problem nutrients women Nutrition. Foods and food supply TX341-641
spellingShingle	micronutrients nutritious diets nutrient density energy expenditure problem nutrients women Nutrition. Foods and food supply TX341-641 Marieke Vossenaar Noel W. Solomons Siti Muslimatun Mieke Faber Olga P. García Eva Monterrosa Kesso Gabrielle van Zutphen Klaus Kraemer Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
description	The nutrient adequacy of a diet is typically assessed by comparing estimated nutrient intakes with established average nutrient requirements; this approach does not consider total energy consumed. In this multinational survey investigation in Indonesia, Mexico, and South Africa, we explore the applications of the “critical nutrient-density approach”—which brings energy requirements into the equation—in the context of public health epidemiology. We conducted 24 h dietary recalls in convenience samples of normal-weight (BMI 18.5–25 kg/m<sup>2</sup>) or obese (BMI > 30 kg/m<sup>2</sup>), low-income women in three settings (<i>n</i> = 290). Dietary adequacy was assessed both in absolute terms and using the nutrient density approach. No significant differences in energy and nutrient intakes were observed between normal-weight and obese women within any of the three samples (<i>p</i> > 0.05). Both the cut-point method (% of EAR) and critical nutrient density approach revealed a high probability of inadequate intakes for several micronutrients but with poor concordance between the two methods. We conclude that it may often require some approximate estimate of the habitual energy intake from an empirical source to apply a true critical nutrient density reference for a population or subgroup. This will logically signify that there would be more “problem nutrients” in the diets examined with this nutrient density approach, and efforts toward improved food selection or food- or biofortification will frequently be indicated.
format	article
author	Marieke Vossenaar Noel W. Solomons Siti Muslimatun Mieke Faber Olga P. García Eva Monterrosa Kesso Gabrielle van Zutphen Klaus Kraemer
author_facet	Marieke Vossenaar Noel W. Solomons Siti Muslimatun Mieke Faber Olga P. García Eva Monterrosa Kesso Gabrielle van Zutphen Klaus Kraemer
author_sort	Marieke Vossenaar
title	Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
title_short	Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
title_full	Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
title_fullStr	Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
title_full_unstemmed	Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation
title_sort	nutrient density as a dimension of dietary quality: findings of the nutrient density approach in a multi-center evaluation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/991722bafe2649a3aa9b76c86914b4b1
work_keys_str_mv	AT mariekevossenaar nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT noelwsolomons nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT sitimuslimatun nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT miekefaber nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT olgapgarcia nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT evamonterrosa nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT kessogabriellevanzutphen nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation AT klauskraemer nutrientdensityasadimensionofdietaryqualityfindingsofthenutrientdensityapproachinamulticenterevaluation
_version_	1718410905782321152

Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation

Ejemplares similares