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Adjustments Needed for the Use of Nutri-Score in the Netherlands: Lack of Selectivity and Conformity with Dutch Dietary Guidelines in Four Product Groups
Charlotte van Tongeren,
Léon Jansen
Issue:
Volume 9, Issue 2, March 2020
Pages:
33-42
Received:
28 February 2020
Accepted:
17 March 2020
Published:
13 April 2020
DOI:
10.11648/j.ijnfs.20200902.11
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Abstract: Objective: The study investigates the applicability of Nutri-Score in the Netherlands, by comparing Nutri-Score with Dutch Choices criteria and Dutch dietary guidelines in different product groups. Design: For products within the product groups Cheese, Ready meals, Soups and Meal sauces, nutritional data from three large national retailers was collected and the products’ corresponding Nutri-Scores were calculated. The distribution of the products among the different Nutri-Scores (A-E) per product group was calculated. To determine whether the healthiness of products correspond to a healthy score (A/B) and unhealthy products correspond to an unhealthy score (D/E), all product scores were compared to product group-specific criteria of the Dutch Choices Foundation. Furthermore, to identify whether there was a correlation between Nutri-Score and one or more nutrient(s), single and multiple regression analyses were performed. Finally, the Nutri-Score of products was compared with Dutch dietary guidelines. Data characteristics: 2299 products were included in this study, of which 1396 cheeses, 343 ready meals, 370 soups and 190 meal sauces. Results and conclusions: The current study shows that for the product groups Cheese, Ready meals, Soups and Meal sauces, there is an uneven distribution of the products among the different Nutri-Scores, Nutri-Scores of a great amount of products are not in line with Dutch Choices criteria and - dietary guidelines and there is no high correlation between Nutri-Score and health influencing nutrients in most product groups. Now that the Dutch Government has decided to implement Nutri-Score as the new FOP-label, it is advised to look into the possibilities to adapt the algorithm behind the score to a product group-specific algorithm based on Dutch guidelines.
Abstract: Objective: The study investigates the applicability of Nutri-Score in the Netherlands, by comparing Nutri-Score with Dutch Choices criteria and Dutch dietary guidelines in different product groups. Design: For products within the product groups Cheese, Ready meals, Soups and Meal sauces, nutritional data from three large national retailers was coll...
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Identifying Physicians’ and Nurses’ Nutrition Knowledge Using Validated Instruments: A Systematic Narrative Review
Jamie Zeldman,
Jeanette Mary Andrade
Issue:
Volume 9, Issue 2, March 2020
Pages:
43-53
Received:
10 March 2020
Accepted:
26 March 2020
Published:
13 April 2020
Abstract: Physicians and nurses, who are knowledgeable in nutrition, improve patients’ health outcomes. However, limited information is provided about the areas of nutrition they are knowledgeable in. This review sought to identify physicians’ and nurses’ nutrition knowledge through validated instruments. A systematic narrative review of the literature was conducted. Three databases - PubMed Central, Science Direct and Embase databases were searched from 1990 until December 2019. Retrieved studies were screened through a predetermined inclusion criterion and data extraction of included studies occurred. Quality assessment and risk of bias of included articles was completed. Thirty-three articles met the inclusion criteria. Instruments to identify nutrition knowledge varied among each study. Mean percentages of nutrition knowledge were between 32.5% correct to 72% correct. Nutrition knowledge was highest in the areas of nutrients’ roles, and food sources/macronutrients, whereas knowledge was lowest in the area of providing medical nutrition therapy. In general, physicians and nurses who were older, considered a specialist, held an advanced degree and/or had more years of practice had higher nutrition knowledge scores. Overall, literature about physicians’ and nurses’ nutrition knowledge is heterogeneous and scant as well as the instruments used to measure this knowledge. Within these limits, nutrition knowledge may be improved in certain areas.
Abstract: Physicians and nurses, who are knowledgeable in nutrition, improve patients’ health outcomes. However, limited information is provided about the areas of nutrition they are knowledgeable in. This review sought to identify physicians’ and nurses’ nutrition knowledge through validated instruments. A systematic narrative review of the literature was c...
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Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia
Saptawati Bardosono,
Andon Hestiantoro,
Andri Maruli Tua Lubis,
Siti Setiati,
Ani Retno Prijanti,
Purwantyastuti,
Luciana Sutanto,
Maria Regina Rachmawati,
Sheryl Tan
Issue:
Volume 9, Issue 2, March 2020
Pages:
54-62
Received:
22 August 2019
Accepted:
23 April 2020
Published:
14 May 2020
Abstract: Osteoporosis is a bone health related condition that weakens the bones, making individuals fragile and prone to breaks. Nutrients such as calcium and vitamin D are essential for bone health. Calcium helps in building and maintaining bone mass while vitamin D aids in the absorption and utilization of calcium. According to WHO, 28.8% men and 32.3% women in Indonesia have osteoporosis, and this is inspite of the international recommendations for the daily intake of calcium and vitamin D intake. This could be attributed to low community awareness on how to prevent and care for osteoporosis. Several high-risk population groups have been identified such as those with osteopenia, undergoing rehabilitation and pregnancy/lactation periods. Therefore, in this review, an expert panel comprising of specialties of dietetics, rehabilitation medicine, orthopaedic, obstetrics & gynaecology, pharmacology, and geriatrics, convened to provide an evidence-based guidance on the prevention and care for osteoporosis. The recommendations are as follows: (i) It is important to know that calcium and vitamin D work synergistically to maintain bone health. (ii) The intake of calcium and vitamin D must start early. (iii) We should be aware that our diet and lifestyle today does not allow us to meet the recommended daily intake of calcium and vitamin D required for optimal bone health. (iv) Supplementation can compensate for the deficits in both calcium and vitamin D intake, thereby strengthening bone health. This study could guide the primary health care team, who plays a critical role in community care, to encourage early bone health awareness and care in Indonesia.
Abstract: Osteoporosis is a bone health related condition that weakens the bones, making individuals fragile and prone to breaks. Nutrients such as calcium and vitamin D are essential for bone health. Calcium helps in building and maintaining bone mass while vitamin D aids in the absorption and utilization of calcium. According to WHO, 28.8% men and 32.3% wo...
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Estimation of L-lysine Requirement by Indicator Amino Acid Oxidation Method Using Random Effects Model
Kohsuke Hayamizu,
Keisuke Matsumoto,
Nobuo Izumo,
Makoto Nakano
Issue:
Volume 9, Issue 2, March 2020
Pages:
63-68
Received:
7 April 2020
Accepted:
22 April 2020
Published:
14 May 2020
Abstract: In recent years, it has been suggested that the method for determining the requirements for indispensable (essential) amino acids be changed from the nitrogen balance method to the tracer methods. In particular, the indicator amino acid oxidation (IAAO) method has been implemented. Although the requirements for indispensable amino acids have been reported in several independent trials, no reported study has statistically integrated these data. In addition, the requirement as obtained from the IAAO method reported to date is the estimated average requirement (EAR), which will be met nutrient requirements in 50% of population only; thus, the risk of deficiency cannot be ruled out from a nutritional perspective. In this study, we statistically synthesized the data of multiple required amounts of lysine obtained by the IAAO method and attempted to accurately estimate the EAR. Further, we estimated the recommended dietary allowance (RDA) value from the obtained estimated EAR value. Analysis using a random effects model estimated that the EAR of lysine in healthy adults was approximately 37 mg/kg (95% CI: 31.2–42.5). In addition, the RDA was estimated to be about 46 mg/kg. These values are higher than the previously reported value of 30 mg/kg.
Abstract: In recent years, it has been suggested that the method for determining the requirements for indispensable (essential) amino acids be changed from the nitrogen balance method to the tracer methods. In particular, the indicator amino acid oxidation (IAAO) method has been implemented. Although the requirements for indispensable amino acids have been r...
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