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Original Communication

Intake of Vitamins and Minerals from Voluntarily Fortified Foods in School Children in Central-Eastern Poland

Published Online:https://doi.org/10.1024/0300-9831/a000427

Abstract. Objective: To estimate vitamin and mineral intakes from voluntarily fortified foods (VFFs) in relation to the Dietary Reference Intake (DRI) in children aged 6 – 12. Methods: The study was conducted among 677 school children from Central-Eastern Poland. Data on VFFs consumption were collected using a semi-quantitative food frequency questionnaire containing 58 food items available on the Polish market; the content of nutrients in VFFs was estimated using the producers labelling declaration. The amounts of nutrients consumed from VFFs were compared to DRI and Tolerable Upper Intake Levels (ULs). The distribution of nutrient intakes according to the percentage of DRI categories (<20%, 20 – 39.9%, 40 – 59.9%, 60 – 79.9%, 80 – 99.9%, 100 – 119%, and >120%) was investigated. Results: In our study, 78.3% (n = 530) of children were classified as VFF-consumers. The most often consumed groups of VFFs were cereal products and juices/non-alcoholic beverages (92.5% and 76.6% of children, respectively). The amounts of vitamin D intake were negligible (92.5% of children did not exceed 20% of DRI from VFFs); vitamins A, E, B12 and calcium were small (>60% did not exceed 40% of DRI); vitamins B1, B2, niacin, folic acid, pantothenic acid and iron were moderate (>25% consumed 80% of DRI or above); while vitamins C, B6 and biotin were high (>40% consumed 100% of DRI or above). Intake above ULs was observed for niacin and folic acid (2.6% and 1.1% of children, respectively). Conclusions: Substantial differences between the VFFs contribution of various micronutrients to the DRIs were observed. Consumption of VFFs may prevent inadequate intakes for the majority of nutrients.

Keywords: children, DRI, inadequate intake, minerals, fortified foods, vitamins

Literature

  • Kaganov, B., Caroli, M., Mazur, A., Singhal, A., Vania, A. (2015) Suboptimal micronutrient intake among children in Europe. Nutrients 7, 3524 – 3535. First citation in articleCrossrefGoogle Scholar

  • Allen, L., De Benoist, B., Dary, O., Hurrell, R. eds. (2006) Guidelines on food fortification with micronutrients. World Health Organization and Food and Agriculture Organization of the United Nations. First citation in articleGoogle Scholar

  • Chakraborty, H., Nyarko, K.A., Goco, N., Moore, J., Moretti-Ferreira, D., Murray, J.C., Wehby, G.L. (2014) Folic acid fortification and women›s folate levels in selected communities in Brazil - a first look. Int. J. Vitam. Nutr. Res. 84, 286 – 294. First citation in articleGoogle Scholar

  • European Commission: Regulation (EC) No. 1925/2006 of the European Parliament and of the Council of 20 December 2006 on the addition of vitamins, minerals and of certain other substances to foods. Off. J. Eur. Union, 2006, L404, 30.12.2006. First citation in articleGoogle Scholar

  • Commission Implementing Regulation (EU) No 489/2012 of 8 June 2012 establishing implementing rules for the application of article 16 of Regulation (EC) No 1925/2006 of the European Parliament and of the Council on the addition of vitamins and minerals and of certain other substances to foods. Off. J. Eur. Union, L 150/71, 09.06.2012. First citation in articleGoogle Scholar

  • Sicińska, E., Jeruszka-Bielak, M., Masalska, K., Wronowski, S. (2013) A survey of foodstuffs fortified with vitamins available on the market in Warsaw. Rocz. Panstw. Zakl. Hig. 64, 293 – 298. First citation in articleGoogle Scholar

  • Renc, P., Sicińska, E., Jeruszka-Bielak, M. (2016) Analysis of food with added minerals available on the Warsaw market. J. Elem., 21, 1115 – 1125. First citation in articleCrossrefGoogle Scholar

  • Hennessy, A., Walton, J., Flynn, A. (2013) The impact of voluntary food fortification on micronutrient intakes and status in European countries: a review. Proc. Nutr. Soc. 72, 433 – 440. First citation in articleCrossrefGoogle Scholar

  • Bylinowska, J., Januszko, O., Rolf, K., Sicińska, E., Kałuza, J., Pietruszka, B. (2012) Factors influenced vitamin or mineral supplements use in a chosen group of children aged 6 – 12. Rocz. Panstw. Zakl. Hig. 63, 59 – 66. First citation in articleGoogle Scholar

  • Rolf, K., Januszko, O., Bylinowska, J., Sicińska, E., Pietruszka, B., Kaluza, J. (2012) Influence of selected factors on fortified food intake by children. Rocz. Panstw. Zakl. Hig. 63, 339 – 346. First citation in articleGoogle Scholar

  • Sicińska, E., Bojarska, K. (2013) Intakes of folic acid from dietary supplements and fortified products in students. Rocz. Panstw. Zakl. Hig. 64, 55 – 59. First citation in articleGoogle Scholar

  • The World Medical Association, WMA. (2013) Declaration of Helsinki – ethical principles for medical research involving human subjects, Fortaleza, Brazil. First citation in articleGoogle Scholar

  • Regulation on Polish Minister of Health on 16 September 2010 on enriching substances added to food. J. Laws of 2010, no. 174, item. 1184. First citation in articleGoogle Scholar

  • Pietruszka, B., Brzozowska, A. (2014) Homocysteine serum level in relation to intake of folate, vitamins B12, B1, B2, and B6 and MTHFR c.665C ➔T polymorphism among young women. Austin J. Nutr. Food Sci. 2, 1 – 7. First citation in articleGoogle Scholar

  • Jarosz, M., ed. (2012) Polish Dietary Reference Intakes - revision. Available at: http://www.izz.waw.pl/attachments/article/33/NormyZywieniaNowelizacjaIZZ2012.p df. accessed on 16 June 2016. First citation in articleGoogle Scholar

  • European Food Safety Authority (EFSA) (2006) Scientific Committee on Food, Scientific Panel of Dietetic Products, Nutrition and Allergies, EFSA. Tolerable upper intake levels for vitamins and minerals, Brussels. First citation in articleGoogle Scholar

  • Institute of Medicine, Food and Nutrition Board. (2006) Dietary reference intakes: the essential guide to nutrient requirements. Otten, J.J., Pitzi Hellwig, J., Meyers, L.D., eds. National Academies Press, pp. 202 – 339, Washington (DC), US. First citation in articleGoogle Scholar

  • Institute of Medicine. (2011) Committee to review dietary reference intakes for vitamin D and calcium. Ross, A.C., Taylor, C.L., Yaktine, A.L., Del Valle, H.B., eds. National Academies Press, pp. 403 – 456, Washington (DC), US. First citation in articleGoogle Scholar

  • Sichert-Hellert, W., Kersting, M., Schoch, G. (1999) Consumption of fortified food between 1985 and 1996 in 2-to 14-year-old German children and adolescents. Int. J. Food Sci. Nutr. 50, 65 – 72. First citation in articleCrossrefGoogle Scholar

  • Sichert-Hellert, W., Kersting, M., Alexy, U., Manz, F. (2000) Ten-year trends in vitamin and mineral intake from fortified food in German children and adolescents. Eur. J. Clin. Nutr. 54, 81 – 86. First citation in articleCrossrefGoogle Scholar

  • Sichert-Hellert, W., Kersting, M., Manz, F. (2001) Changes in time-trends of nutrient intake from fortified and non-fortified food in German children and adolescents - 15 year results of the DONALD Study. Eur. J. Nutr. 40, 49 – 55. First citation in articleCrossrefGoogle Scholar

  • Sichert-Hellert, W., Kersting, M. (2001) Significance of fortified beverages in the long-term diet of German children and adolescents: 15-year results of the DONALD study. Int. J. Vitam. Nutr. Res. 71, 356 – 363. First citation in articleLinkGoogle Scholar

  • Sichert-Hellert, W., Wenz, G., Kersting, M. (2006) Vitamin intakes from supplements and fortified food in German children and adolescents: Results from the DONALD study. J. Nutr. 136, 1329 – 1333. First citation in articleCrossrefGoogle Scholar

  • Flynn, A., Hirvonen, T., Mensink, G.B.M., Ocke, M.C., Serra-Majem, L., Stos, K., Szponar, L., Tetens, I., Turrini, A., Fletcher, R., Wildemann, T. (2009) Intake of selected nutrients from foods, from fortification and from supplements in various European countries. Food Nutr. Res. 53, 1 – 51. First citation in articleCrossrefGoogle Scholar

  • Fulgoni, V.L. III, Keast, D.R., Bailey, R.L., Dwyer, J. (2011) Foods, fortificants, and supplements: Where do Americans get their nutrients? J. Nutr. 141, 1847 – 1854. First citation in articleCrossrefGoogle Scholar

  • Berner, L.A., Keast, D.R., Bailey, R.L., Dwyer, J.T. (2014) Fortified foods are major contributors to nutrient intakes in diets of US children and adolescents. J. Acad. Nutr. Diet. 114, 1009 – 1022. First citation in articleCrossrefGoogle Scholar

  • Hirvonen, T., Kara, A., Korkalo, L., Sinkko, H., Ovaskainen, M-L., Mikkila, V. (2012) Use of voluntarily fortified foods among adults in Finland. Public Health Nutr. 15, 802 – 810. First citation in articleCrossrefGoogle Scholar

  • American Dietetic Association, ADA. (2005) Position of the American Dietetic Association: fortification and nutritional supplements. J. Am. Diet. Assoc. 105, 1300 – 1311. First citation in articleGoogle Scholar

  • Willers, J., Heinemann, M., Bitterlich, N., Hahn, A. (2014) Vitamin intake from food supplements in a German cohort - is there a risk of excessive intake? Int. J. Vitam. Nutr. Res. 84, 152 – 162. First citation in articleGoogle Scholar

  • Lopez-Cepero, A., Torres, R., Elias, A., Rosal, M.C., Palacios, C. (2016) Micronutrient intake among children in Puerto Rico: dietary and multivitamin-multimineral supplement sources. Int. J. Vitam. Nutr. Res. Jul 20, 1 – 11. First citation in articleGoogle Scholar

  • Valerie, T. (2014) Discretionary fortification-a public health perspective. Nutrients 6, 4421 – 4433. First citation in articleCrossrefGoogle Scholar

  • Rusińska, A., Michałus, I., Karalus, J., Golec, J., Chlebna-Sokół, D. (2011) The vitamin D and calcium consumption and bone quality in children of Łódź (Poland) at the age 9 – 13 years. Pediatr. Endocrinol. Diabetes Metab. 17, 82 – 87. First citation in articleGoogle Scholar