Transcript Title of Presentation Name of event

Nutritional research tools harmonized
with EuroFIR recommendations used in
food composition information systems
Maria Glibetic, Mirjana Gurinovic, Agnes Kadvan,
Jelena Milesevic, Marina Nikolic, Romana Novakovic
EuroFIR NEXUS 2nd annual meeting and conference, March 5-6, 2013
Ljubljana, Slovenia
Definition
 Nutritional tools are valuable tools in food and nutrition
research used to link basics of balanced nutrition with
detailed performance benefits of carbohydrates, fat,
protein, and essential vitamins and minerals.
For instance: dietary intake assessment, nutritional
daily planner, fiber calculator, BMI index, heart rate
moderator, burn meter…etc.
Innovative technologies for measuring diet in
nutritional epidemiology
 Review and evaluation of innovative technologies for measuring diet in nutritional
epidemiology.
Six main groups of innovative technologies were identified:
 Personal Digital Assistant
 Mobile-phone
 Interactive computer
 Web-Camera- and tape-recorder
 Scan- and sensor–based technologies
 EFSA project-Dietary monitoring tools for risk assessment
–IMR-systematic review of the literature on dietary intake nutritional tools and methods of
dietary data collection -in progress
*Source: A-K Illner at al, Review and evaluation of innovative technologies for measuring diet in nutritional epidemiology, International
Journal of Epidemiology 2012;41:1187–1203
Objective
Due to identified shortfall of standardized methodology
and tools in dietary surveys and information on
traditional foods in Central and Eastern Europe (CEE)
countries and Balkan region, development of
harmonized nutritional tools
are of great
importance for food composition information
systems including traditional foods and overall
nutrition research of the region.
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Methods
 Development DIET-ASSESS with Open Data Base Connection (ODBC):
 incorporation of any external food composition databases from EuroFIR
Database Platform (27 databases harmonized with EuroFIR technical
annex)
 use of e-Search function
 nutritional recommendation dataset : NutriRecQuest web tool
(micronutrient recommendations), WHO /other recommendations and
nutrition population goals
 Inputs: - nutritional questionnaires (24HDR, FFQ, standards food record)
- nutrition planning (recipes, meals, menus)
 Outputs: variable functions that use data from FCDB and micronutrient
recommendations to compute
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EC projects and CENM link with Nutritional tools
 2006-2010 - EuroFIR- European Food Information Resource
Network (NoE), FP6, www.eurofir.net
 2011-2013- EuroFIR – Nexus- EuroFIR Food Platform: further
integration, refinement and exploitation
sustainability, FP7, www.eurofir.org
for its
long-term
self-
 2007-2012- EURRECCA - Harmonising nutrient recommendations
across Europe with special focus on vulnerable groups and consumer
understanding (NoE), FP6, www.eurreca.org
 2012- EFSA- “Updated food composition database for nutrient
intake”
 CENM - Centre of Research Excellence in Nutrition and Metabolism,
Institute for Medical Research, University of Belgrade, Serbia,
www.srbnutrition.info
Results:
 DIET-ASSESS is connected with Serbian FCDB and EuroFIRNexus Regional FCDB (with traditional recipes) - Balkan
platform, both using web based Food Comp Data Management
(FCDM) application. On the other side, it retains
NutriRecQuest- web tool, to enable nutritional assessment of
planned menu/diet or dietary intake based on 24HRD.Outputs
are reports (on personal, population, national level) on nutritive
values of energy, macronutrients and micronutrients; food
consumption etc.It allows graphic review and export to Excel
format for further statistic analysis in SSP, SPSS, SPSS, etc.
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Food Comp Data Management (FCDM)software web based application
for creation of FCDB (national/regional) :
 EuroFIR Technical Annex and
recommendations
 LanguaL
 EFSA FoodEx2
 Data overview through the
websites:
 www.nutricascience.org
 www.nutricascience.org/food
search (for mobile devices)
Web based application-Food Comp Data Management (FCDM)
Value
Method
Reference
Food Comp Data Management (FCDM) – Recipe calculation
Input of composite
dishes -recipes
INGREDIENTS
& COOKING
METHODS
EuroFIR eSearch
13 food groups
23 languages
EuroFIR AISBL - www.eurofir.org
EuroFIR - FoodBasket
Nutritional tools
Current micronutrient recommendations for 29 Micronutrients:
• Vitamin A, C, D, E,
•Thiamine, Riboflavin, Niacin,
•Pyridoxine, Cobalamin, Folic acid,
•Sodium, Potassium, Calcium, Magnesium,
• Iron, Zinc, Copper, Phosphorus, Selenium, Iodine
Free available
www.eurreca.org
www.serbianfood.info/eurreca
More then 20,000
recommendations for
micronutrients!
37 European & 8 non-European
countries/organizations/regions USA/Canada,
Mexico, Brazil, Japan, China, South-Korea, South
East Asia and Australia/New-Zealand
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Nutri-RecQuest data base
Web application with underling Standard Query Language (SQL) database
Current micronutrient recommendations for:
- 37 European & 8 non-European countries/organizations/regions
- 29 Micronutrients
In total, over 20,000 recommendations concerning micronutrients
The following measures and concepts are included:
1. Recommended intake levels:
 Individual Nutrient Levels (INL97,5) a.k.a. Recommended Daily AllowancesRDA, Population Reference Intakes and Reference Intakes
 Adequate Intakes (AIs) a.k.a. Acceptable Intake and Safe Intake,
 Adequate ranges a.k.a. Acceptable Range and Safe Intake Range
2. Average Nutrient Requirements (ANRs)*
3. Upper Limits (ULs).*
* For selection of countries/organisations only: i.e. USA, Canada, the Netherlands, Nordics, Dach, EC, WHO/FAO, France, UK;
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Functionality: Search & Compare; Display & Print & Export
Before use read help and info!
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Nutri-RecQuest offers valuable and comprehensive
data on micronutrient recommendations from European and key nonEuropean countries, for bodies responsible for setting recommendations
and for users of recommendations i.e. scientists, policy makers, health
professionals and dietary supplements and food industry.
WHO Europe will use in future the data base!
Freely available!
Access via www.eurreca.org & www.serbianfood.info/eurreca
FP7-EURODISH project - Study on the need for food and health
research infrastructures in Europe- continuation in data base update
Reference:
Cavelaars A E J M, Kadvan A, Doets E L, Tepšić J, Novaković R,
Dhonukshe-Rutten R, M Renkema, Glibetić M, Bucchini L, Matthys C,
Smith R, Van't Veer P, De Groot C P G M and Gurinović M. NutriRecQuest: a web-based search engine on current micronutrient
recommendations, Eur J Clin Nutr (2010 ) 64: S43-S47;
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Web tool for extraction of data on nutritional adequacy intake,
status and its determinants
FOODS
• NUTRITIVE VALUES
DISHES
• NUTRIENT
RECOMMENDATIONS
MEALS
• NUTRIENT ADEQUACY
ASSESSMENT
MENUS
AVERAGE
MENUS
NUTRIENT
INTAKE
QUESTIONNAIRE
FCDB
FCDB
Foods with nutritive values
FCDB
• ENERGY NEEDS
• NUTRIENT INTAKE
ASSESSMENT
Nutrient Recommendations
• DIET MODELING
NutriRequest
• FOOD LABELING (SME)
NUTRITIONAL
STATUS
• NUTRITIONAL STATUS
ASSESSMENT
PHYSICAL
ACTIVITY
LEVEL
ENERGY
EXPENDITURE
NutPlan- user friendly dietary software programme for implementing micronutrient recommendations with multiple
functions, such as individual and group nutrition planning.
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Diet Assess tool-Software for dietary assessment
Outputs – reports- harmonized
with EFSA & guidelines
• REPORTS/PERSON/POPULATION
GROUP/NATIONAL LEVEL
Inputs – external databases
• Serbian Food Composition data
base (FCDB)*
• Balkan Regional FCDB
• Data base of regional traditional
recipes
(www.serbianfood.info)
- Foods with nutritive
values/100g, Langual & EFSA
FooEx2 codes, cooking methods,
yield &retention factors, etc
- Harmonized with EuroFIR
technical standards
Diet Assess &Plan tool
NUTRITION
PLANNING (recipes,
meals, menus,
average menus)
24h RECALL
QUESTIONNAIRE (1
day + 2 day+7ay)
EuroFIR
FCDB
•Link to other
FCDB with
eSearch
FFQ questionnaire
• NUTRITIVE VALUES FOR PLANNED
RECIPES, MEALS, MENUS
• FOOD GROUPS CONSUMPTION EuroFIR &FOODEX
CLASSIFICATION
• NUTRITIVE VALUES FOR
CONSUMED FOODS AND MEALS
IN QUESTIONNAIRE
• ENERGY , MACRONUTRIENTS
VALUES; MICRONUTRIENTS
• FOOD GROUP CONTRIBUTION IN
TOTAL ENERGY, PROTEIN, FAT
AND CARBOHYDRATES
• DISTRIBUTON OF PROTEIN AND
FAT BETWEEN VEGETABLE AND
ANIMAL SOURCE OF FOODS
• LIST AND AMOUNT OF ALL
INGREDIENTS
• COMPARING WITH NUTRIENT
RECOMMENDATIONS
• NutriRecquest – micronutrient
recommendation database
(www.serbianfood.info/eurreca)
• WHO /other recommendations
and population goals dietary
guidelines for individuals
• NUTRIENT ADEQUACY
ASSESMENT
REGARDING
RECOMMENDATIONS
• +++other reports
DIET-ASSESS-Data entry (24h recall &FFQ) and dietary assessment
tool
Serbian
and/or
regional
FCDB
DIET ASSESS
- nutrient intake questionnaire
- nutrition planning
(recipes, meals, menus)
- calculate the nutritive values
- compare with
recommendations
CENM nutritional tools usage experience in
national and international projects

Created the first online Serbian and Regional FCDB harmonized with EuroFIR
recommendations - Food Comp Data Management (FCDM) tool

National project of Ministry of Science Republic of Serbia: „Intake, status and biological action of
folate and PUFA: Improvement of Nutrition in Serbia“ (No. III 41030 )

Bilateral project with Croatia: “Folate status in populations at risk: young adult women of
reproductive age and elderly” (2011-2013)

YUSAD study (Yugoslav study of precursors of atherosclerosis in schoolchildren and adult
members) , NUTQ - Version1 of DIETASSESS programme

CHANCE- FP7- ”Low Cost tecHnologies and traditional ingredients for the production of
Affordable, Nutritionally correct, Convenient foods enhancing hEalth in population groups at risk of
poverty” 2011-2014 ( http://www.chancefood.eu/)
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Conclusion
 DIET-ASSESS and other incorporated nutritional tools were
used in national and international projects and they have
essential role in future nutritional research in the region for
capacity development.
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