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Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women?
Nutrients 2018; 10(2)N

Abstract

Abstracts: Adequate intakes of fat-soluble vitamins are essential to support the growth and development of the foetus, the neonate, and the young child. By means of an online self-administered frequency questionnaire, this study aimed to evaluate the intake of vitamins A, D, E, and K in Belgian infants (n = 455), toddlers (n = 265), pregnant women (n = 161), and lactating women (n = 165). The contribution of foods, fortified foods, and supplements on the total intake was quantified. 5% of toddlers, 16% of pregnant women, and 35% of lactating women had an inadequate vitamin A intake. Conversely, excessive vitamin A intakes were associated with consumption of liver (products). Furthermore, 22% of infants were at risk for inadequate vitamin D intake due to the lack of prophylaxis, while consumption of highly dosed supplements posed a risk for excessive intakes in 6%-26% of infants. Vitamin D intake in pregnant women and lactating women was inadequate (median of 51%, respectively, 60% of the adequate intake). In all groups, the risk for inadequate intake of vitamin E and K was low. Contribution of fortified foods to vitamin A, D, E, and K intake was minor, except in toddlers. National fortification strategies should be investigated as an alternative or additional strategy to prevent vitamin D and A deficiency. There is a need to revise and set uniform supplement recommendations. Finally, non-users of vitamin D prophylaxis need to be identified for targeted treatment.

Authors+Show Affiliations

Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. isabelle.moyersoen@wiv-isp.be. Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, 9000 Ghent, Belgium. isabelle.moyersoen@wiv-isp.be.Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, 9000 Ghent, Belgium. Carl.lachat@Ugent.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. Koenraad.Cuypers@wiv-isp.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. Karin.DeRidder@wiv-isp.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. brecht.devleesschauwer@wiv-isp.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. Jean.Tafforeau@wiv-isp.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. stefanie.vandevijvere@wiv-isp.be.Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, 9000 Ghent, Belgium. Margot.vansteenland@UGent.be.Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, 9000 Ghent, Belgium. bruno.demeulenaer@UGent.be.Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, 9000 Ghent, Belgium. john.vancamp@ugent.be.Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Juliette Wytsmanstraat 14, 1050 Brussels, Belgium. herman.vanoyen@wiv-isp.be. Department of Public Health, Ghent University, De Pintelaan 185, 9000 Gent, Belgium. herman.vanoyen@wiv-isp.be.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29462926

Citation

Moyersoen, Isabelle, et al. "Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women?" Nutrients, vol. 10, no. 2, 2018.
Moyersoen I, Lachat C, Cuypers K, et al. Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women? Nutrients. 2018;10(2).
Moyersoen, I., Lachat, C., Cuypers, K., Ridder, K., Devleesschauwer, B., Tafforeau, J., ... Van Oyen, H. (2018). Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women? Nutrients, 10(2), doi:10.3390/nu10020223.
Moyersoen I, et al. Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women. Nutrients. 2018 Feb 16;10(2) PubMed PMID: 29462926.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do Current Fortification and Supplementation Programs Assure Adequate Intake of Fat-Soluble Vitamins in Belgian Infants, Toddlers, Pregnant Women, and Lactating Women? AU - Moyersoen,Isabelle, AU - Lachat,Carl, AU - Cuypers,Koenraad, AU - Ridder,Karin De, AU - Devleesschauwer,Brecht, AU - Tafforeau,Jean, AU - Vandevijvere,Stefanie, AU - Vansteenland,Margot, AU - De Meulenaer,Bruno, AU - Van Camp,John, AU - Van Oyen,Herman, Y1 - 2018/02/16/ PY - 2018/01/04/received PY - 2018/02/04/revised PY - 2018/02/04/accepted PY - 2018/2/22/entrez PY - 2018/2/22/pubmed PY - 2018/9/1/medline KW - Belgium KW - dietary intake KW - excessive intake KW - fat-soluble vitamins KW - fortified foods KW - infants KW - lactating women KW - micronutrient adequacy KW - pregnant women KW - supplements KW - toddlers JF - Nutrients JO - Nutrients VL - 10 IS - 2 N2 - Abstracts: Adequate intakes of fat-soluble vitamins are essential to support the growth and development of the foetus, the neonate, and the young child. By means of an online self-administered frequency questionnaire, this study aimed to evaluate the intake of vitamins A, D, E, and K in Belgian infants (n = 455), toddlers (n = 265), pregnant women (n = 161), and lactating women (n = 165). The contribution of foods, fortified foods, and supplements on the total intake was quantified. 5% of toddlers, 16% of pregnant women, and 35% of lactating women had an inadequate vitamin A intake. Conversely, excessive vitamin A intakes were associated with consumption of liver (products). Furthermore, 22% of infants were at risk for inadequate vitamin D intake due to the lack of prophylaxis, while consumption of highly dosed supplements posed a risk for excessive intakes in 6%-26% of infants. Vitamin D intake in pregnant women and lactating women was inadequate (median of 51%, respectively, 60% of the adequate intake). In all groups, the risk for inadequate intake of vitamin E and K was low. Contribution of fortified foods to vitamin A, D, E, and K intake was minor, except in toddlers. National fortification strategies should be investigated as an alternative or additional strategy to prevent vitamin D and A deficiency. There is a need to revise and set uniform supplement recommendations. Finally, non-users of vitamin D prophylaxis need to be identified for targeted treatment. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/29462926/Do_Current_Fortification_and_Supplementation_Programs_Assure_Adequate_Intake_of_Fat_Soluble_Vitamins_in_Belgian_Infants_Toddlers_Pregnant_Women_and_Lactating_Women L2 - http://www.mdpi.com/resolver?pii=nu10020223 DB - PRIME DP - Unbound Medicine ER -