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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

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  1. 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

  2. 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.

  3. Innovativetechnologies for measuring diet in nutritional epidemiology • Review and evaluation of innovativetechnologies 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 innovativetechnologies for measuring diet in nutritional epidemiology, International Journal of Epidemiology 2012;41:1187–1203

  4. 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. Your name - Name of your institution (change this on Slide Master)

  5. 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 : NutriRecQuestweb 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 Your name - Name of your institution (change this on Slide Master)

  6. 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 for its long-term self-sustainability,FP7, www.eurofir.org • 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

  7. Results: • DIET-ASSESS is connected with Serbian FCDB and EuroFIR-Nexus 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. Your name - Name of your institution (change this on Slide Master)

  8. Data overviewthroughthe websites: www.nutricascience.org www.nutricascience.org/foodsearch (for mobile devices) • Food Comp Data Management (FCDM)- software web based application • for creation of FCDB (national/regional) : • EuroFIR Technical Annex and recommendations • LanguaL • EFSA FoodEx2

  9. Web based application-Food Comp Data Management (FCDM) Value Method Reference

  10. Food Comp Data Management (FCDM) – Recipe calculation Input of composite dishes -recipes PROCEDURE INGREDIENTS & COOKING METHODS

  11. 23 languages EuroFIR eSearch 13 food groups EuroFIR AISBL - www.eurofir.org

  12. EuroFIR - FoodBasket

  13. Nutritional tools • Current micronutrient recommendations for29 Micronutrients: • Vitamin A, C, D, E, • Thiamine, Riboflavin, Niacin, • Pyridoxine, Cobalamin, Folic acid, • Sodium, Potassium, Calcium, Magnesium, • Iron, Zinc, Copper, Phosphorus, Selenium, Iodine • More then 20,000 recommendations for micronutrients! Free available www.eurreca.org www.serbianfood.info/eurreca 37 European & 8 non-Europeancountries/organizations/regions USA/Canada, Mexico, Brazil, Japan, China, South-Korea, South East Asia and Australia/New-Zealand 13

  14. 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 Allowances-RDA, Population Reference IntakesandReference Intakes Adequate Intakes (AIs) a.k.a. Acceptable Intake andSafe Intake, Adequate rangesa.k.a. Acceptable Range andSafe 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; Nutri-RecQuestdata baseWeb application with underling Standard Query Language (SQL) database

  15. Functionality: Search & Compare; Display & Print & Export Before use read help and info! 15

  16. Nutri-RecQuest offersvaluable and comprehensive data on micronutrient recommendations from European and key non-European 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 baseupdate 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. Nutri-RecQuest: a web-based search engine on current micronutrient recommendations, Eur J Clin Nutr (2010 ) 64: S43-S47;

  17. Web tool for extraction of data on nutritional adequacy intake, status and its determinants

  18. FCDB FCDB FOODS •NUTRITIVE VALUES •NUTRIENT RECOMMENDATIONS •NUTRIENTADEQUACY ASSESSMENT •ENERGY NEEDS • NUTRIENT INTAKE ASSESSMENT • DIET MODELING • FOOD LABELING (SME) •NUTRITIONAL STATUS ASSESSMENT Foods with nutritive values FCDB DISHES MEALS MENUS AVERAGE MENUS Nutrient Recommendations NUTRIENT INTAKE QUESTIONNAIRE NutriRequest NUTRITIONAL STATUS PHYSICAL ACTIVITY LEVEL NUTPLAN ENERGY EXPENDITURE NutPlan- user friendly dietary software programme for implementing micronutrient recommendations with multiple functions, such as individual and group nutrition planning.

  19. Diet Assess tool-Software for dietary assessment Outputs – reports- harmonized with EFSA & guidelines Inputs – external databases • REPORTS/PERSON/POPULATION GROUP/NATIONAL LEVEL • 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 • NUTRIENTADEQUACY ASSESMENT REGARDING RECOMMENDATIONS • +++other reports Diet Assess &Plan tool • 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 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 • NutriRecquest – micronutrient recommendation database • (www.serbianfood.info/eurreca) • WHO /other recommendations and population goals dietary guidelines for individuals DIET-ASSESS-Data entry (24h recall &FFQ) and dietaryassessment tool

  20. Serbianand/or regional FCDB • DIET ASSESS • - nutrient intake questionnaire • - nutrition planning • (recipes, meals, menus) • calculate the nutritive values • compare with recommendations

  21. CENM nutritional tools usage experience in national andinternational 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 ingredientsfor the production of Affordable, Nutritionally correct, Convenient foods enhancing hEalth in population groups at risk of poverty” 2011-2014 ( http://www.chancefood.eu/) Your name - Name of your institution (change this on Slide Master)

  22. 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. Your name - Name of your institution (change this on Slide Master)

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