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Micronutrient intakes, micronutrient status and lipid profiles among young people consuming different amounts of breakfast cereals: further analysis of data from the National Diet and Nutrition Survey of Young People aged 4 to 18 years

Published online by Cambridge University Press:  02 January 2007

Sigrid Gibson
Sigrid Gibson*
Affiliation:
SiG-Nurture Nutrition Consultancy, 11 Woodway, Guildford, Surrey, GU1 2TF, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To examine associations between breakfast cereal consumption and the dietary habits, nutrient intakes and nutritional status of young people, considering both nutrient adequacy and safety issues (fortification).

Methods:

Using archived data from 1688 children in the (British) National Diet and Nutrition Survey of Young People aged 4 to 18 years, nutrient intakes and status were compared across thirds of breakfast cereal consumption (T1 to T3), adjusted for age and energy intake. Cereals provided on average 2%, 6% and 12% of energy in T1, T2 and T3, respectively, for boys; 1%, 4% and 10%, respectively, for girls.

Results:

Intakes of iron, B vitamins and vitamin D were around 20–60% higher in T3 compared with T1, with significant linear relationships observed for iron, thiamin, riboflavin and folate (T1 < T2 < T3). After excluding low energy reporters and the unwell, 14% of girls had iron intakes below the Lower Reference Nutrient Intake and this varied fivefold between T1 and T3 (27%, 12% and 5%; P = 0.0001). High consumers of breakfast cereals (T3) had better folate, vitamin B12 and riboflavin status and lower total and low-density lipoprotein cholesterol. There was also an association with thiamin and vitamin B6 status in girls. However, iron status (haemoglobin, ferritin and transferrin saturation) was not significantly different between groups, possibly due to lower meat intakes in T3. Total iron intakes were within tolerable levels (maximum of 32 mg day−1 in one girl taking supplements).

Conclusions:

The nutritional benefits of breakfast cereals are demonstrated in status measurements as well as in nutrient intakes in this study. Concerns about excessive iron intakes from fortification appear unjustified.

Keywords

Breakfast cerealsMicronutrientsIntakeStatusLipidsIronChildren
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 8 , December 2003 , pp. 815 - 820
Copyright
Copyright © CAB International 2003

References

1Serra-Majem, L. Vitamin and mineral intakes in European children. Is food fortification needed? Public Health Nutrition 2001; 4(1A): 101–7.CrossRefGoogle ScholarPubMed
2Gregory, J, Lowe, S, National Diet and Nutrition Survey: Young People aged 4 to 18 years. Vol. 1. Report of the Diet and Nutrition Survey. Office of the Population Censuses and Surveys, Social Survey Division. London: HMSO, 2000.Google Scholar
3Gibson, SA, O'Sullivan, K. Breakfast cereal consumption patterns and nutrient intakes of British schoolchildren. Journal of the Royal Society of Health 1995; 115(6): 366–70.CrossRefGoogle ScholarPubMed
4McNulty, H, Eaton-Evans, J, Cran, G, Woulahan, G, Boreham, C, Savage, JM, et al. Nutrient intakes and impact of fortified breakfast cereals in schoolchildren. Archives of Disease in Childhood 1996; 75(6): 474–81.CrossRefGoogle ScholarPubMed
5Gibson, SA. Iron intake and iron status of preschool children: associations with breakfast cereals, vitamin C and meat. Public Health Nutrition 1999; 2(4): 521–8.CrossRefGoogle ScholarPubMed
6Ortega, RM, Requejo, AM, Redondo, R, Lopez-Sobaler, AM, Andres, P, Ortega, A, et al. Influence of the intake of fortified breakfast cereals on dietary habits and nutritional status of Spanish schoolchildren. Annals of Nutrition, & Metabolism 1996; 40(3): 146–56.CrossRefGoogle ScholarPubMed
7Bertrais, S, Polo Luque, ML, Preziosi, P, Fieux, B, Torra De Flot, M, Galan, P, et al. Contribution of ready-to-eat cereals to nutrition intakes in French adults and relations with corpulence. Annals of Nutrition & Metabolism 2000; 44(5–6): 249–55.CrossRefGoogle ScholarPubMed
8Preziosi, P, Galan, P, Deheeger, M, Jacob, N, Drewnowski, A, Hercberg, S. Breakfast type, daily nutrient intakes and vitamin and mineral status of French children, adolescents, and adults. Journal of the American College of Nutrition 1999; 18(2): 171–8.CrossRefGoogle ScholarPubMed
9Cuskelly, GJ, McNulty, H, Scott, JM. Effect of increasing dietary folate on red-cell folate: implications for prevention of neural tube defects. Lancet 1996; 347(9002): 657–9.CrossRefGoogle ScholarPubMed
10Cuskelly, GJ, McNulty, H, Scott, JM. Fortification with low amounts of folic acid makes a significant difference in folate status in young women: implications for the prevention of neural tube defects. American Journal of Clinical Nutrition 1999; 70(2): 234–9.CrossRefGoogle ScholarPubMed
11Ashwell, MA, ed. Iron. Nutritional and Physiological Significance British Nutrition Foundation Task Force. London: British Nutrition Foundation, 1995.Google Scholar
12Gregory, J, Collins, D, Davies, P, Hughes, J, Clarke, P, National Diet and Nutrition Survey: Children aged 1.5 to 4.5 years. Vol. 1. Report of the Diet and Nutrition Survey. Office of the Population Censuses and Surveys, Social Survey Division. London: HMSO, 1995.Google Scholar
13Fairweather-Tait, S, Fox, T, Wharf, SG, Eagles, J. The bioavailability of iron in different weaning foods and the enhancing effect of a fruit drink containing ascorbic acid. Pediatric Research 1995; 37(4): 389–94.CrossRefGoogle ScholarPubMed
14Schumann, K. Safety aspects of iron in food. Annals of Nutrition & Metabolism 2001; 45(3): 91–101.CrossRefGoogle ScholarPubMed
15Whittaker, P, Tufaro, PR, Rader, JI. Iron and folate in fortified cereals. Journal of the American College of Nutrition 2001; 20(3): 247–54.CrossRefGoogle ScholarPubMed
16Bellizzi, MC, Dietz, WH. Workshop on childhood obesity: summary of the discussion. American Journal of Clinical Nutrition 1999; 70(1): 173S–5S.CrossRefGoogle ScholarPubMed
17Dietz, WH, Bellizzi, MC. Introduction: the use of body mass index to assess obesity in children. American Journal of Clinical Nutrition 1999; 70(1): 123S–5S.CrossRefGoogle ScholarPubMed
18Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320(7244): 1240–3.CrossRefGoogle ScholarPubMed
19Department of, Health. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. London: HMSO, 1991.Google Scholar
20Black, AE. Critical evaluation of energy intake using the Goldberg cut-off for energy intake:basal metabolic rate. A practical guide to its calculation, use and limitations. International Journal of Obesity and Related Metabolic Disorders 2000; 24(9): 1119–30.CrossRefGoogle Scholar
21Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2001.Google Scholar
22Food Standards Agency. Safe Upper Levels of Vitamins and Minerals. Expert Group on Vitamins and Minerals. London: The Stationery Office, 2003.Google Scholar
23Kato, I, Dnistrian, AM, Schwartz, M, Toniolo, P, Koenig, K, Shore, RE, et al. Risk of iron overload among middle-aged women. International Journal for Vitamin and Nutrition Research 2000; 70(3): 119–25.CrossRefGoogle ScholarPubMed
24Walter, P. Towards ensuring the safety of vitamins and minerals. Toxicology Letters 2001; 120(1–3): 83–7.CrossRefGoogle ScholarPubMed
25Marx, JJ. Iron deficiency in developed countries: prevalence, influence of lifestyle factors and hazards of prevention. European Journal of Clinical Nutrition 1997; 51(8): 491–4.CrossRefGoogle ScholarPubMed
26Hulten, L, Gramatkovski, E, Gleerup, A, Hallberg, L. Iron absorption from the whole diet. Relation to meal composition, iron requirements and iron stores. European Journal of Clinical Nutrition 1995; 49(11): 794–808.Google ScholarPubMed