Skip to main content
Top
Published in: European Journal of Nutrition 7/2018

01-10-2018 | Original Contribution

Nutrient intake of Swiss toddlers

Authors: Thomas A. Brunner, Luca Casetti, Petra Haueter, Pascal Müller, Andreas Nydegger, Johannes Spalinger

Published in: European Journal of Nutrition | Issue 7/2018

Login to get access

Abstract

Purpose

During the first years of life, food preferences are shaped that might last throughout a person’s entire life affecting his/her health in the long term. However, knowledge on early feeding habits is still limited for toddlers. Therefore, the goal of the present study was to: (1) assess toddlers’ nutrient intake; (2) compare the findings to past studies as well as to national feeding recommendations and (3) identify major food sources for energy and macronutrients.

Methods

A food survey using a 4-day diary was conducted. The dietary software nut.s® was used to analyse the data.

Results

A cohort of 188 healthy toddlers (aged 1–3 years) was analysed. The energy intake of most toddlers was below the recommended daily intake (RDI) but in accordance with earlier studies. Protein intake was three- to fourfold higher than the RDI and reached the proposed upper limit of 15% of total energy intake. Fat intake was in accordance with the RDI, but the balance of saturated and unsaturated fatty acids should be improved. Carbohydrate intake met the RDI. For the micronutrients, iron and vitamin D intakes showed critical values.

Conclusion

As in other European countries, the diet of Swiss toddlers in general seems adequate but does not meet all nutritional requirements. In particular, the quality of the fats and vitamin D supplementation should be improved. For proteins and iron, additional research is needed to gain more confidence in the recommendations.
Literature
1.
go back to reference Dietz WH (1994) Critical periods in childhood for the development of obesity. Am J Clin Nutr 59:955–959CrossRef Dietz WH (1994) Critical periods in childhood for the development of obesity. Am J Clin Nutr 59:955–959CrossRef
2.
go back to reference Hanley B, Dijane J, Fewtrell M, Grynberg A, Hummel S, Junien C et al (2010) Metabolic imprinting, programming and epigenetics—a review of present priorities and future opportunities. Br J Nutr 104:S1–S25CrossRef Hanley B, Dijane J, Fewtrell M, Grynberg A, Hummel S, Junien C et al (2010) Metabolic imprinting, programming and epigenetics—a review of present priorities and future opportunities. Br J Nutr 104:S1–S25CrossRef
3.
go back to reference Reilly JJ, Kelly J (2011) Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 35:891–898CrossRef Reilly JJ, Kelly J (2011) Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 35:891–898CrossRef
4.
go back to reference Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Michaelsen KF et al (2008) Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 46:99–110CrossRef Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Michaelsen KF et al (2008) Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 46:99–110CrossRef
5.
go back to reference Carruth BR, Ziegler PJ, Gordon A, Hendricks K (2004) Developmental milestones and self-feeding behaviors in infants and toddlers. J Am Diet Assoc 104:S51–S56CrossRef Carruth BR, Ziegler PJ, Gordon A, Hendricks K (2004) Developmental milestones and self-feeding behaviors in infants and toddlers. J Am Diet Assoc 104:S51–S56CrossRef
6.
go back to reference Briefel RR, Reidy K, Karwe V, Jankowski L, Hendricks K (2004) Toddlers’ transition to table foods: impact on nutrient intakes and food patterns. J Am Diet Assoc 104:S38–S44CrossRef Briefel RR, Reidy K, Karwe V, Jankowski L, Hendricks K (2004) Toddlers’ transition to table foods: impact on nutrient intakes and food patterns. J Am Diet Assoc 104:S38–S44CrossRef
7.
go back to reference de Lauzon-Guillain B, Jones L, Oliveira A, Moschonis G, Betoko A, Lopes C et al (2013) The influence of early feeding practices on fruit and vegetable intake among preschool children in 4 European birth cohorts. Am J Clin Nutr 86:1765–1772 de Lauzon-Guillain B, Jones L, Oliveira A, Moschonis G, Betoko A, Lopes C et al (2013) The influence of early feeding practices on fruit and vegetable intake among preschool children in 4 European birth cohorts. Am J Clin Nutr 86:1765–1772
8.
go back to reference Schwartz C, Madrelle J, Vereijken CMJI, Weenen H, Nicklaus S, Hetherington MM (2013) Complementary feeding and “donner les bases du goût” (providing the foundation of taste). A qualitative approach to understand weaning practices, attitudes and experiences by French mothers. Appetite 71:321–331CrossRef Schwartz C, Madrelle J, Vereijken CMJI, Weenen H, Nicklaus S, Hetherington MM (2013) Complementary feeding and “donner les bases du goût” (providing the foundation of taste). A qualitative approach to understand weaning practices, attitudes and experiences by French mothers. Appetite 71:321–331CrossRef
9.
go back to reference Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM (2016) American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract 22:1–203CrossRef Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM (2016) American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract 22:1–203CrossRef
10.
go back to reference Ogden CL, Carroll MD, Kit BK, Flegal KM (2012) Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA 307:483–490CrossRef Ogden CL, Carroll MD, Kit BK, Flegal KM (2012) Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA 307:483–490CrossRef
12.
go back to reference Cordeiro JP, Dalmaso SB, Anceschi SA, de Sa FGD, Ferreira LG, da Cunha MRH et al (2016) Hypertension in public school students from Vitoria/ES: influence of overweight and obesity. Rev Bras Med Esporte 22:59–65CrossRef Cordeiro JP, Dalmaso SB, Anceschi SA, de Sa FGD, Ferreira LG, da Cunha MRH et al (2016) Hypertension in public school students from Vitoria/ES: influence of overweight and obesity. Rev Bras Med Esporte 22:59–65CrossRef
13.
go back to reference Ali MM, Amialchuk A, Rizzo JA (2012) The influence of body weight on social network ties among adolescents. Econ Hum Biol 10:20–34PubMed Ali MM, Amialchuk A, Rizzo JA (2012) The influence of body weight on social network ties among adolescents. Econ Hum Biol 10:20–34PubMed
14.
go back to reference Mooney SJ, El-Sayed AM (2016) Stigma and the etiology of depression among the obese: an agent-based exploration. Soc Sci Med 148:1–7CrossRef Mooney SJ, El-Sayed AM (2016) Stigma and the etiology of depression among the obese: an agent-based exploration. Soc Sci Med 148:1–7CrossRef
15.
go back to reference Dattilo AM, Birch L, Krebs NF, Lake A, Taveras EM, Saavedra JM (2012) Need for early interventions in the prevention of pediatric overweight: a review and upcoming directions. J Obes 2012:1–18CrossRef Dattilo AM, Birch L, Krebs NF, Lake A, Taveras EM, Saavedra JM (2012) Need for early interventions in the prevention of pediatric overweight: a review and upcoming directions. J Obes 2012:1–18CrossRef
16.
go back to reference Saavedra JM, Deming D, Dattilo AM, Reidy K (2013) Lessons from the feeding infants and Toddlers study in North America: what children eat, and implications for obesity prevention. Ann Nutr Metab 62:27–36CrossRef Saavedra JM, Deming D, Dattilo AM, Reidy K (2013) Lessons from the feeding infants and Toddlers study in North America: what children eat, and implications for obesity prevention. Ann Nutr Metab 62:27–36CrossRef
17.
go back to reference Bates B, Lennox A, Prentice A, Bates C, Page P, Nicholson S et al (2014) National diet and nutrition survey: results from years 1, 2, 3 and 4 (combined) of the rolling programme (2008/2009–2011/2012). A survey carried out on behalf of Public Health England and the Food Standards Agency Bates B, Lennox A, Prentice A, Bates C, Page P, Nicholson S et al (2014) National diet and nutrition survey: results from years 1, 2, 3 and 4 (combined) of the rolling programme (2008/2009–2011/2012). A survey carried out on behalf of Public Health England and the Food Standards Agency
18.
go back to reference Cowin I, Emmett P (2007) Diet in a group of 18-month-old children in South West England, and comparison with the results of a national survey. J Hum Nutr Diet 20:254–267CrossRef Cowin I, Emmett P (2007) Diet in a group of 18-month-old children in South West England, and comparison with the results of a national survey. J Hum Nutr Diet 20:254–267CrossRef
19.
go back to reference Emmett P, Rogers I, Symes C (2002) Food and nutrient intakes of a population sample of 3-year-old children in the south west of England in 1996. Public Health Nutr 5:55–64CrossRef Emmett P, Rogers I, Symes C (2002) Food and nutrient intakes of a population sample of 3-year-old children in the south west of England in 1996. Public Health Nutr 5:55–64CrossRef
20.
go back to reference Fantino M, Gourmet E (2008) Apports nutritionnels en France en 2005 chez les enfants non allaités âgés de moins de 36 mois. Arch Pediatrie 15:446–455CrossRef Fantino M, Gourmet E (2008) Apports nutritionnels en France en 2005 chez les enfants non allaités âgés de moins de 36 mois. Arch Pediatrie 15:446–455CrossRef
21.
go back to reference Foterek K, Hilbig A, Kersting M, Alexy U (2015) Age and time trends in the diet of young children: results of the DONALD study. Eur J Nutr 55:611–620CrossRef Foterek K, Hilbig A, Kersting M, Alexy U (2015) Age and time trends in the diet of young children: results of the DONALD study. Eur J Nutr 55:611–620CrossRef
22.
go back to reference Huybrechts I, De Henauw S (2007) Energy and nutrient intake by pre-school children in Flanders-Belgium. Br J Nutr 98:600–610CrossRef Huybrechts I, De Henauw S (2007) Energy and nutrient intake by pre-school children in Flanders-Belgium. Br J Nutr 98:600–610CrossRef
23.
go back to reference Walton J (2012) National Pre-School Nutrition Survey. Irish Universities Nutrition Alliance Walton J (2012) National Pre-School Nutrition Survey. Irish Universities Nutrition Alliance
24.
go back to reference Goldbohm RA, Rubingh CM, Lanting CI, Joosten KFM (2016) Food consumption and nutrient intake by children aged 10 to 48 months attending day care in The Netherlands. Nutr 8:428 Goldbohm RA, Rubingh CM, Lanting CI, Joosten KFM (2016) Food consumption and nutrient intake by children aged 10 to 48 months attending day care in The Netherlands. Nutr 8:428
25.
go back to reference Huysentruyt K, Laire D, van Avondt T, de Schepper J, Vandenplas Y (2016) Energy and macronutrient intakes and adherence to dietary guidelines of infants and toddlers in Belgium. Eur J Nutr 55:1595–1604CrossRef Huysentruyt K, Laire D, van Avondt T, de Schepper J, Vandenplas Y (2016) Energy and macronutrient intakes and adherence to dietary guidelines of infants and toddlers in Belgium. Eur J Nutr 55:1595–1604CrossRef
26.
go back to reference Kyttälä P, Erkkola M, Kronberg-Kippilä C, Tapanainen H, Veijola R, Simell O et al (2010) Food consumption and nutrient intake in Finnish 1–6-year-old children. Public Health Nutr 13(6A):947–956CrossRef Kyttälä P, Erkkola M, Kronberg-Kippilä C, Tapanainen H, Veijola R, Simell O et al (2010) Food consumption and nutrient intake in Finnish 1–6-year-old children. Public Health Nutr 13(6A):947–956CrossRef
27.
go back to reference Manios Y, Grammatikaki E, Papoutsou S, Liarigkovinos T, Kondaki K, Moschonis G (2008) Nutrient intakes of toddlers and preschoolers in Greece: the GENESIS study. J Am Diet Assoc 108:357–361CrossRef Manios Y, Grammatikaki E, Papoutsou S, Liarigkovinos T, Kondaki K, Moschonis G (2008) Nutrient intakes of toddlers and preschoolers in Greece: the GENESIS study. J Am Diet Assoc 108:357–361CrossRef
28.
go back to reference Ocké M, Brants H, Dofkova M, Freisling H, van Rossum C, Ruprich J et al (2015) Feasibility of dietary assessment methods, other tools and procedures for a pan-European food consumption survey among infants, toddlers and children. Eur J Nutr 54:721–732CrossRef Ocké M, Brants H, Dofkova M, Freisling H, van Rossum C, Ruprich J et al (2015) Feasibility of dietary assessment methods, other tools and procedures for a pan-European food consumption survey among infants, toddlers and children. Eur J Nutr 54:721–732CrossRef
29.
go back to reference Ocké MC, van-Rossum CTM, Fransen HP, Buurma EJM, de Boer EJ, Brants HAM et al (2008) Dutch National Food Consumption Survey-Young Children 2005/2006. RIVM Report 350070001/2008. RIVM, Bilthoven Ocké MC, van-Rossum CTM, Fransen HP, Buurma EJM, de Boer EJ, Brants HAM et al (2008) Dutch National Food Consumption Survey-Young Children 2005/2006. RIVM Report 350070001/2008. RIVM, Bilthoven
30.
go back to reference Serra-Majem L, Ribas-Barba L, Perez-Rodrigo C, Bartrina JA (2006) Nutrient adequacy in Spanish children and adolescents. Br J Nutr 96:S49–S57CrossRef Serra-Majem L, Ribas-Barba L, Perez-Rodrigo C, Bartrina JA (2006) Nutrient adequacy in Spanish children and adolescents. Br J Nutr 96:S49–S57CrossRef
31.
go back to reference Briefel RR, Kalb LM, Condon E, Deming DM, Clusen NA, Fox MK et al (2010) The feeding infants and toddlers study 2008: study design and methods. J Am Diet Assoc 110:S16–S26CrossRef Briefel RR, Kalb LM, Condon E, Deming DM, Clusen NA, Fox MK et al (2010) The feeding infants and toddlers study 2008: study design and methods. J Am Diet Assoc 110:S16–S26CrossRef
32.
go back to reference Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM et al (2010) Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc 110:S27–S37CrossRef Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM et al (2010) Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc 110:S27–S37CrossRef
33.
go back to reference Hilbig A, Drossard C, Kersting M, Alexy U (2015) Nutrient adequacy and associated factors in a nationwide sample of German toddlers. J Pediatr Gastr Nutr 61:130–137 Hilbig A, Drossard C, Kersting M, Alexy U (2015) Nutrient adequacy and associated factors in a nationwide sample of German toddlers. J Pediatr Gastr Nutr 61:130–137
34.
go back to reference Deutsche Gesellschaft für Ernährung (DGE), Österreichische Gesellschaft für Ernährung (ÖGE), Schweizerische Gesellschaft für Ernährung (SGE) (2015) D-A-CH Referenzwerte für die Nährstoffzufuhr. Bonn, Germany Deutsche Gesellschaft für Ernährung (DGE), Österreichische Gesellschaft für Ernährung (ÖGE), Schweizerische Gesellschaft für Ernährung (SGE) (2015) D-A-CH Referenzwerte für die Nährstoffzufuhr. Bonn, Germany
35.
go back to reference Federal Commission for Nutrition (2009) Kohlenhydrate in der Ernährung. Stellungnahme und Empfehlungen der Eidgenössischen Ernährungskommission. Federal Office for Public Health, Zürich Federal Commission for Nutrition (2009) Kohlenhydrate in der Ernährung. Stellungnahme und Empfehlungen der Eidgenössischen Ernährungskommission. Federal Office for Public Health, Zürich
36.
go back to reference Federal Commission for Nutrition (2012) Vitamin D deficiency: evidence, safety, and recommendations for the Swiss population. Expert report of the FCN. Federal Office for Public Health, Zürich Federal Commission for Nutrition (2012) Vitamin D deficiency: evidence, safety, and recommendations for the Swiss population. Expert report of the FCN. Federal Office for Public Health, Zürich
37.
go back to reference Federal Food Safety and Veterinary Office (2014) Fette in unserer Ernährung. Bern Federal Food Safety and Veterinary Office (2014) Fette in unserer Ernährung. Bern
38.
go back to reference Kent JC, Hepworth AR, Sherriff JL, Cox DB, Mitoulas LR, Hartmann PE (2013) Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Breastfeed Med 8:401–407CrossRef Kent JC, Hepworth AR, Sherriff JL, Cox DB, Mitoulas LR, Hartmann PE (2013) Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Breastfeed Med 8:401–407CrossRef
39.
go back to reference Kent JC, Mitoulas LR, Cregan MD, Ramsay DT, Doherty DA, Hartmann PE (2006) Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics 117:e387–e395CrossRef Kent JC, Mitoulas LR, Cregan MD, Ramsay DT, Doherty DA, Hartmann PE (2006) Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics 117:e387–e395CrossRef
40.
go back to reference FAO/WHO/UNU (Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University) (2002) Protein and amino acid requirements in human nutrition: report of a joint FAO/WHO/UNU expert consultation. WHO technical report series. WHO, Geneva FAO/WHO/UNU (Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University) (2002) Protein and amino acid requirements in human nutrition: report of a joint FAO/WHO/UNU expert consultation. WHO technical report series. WHO, Geneva
41.
go back to reference Skov AR, Toubro S, Ronn B, Holm L, Astrup A (1999) Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes 23:528–536CrossRef Skov AR, Toubro S, Ronn B, Holm L, Astrup A (1999) Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes 23:528–536CrossRef
42.
go back to reference Agostoni C, Scaglioni S, Ghisleni D, Verduci E, Giovannini M, Riva E (2005) How much protein is safe? Int J Obes 29:S8–S13CrossRef Agostoni C, Scaglioni S, Ghisleni D, Verduci E, Giovannini M, Riva E (2005) How much protein is safe? Int J Obes 29:S8–S13CrossRef
43.
go back to reference EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2012) Scientific opinion on dietary reference values for protein. EFSA J 10:2557CrossRef EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2012) Scientific opinion on dietary reference values for protein. EFSA J 10:2557CrossRef
44.
go back to reference Health Council of the Netherlands (2001) Dietary reference intakes: energy, proteins, fats, and digestible carbohydrates. Health Council of the Netherlands, Den Haag Health Council of the Netherlands (2001) Dietary reference intakes: energy, proteins, fats, and digestible carbohydrates. Health Council of the Netherlands, Den Haag
45.
go back to reference Kersting M, Alexy U, Clausen K (2005) Using the concept of food based dietary guidelines to develop an optimized mixed diet (OMD) for German children and adolescents. J Pediatr Gastroenterol Nutr 40:301–308CrossRef Kersting M, Alexy U, Clausen K (2005) Using the concept of food based dietary guidelines to develop an optimized mixed diet (OMD) for German children and adolescents. J Pediatr Gastroenterol Nutr 40:301–308CrossRef
46.
go back to reference Akkermans MD, van der Horst-Graat JM, Eussen RBM, van Goudover JB, Brus F (2016) Iron and vitamin D deficiency in healthy young children in Western Europe despite current nutritional recommendations. J Pediatr Gastroenterol Nutr 62:635–642CrossRef Akkermans MD, van der Horst-Graat JM, Eussen RBM, van Goudover JB, Brus F (2016) Iron and vitamin D deficiency in healthy young children in Western Europe despite current nutritional recommendations. J Pediatr Gastroenterol Nutr 62:635–642CrossRef
47.
go back to reference EFSA (2013) Scientific opinion on nutrient requirements and dietary intakes of infants and young children. EFSA J 11:3408 EFSA (2013) Scientific opinion on nutrient requirements and dietary intakes of infants and young children. EFSA J 11:3408
48.
go back to reference Patro-Golab B, Zalewski BM, Kouwenhoven SMP, Karas J, Koletzko B, van Goudoever JB et al (2016) Protein concentration in milk formula, growth, and later risk of obesity: a systematic review. J Nutr 146:551–564CrossRef Patro-Golab B, Zalewski BM, Kouwenhoven SMP, Karas J, Koletzko B, van Goudoever JB et al (2016) Protein concentration in milk formula, growth, and later risk of obesity: a systematic review. J Nutr 146:551–564CrossRef
49.
go back to reference World Health Organization (2010) Nutrition Landscape Information System (NLIS), Country profile indicators, Interpretation guide. WHO, Geneva World Health Organization (2010) Nutrition Landscape Information System (NLIS), Country profile indicators, Interpretation guide. WHO, Geneva
50.
go back to reference Braegger C, Jenni OG, Konrad D, Molinari L (2011) Neue Wachstumskurven für die Schweiz. Schweizerische Ärztezeitung 92:229–230CrossRef Braegger C, Jenni OG, Konrad D, Molinari L (2011) Neue Wachstumskurven für die Schweiz. Schweizerische Ärztezeitung 92:229–230CrossRef
51.
go back to reference FAO/WHO/UNU (Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University) (2004) Human energy requirements: report of a joint FAO/WHO/UNU expert consultation. Food and nutrition technical report series. WHO, Rome FAO/WHO/UNU (Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University) (2004) Human energy requirements: report of a joint FAO/WHO/UNU expert consultation. Food and nutrition technical report series. WHO, Rome
Metadata
Title
Nutrient intake of Swiss toddlers
Authors
Thomas A. Brunner
Luca Casetti
Petra Haueter
Pascal Müller
Andreas Nydegger
Johannes Spalinger
Publication date
01-10-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 7/2018
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1521-0

Other articles of this Issue 7/2018

European Journal of Nutrition 7/2018 Go to the issue