Implementing food-based dietary guidelines for - United Nations ...
Implementing food-based dietary guidelines for - United Nations ...
Implementing food-based dietary guidelines for - United Nations ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
S94<br />
ments, even among countries where omnivorous diets<br />
are habitually consumed. For example, in UK mixed<br />
diets, iron is assumed to have a fixed bioavailability<br />
of 15%, irrespective of age and life-stage group [207],<br />
whereas in the <strong>United</strong> States and Canada, a factor of<br />
18% is used <strong>for</strong> the bioavailability of iron in the mixed<br />
diets of both children and nonpregnant adults, but 25%<br />
is used <strong>for</strong> women in the second and third trimesters<br />
of pregnancy and 10% <strong>for</strong> those consuming vegetarian<br />
diets [204]. Similarly, the <strong>United</strong> Kingdom uses a fixed<br />
factor of 30% <strong>for</strong> zinc, irrespective of age and life-stage<br />
group [207], but the <strong>United</strong> States and Canada apply<br />
a factor of 41% and 48% <strong>for</strong> the bioavailability of zinc<br />
from diets of adult (over 19 years) males and females,<br />
respectively, and 30% <strong>for</strong> preadolescent children [204].<br />
Australia and New Zealand have adopted the US and<br />
Canadian bioavailability adjustments <strong>for</strong> iron <strong>for</strong> children<br />
4 years of age or older, nonpregnant adults, and<br />
vegetarians, but the IZiNCG adjustments <strong>for</strong> zinc [36,<br />
208]. Other expert groups, such as FAO/WHO [181]<br />
and IZiNCG [36], employ several factors to adjust <strong>for</strong><br />
the bioavailability of iron and zinc, depending on the<br />
composition of the habitual diet, as noted earlier.<br />
References<br />
1. Hurrell R. Bioavailability—a time <strong>for</strong> reflection. Int J<br />
Vitam Nutr Res 2002;72:5–6.<br />
2. West CE, Eilander A, van Lieshout M. Consequences of<br />
revised estimates of carotenoid bioefficacy <strong>for</strong> <strong>dietary</strong><br />
control of vitamin A deficiency in developing countries.<br />
J Nutr 2002;132(9 suppl):2920S–6S.<br />
3. Cook JD, Dassenko SA, Lynch SR. Assessment of the<br />
role of nonheme-iron availability in iron balance. Am J<br />
Clin Nutr 1991;54:717–22.<br />
4. Tidehag P, Hallmans G, Wing K, Sjöström R, Ågren G,<br />
Lundin E, Zhang JX. A comparison of iron absorption<br />
from single meals and daily diets using radioFe ( 55 Fe,<br />
59 Fe). Br J Nutr 1996;75:281–9.<br />
5. Powers HJ. Riboflavin (vitamin B-2) and health. Am J<br />
Clin Nutr 2003;77:1352–60.<br />
6. Institute of Medicine. Dietary reference intakes <strong>for</strong><br />
thiamin, riboflavin, niacin, vitamin B 6 , folate, vitamin<br />
B 12 , pantothenic acid, biotin, and choline. Washington,<br />
DC: National Academy Press, 1998.<br />
7. Schaafsma G. Bioavailability of calcium and magnesium.<br />
Eur J Clin Nutr 1997;51(suppl 1):S13–6.<br />
8. Stoecker B. Chromium. In: Bowman BA, Russell RM,<br />
eds. Present knowledge in nutrition. Washington, DC:<br />
International Life Sciences Institute, 2001:366–72.<br />
9. Gregory JF 3rd. Bioavailability of vitamin B 6 . Eur J Clin<br />
Nutr 1997;51:S43–8.<br />
10. Harvey PW, Dexter PB, Darnton-Hill I. The impact of<br />
consuming iron from non-<strong>food</strong> sources on iron status<br />
in developing countries. Public Health Nutr 2000;3:<br />
375–83.<br />
11. Hallberg L. Bioavailability of <strong>dietary</strong> iron in man. Annu<br />
Rev Nutr 1981;1:123–47.<br />
12. Yip R. Iron. In: Bowman BA, Russell RM, eds. Present<br />
Conclusions<br />
R. S. Gibson<br />
Adjustments are needed to translate physiological<br />
requirements into <strong>dietary</strong> requirements <strong>for</strong> certain<br />
nutrients, notably calcium, magnesium, iron, zinc,<br />
protein, folate, and vitamin A. The magnitude of the<br />
adjustments depends on the nutrient and will vary<br />
according to the nature of the habitual diet and a<br />
variety of host-related factors. However, in<strong>for</strong>mation<br />
on some of the host-related factors, especially those<br />
that influence the efficiency of luminal and mucosal<br />
digestion and absorption, is often limited, so that their<br />
effects on nutrient bioavailability are often ignored<br />
when setting <strong>dietary</strong> requirement estimates. At present,<br />
several algorithms have been developed to predict the<br />
bioavailability of iron, zinc, protein, folate, vitamin A,<br />
and carotenoids, but there is still no consensus among<br />
countries about which are the best algorithms to use.<br />
In some countries, fixed bioavailability factors are still<br />
used <strong>for</strong> certain nutrients, even though their efficiency<br />
of absorption may vary with the <strong>dietary</strong> level of the<br />
nutrient or the life-stage group.<br />
knowledge in nutrition. Washington, DC: International<br />
Life Sciences Institute, 2001:311–28.<br />
13. Hurrell RF. Preventing iron deficiency through <strong>food</strong><br />
<strong>for</strong>tification. Nutr Rev 1997;55:210–22.<br />
14. Solomons NW, Jacob RA, Pineda O, Viteri FE. Studies<br />
on the bioavailability of zinc in man. II. Absorption of<br />
zinc from organic and inorganic sources. J Lab Clin Med<br />
1979;94:335–43.<br />
15. Moser-Veillon PB, Mangels AR, Patterson KY, Veillon C.<br />
Utilization of two different chemical <strong>for</strong>ms of selenium<br />
during lactation using stable isotope tracers: An example<br />
of speciation in nutrition. Analyst 1992;117:559–62.<br />
16. Yeum KJ, Russell RM. Carotenoid bioavailability and<br />
bioconversion. Annu Rev Nutr 2002;22:483–504.<br />
17. McNulty H, Pentieva K. Folate bioavailability. Proc Nutr<br />
Soc 2004;63:529–36.<br />
18. Melse-Boonstra A, Verhoef P, West C. Quantifying folate<br />
bioavailability: A critical appraisal of methods. Curr<br />
Opin Clin Nutr Metab Care 2004;7:539–45.<br />
19. Sauberlich HE, Kretsch MJ, Skala JH, Johnson HL,<br />
Taylor PC. Folate requirement and metabolism in nonpregnant<br />
women. Am J Clin Nutr 1987;46:1016–28.<br />
20. Pfeiffer CM, Rogers LM, Bailey LB, Gregory JF 3rd.<br />
Absorption of folate from <strong>for</strong>tified cereal-grain products<br />
and of supplemental folate consumed with or without<br />
<strong>food</strong> determined by using a dual-label stable-isotope<br />
protocol. Am J Clin Nutr 1997;66:1388–97.<br />
21. van den Berg H, van den Gaag M, Hendriks H. Influence<br />
of lifestyle on vitamin bioavailability. Int J Vitamin Nutr<br />
Res 2001; 72:53–9.<br />
22. Gregory JF 3rd. Bioavailability of thiamin. Eur J Clin<br />
Nutr 1997;51(suppl 1):S34–7.<br />
23. Castenmiller JJM, West CE. Bioavailability and biocon-