The overview of tools for Food and Nutritional research First Symposium-Capacity Development in Nutrition and Food Research in Central and Eastern Europe (CAPNUTRA): Balkan Food Platform - Regional Food Composition Data Base development, January 2013, Belgrade, Serbia Mirjana Gurinović, Maria Glibetić, IMR, University of Belgrade Mirjana Gurinović, Maria Glibetić, Agnes Kadvan, IMR, University of Belgrade

Definition Nutrional Tools in food and nutrition research are valuable tools used to take you from the basics of balanced nutrition to the detailed performance benefits of carbohydrates, fat, protein, and essential vitamins and minerals. For example: dietary intake assessment, nutritional daily planner, fiber calculator, BMI index, heart rate moderator, burn meter…etc

Innovative technologies for measuring diet in nutritional epidemiology *Review and evaluation of innovative technologies 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 innovative technologies for measuring diet in nutritional epidemiology, International Journal of Epidemiology 2012;41:1187–1203

EC projects link with Nutritional tools EuroFIR-European Food Information Resource Network (NoE) FP6 ( ) EuroFIR –Nexus-EuroFIR Food Platform: further integration, refinement and exploitation for its long-term self- sustainability FP7 ( ) EURRECCA- Harmonising nutrient recommendations across Europe with special focus on vulnerable groups and consumer understanding (NoE) FP6 ( ) EFSA “Updated food composition database for nutrient intake”, 2012

EuroFIR+EuroFIR Nexus

Data overview trough the WEB site: (for mobile devices) Software web based application -Food Comp Data Management (FCDM) for creating FCDB (national/regional) Developed according to EuroFIR Technical Annex and recommendations, Langual+EFSA FooEX2 coding

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

Food Comp Data Management (FCDM) – Recipe calculation Input of composite dishes -recipes

EuroFIR AISBL food groups EuroFIR eSearch 23 languages

EuroFIR - FoodBasket

EURRECA

12 37 European & 8 non-European countries/organizations/regions USA/Canada, Mexico, Brazil, Japan, China, South-Korea, South East Asia and Australia/New-Zealand Current micronutrient recommendations for: - 29 Micronutrients: Vitamin A, C, D, E, Thiamine, Riboflavin, Niacin, Pyridoxine, Cobalamin, Folic acid, Sodium, Potassium, Calcium, Magnesium, Iron, Zinc, Copper, Phosphorus, Selenium, Iodine In total, over 20,000 recommendations concerning micronutrients ; Nutritional tools Free available

13 Nutri-RecQuest data base Web application with underling Standard Query Language (SQL) database 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) also know as Recommended Daily, Allowances, Population Reference Intakes and Reference Intakes, – Adequate Intakes (AIs) also know as Acceptable Intake and Safe Intake, – Adequate ranges also know as Acceptable Range and Safe 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;

14 Database fields The following information about the micronutrient recommendations is available: Country (/Region/Organization) Region (Asia, Australia, Europe, North America, South America, World) Reference: author, title, year of publication, year of setting, web link for reference Body responsible for setting recommendations Source of origin (own report, shared reported, adopted values) Age group (lower age limit, upper age limit, age description) Population group (infants, children, adolescent, adults, elderly, pregnancy, lactation) Gender Micronutrient Micronutrient unit (e.g. mg, μg) Value micronutrient recommendation (value, or range) Additional value (for pregnancy and lactation) Special condition (free text: field containing assumptions regarding bioavailability, trimester pregnancy, activity level, etc mentioned by the authors when multiple values are set for one population group) Condition (fixed categories retrieved from free text field Special condition: e.g. bioavailability, physical activity, feeding, life stage, sunlight exposure)

15 Database fields Type of recommendation (e.g. recommended intake level, average nutrient requirement, upper limit of safe intake) Type of Measure, concept (e.g. Population Reference Intake, Safe intake range) Standardized concepts (as terminology varies between countries, the countries/organizations own terminology was included as well as the standardized terminology proposed by King and colleagues: i.e. the propose to use the term 'INLx' rather than the 'RDA'. Choose Info from the menu for more background information on this topic. Health indicator used: for selection of reports and micronutrients only (e.g. infants/calcium: the average intake from breast milk; adults/calcium: max retention; based on bone mass and fracture incidence) Type of evidence (i.e. balance studies, randomized controlled trials etc. This data field is meant for future use. This is indicated by “-”. Remark (additional information given by authors that do not fit into the above mentioned variables). The web based tool shows the latest entered recommendations of a country/organization, in database old recommendations are archived.

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

17 Nutri-RecQuest offers valuable and comprehensive data on micronutrient recommendations from European and key non-European countries for bodies responsible for setting recommendations as well as for users of recommendations including scientists, policy makers, health professionals and dietary sumplements and food industry. WHO Europe will use in future the data base! Freely available! Access via FP7-EURODISH project-Study on the need for food and health research infrastructures in Europe-continuation in update data base 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;

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

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

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 NUTRIENT ADEQUACY ASSESMENT REGARDING RECOMMENDATIONS +++other reports Serbian Food Composition data base (FCDB)* Balkan Regional FCDB Data base of regional traditional recipes ( -Foods with nutritive values/100g, Langual & EFSA FooEx2 codes, cooking methods, yield &retention factors, etc -Harmonized with EuroFIR technical standards NutriRecquest – micronutrient recommendation database ( WHO /other recommendations and population goals dietary guidelines for individuals NUTRITION PLANNING (recipes, meals, menus, average menus) 24h RECALL QUESTIONNAIRE (1 day + 2 day+7ay) FFQ questionnaire EuroFIR FCDB Link to other FCDB with eSearch Inputs – external databases Outputs – reports- harmonized with EFSA & guidelines Diet Assess &Plan tool Diet Assess and PLAN tool-Software for dietary assessment and nutrition planning DIET-ASSESS-Data entry (24h recall &FFQ) and dietary assessment tool