The effect of caffeine on pregnancy outcome variables.

The American public consumes a wide array of caffeinated products as coffee, tea, chocolate, cola beverages, and caffeine-containing medication. Therefore, it seems of value to inform both the scientific community and the consumer about the potential effects of excessive caffeine consumption, particularly by pregnant women. The results of this literature review suggest that heavy caffeine use (> or = 300 mg per day) during pregnancy is associated with small reductions in infant birth weight that may be especially detrimental to premature or low-birth-weight infants. Some researchers also document an increased risk of spontaneous abortion associated with caffeine consumption prior to and during pregnancy. However, overwhelming evidence indicates that caffeine is not a human teratogen, and that caffeine appears to have no effect on preterm labor and delivery. More research is needed before unambiguous statements about the effects of caffeine on pregnancy outcome variables can be made.

Is vanadium of human nutritional importance yet?

The trace element vanadium has been studied by the nutrition community for four decades, yet has not achieved essential status for human beings. It is found in compounds at valences of 2, 3, 4, or 5, with the tetravalent and pentavalent forms being the most common. In human beings, pharmacologic amounts of vanadium (ie, 10 to 100 times normal intake) affect cholesterol and triglyceride metabolism, influence the shape of erythrocytes, and stimulate glucose oxidation and glycogen synthesis in the liver. Vanadium's primary mode of action is as a cofactor that enhances or inhibits enzymes. Recent evidence suggests that vanadium may be essential for higher animals. After their mothers had been fed carefully formulated vanadium-deficient diets, second-generation goat kids suffered skeletal damage and died within 3 days of parturition. Although ubiquitous in air, soil, water, and the food supply, vanadium is generally found in nanogram or microgram quantities, which makes it difficult to measure. Estimates for the American intake of vanadium (based on a food intake of 500 g dry weight) are 10 to 60 micrograms/day. Vanadium levels in diets from five regions of the United States range from 30.9 +/- 1.5 in the Southeast to 50.5 +/- 1.5 micrograms/kg dry weight in the West. Although vanadium is thought to be essential for goats, new data may soon support its essentiality in human beings.

Effects of dietary aluminum and niacin on chick tibiae.

Effects of dietary aluminum chloride and niacin on bone mineral content and bone structural measurements were studied using young male Leghorn chicks. Standard chick rations containing .8% Ca and .4 or .5% available P were fed as control diets in three experiments. Experimental diets contained .05, .1, or .3% Al, or 1.0 or 1.5% niacin, or both and were fed for 2 wk. Tibia weights were decreased by 1.5% niacin, .3% Al, and by .1% Al plus 1.5% niacin (P less than .05). Breaking strength of tibiae was decreased (P less than .05) by 1.5% niacin, .1% Al, and .1% Al plus 1.5% niacin. Ultimate stress, which is force per unit area, was decreased by .3% Al and .05% Al plus 1.5% niacin (P less than .05). Niacin had no significant effect on bone mineral content. In Experiment 3, .3% Al decreased P, Ca, Mg, and Zn content of the tibiae (P less than .05). These findings indicate that feeding high levels of supplemental niacin results in decreased bone strength in chicks with no change in mineral content of the tibiae. Aluminum fed at levels of .3% of the diet causes a decrease in bone strength with concomitant changes in bone mineral content.

Nutritional status and phytate:zinc and phytate x calcium:zinc dietary molar ratios of lacto-ovo vegetarian Trappist monks: 10 years later.

A nutrition assessment of 16 members of a community of lacto-ovo vegetarian Trappist monks was conducted in 1977. Plasma zinc was found to be low-normal, which was attributed primarily to high intakes of phytate-containing foods. Individual and group counseling were instituted over a 10-year period in an attempt to emphasize the importance of wise food selection within the constraints of lacto-ovo vegetarianism. In 1987, a more comprehensive nutrition assessment of 21 members of the same community was performed. Food composites were analyzed, and 3-day instead of 24-hour dietary records were kept. Intakes of phytate-containing foods had decreased from 4,569 to 972 mg/day; intake of dietary zinc had increased from 7.4 to 9.7 mg/day; and the phytate:zinc molar ratio had decreased from 67 to 14 for the years 1977 and 1987, respectively. An analyzed phytate:zinc molar ratio of 9.8 and an analyzed phytate x calcium:zinc molar ratio of 0.3 were representative of the 1987 community. Both were within normal ranges. Plasma zinc had risen to upper-normal levels. The 1987 nutrition assessment showed that it is possible to be adequately nourished with a lacto-ovo vegetarian diet provided one has proper knowledge of the phytate-containing foods and the methods for compensating with foods of greater mineral density (primarily zinc).

Dietary model for production of experimental zinc deficiency in man.

A semipurified diet based on soy protein was developed to induce mild zinc deficiency in five male volunteers. Each of seven daily menus provided (mean +/- SD) 2248 +/- 128 kcal, 56.6 +/- 5.7 protein, 261 +/- 30 g carbohydrate, 110 +/- 21 g fat, 8.5 +/- 1.4 g fiber, and 4.8 +/- 1.3 mg zinc. The analytical value for phytate:zinc molar ratio was 21 +/- 9. One subject, who received five of the menus for 28 wk, lost approximately 200 mg body zinc and 7% weight; zinc concentration declined 25% in plasma, 30% in lymphocytes, and 55% in neutrophils. This dietary model allowed simple formulation of new menus for subjects in diverse states of health. It caused no ill effects after prolonged consumption, and all deficiency symptoms were reversed by zinc supplementation of 30 mg/d for 20 wk. With simple manipulation, this dietary model may be used safely for gradual induction of zinc and/or other micronutrient deficiencies in humans.

Anion-exchange method for determination of phytate in foods: collaborative study.

Phytate, a naturally occurring organic compound found in plant seeds, roots, and tubers, was determined in a collaborative study using a modified anion-exchange method. Seven samples (peanut flour, oats, rice, isolated soybean protein, a vegetarian diet composite, wheat bran, and whole wheat bread), supplied as blind duplicate samples, were analyzed in triplicate by 7 collaborators. Phytate concentrations in the samples ranged from 2.38 to 46.70 mg/g. Relative standard deviations (RSD = CV) for repeatability ranged from 2.5 to 10.1%, and for reproducibility, from 4.5 to 11.0%. The method has been adopted official first action.

Dietary fluoride intake of 15-19-year-old male adults residing in the United States.

The average daily dietary fluoride intakes of 15-to-19-year-old males were estimated from the analysis of 24 FDA "market basket" food collections made from 1975 to 1982. The data indicate that 15-to-19-year-old males residing in fluoridated (greater than 0.7 ppm) cities had an average daily dietary fluoride intake of 1.85 mg/day when the diet provided an estimated caloric intake of 11.72 megajoules (2800 calories). In non-fluoridated cities, with less than 0.3 ppm in the drinking water, the average dietary fluoride intake was 0.86 mg/day. The beverages and drinking water contributed an average of 75 +/- 2% of the daily dietary fluoride intake.

Dietary fluoride intake of 6-month and 2-year-old children in four dietary regions of the United States.

Based upon the analysis of 44 market basket food collections, the average daily dietary fluoride intakes of 6-mo-old and 2-yr-old children residing in cities with water fluoride levels of 0.05 to 1.04 ppm were determined. In cities with greater than 0.7 ppm fluoride in the drinking water, a 6-mo-old child (infant) and a 2-yr-old child (toddler) had mean dietary fluoride intakes of 0.418 mg/day (0.052 mg/kg body weight) and 0.621 mg/day (0.050 mg/kg body weight) respectively. The data indicate that the average dietary fluoride intake of infants and toddlers did not exceed 0.08 mg/kg, and in all but three cases was within or below the optimum range of 0.05-0.07 mg/kg. The ingestion of fluoride-containing dentifrice or milk formula diluted with fluoridated water may result in intake levels exceeding that associated with the development of dental fluorosis (0.1 mg F/kg body wt).

Determination of total dietary fiber in foods and food products: collaborative study.

A collaborative study was conducted to determine the total dietary fiber (TDF) content of food and food products, using a combination of enzymatic and gravimetric procedures. The method was basically the same as published earlier (J. Assoc. Off. Anal. Chem. (1984) 67, 1044-1052), with changes in the concentration of alcohol and buffers, time of incubation, sample preparation, and some explanatory notes, all with the intent of decreasing the coefficient of variation (CV) of the method. Duplicate blind samples of soy isolate, white wheat flour, rye bread, potatoes, rice, wheat bran, oats, corn bran, and whole wheat flour were analyzed by 9 collaborators. TDF was calculated as the weight of the residue minus the weight of protein and ash. CV values of the data from all laboratories for 7 of the samples ranged from 1.56 to 9.80%. The rice and soy isolate samples had CV values of 53.71% and 66.25%, respectively; however, each sample contained only about 1% TDF. The enzymatic-gravimetric method for determining TDF has been adopted official first action.

Selected minerals in foods surveys, 1974 to 1981/82.

The levels of 11 essential minerals in food commodity groups and total diets of adult males, infants, and toddlers were summarized from the Selected Minerals in Foods Survey, Fiscal Years (FY) 1974 through mid-1982, of the Food and Drug Administration (FDA) to evaluate the sources and adequacy of those minerals in the diets. The three diets were adequate in calcium, phosphorus, magnesium, potassium, manganese, and selenium; low in copper; and elevated in sodium and iodine. Iron was adequate in adult male but not in infant or toddler diets, and zinc was adequate in infant but somewhat low in adult male and toddler diets. Dairy products; meat, fish, and poultry; grain and cereal products; and fruits and vegetables were the major sources of the 11 minerals. Some statistically significant differences in mineral levels were found among years for total diets and food commodity groups. Regression analysis indicated several linear trends in the mineral content of food commodity groups but no linear trends in the mineral levels of total diets. FDA continues to monitor the levels of minerals in food and diets through the revised Total Diet Study program, which began in mid-FY82.

Perspective of Food and Drug Administration on Dietary sodium.

The sodium and potassium content of typical American diets of infants, toddlers, and adults was determined, both for total content and for content at the commodity group level, by chemical analysis of representative diets from 1977 through 1980. In recent years the scientific community has reached a consensus that high sodium intake is positively associated with hypertension. Various professional groups urge the American public to reduce their sodium intake. Several monitoring initiatives of the Food and Drug Administration relative to sodium in the national food supply are discussed.

Phytate content of foods: effect on dietary zinc bioavailability.

The phytate content of several foods is presented. Published zinc values were used to calculate phytate:zinc molar ratios. These ratios can be used to estimate the relative risk of having an inadequate intake of zinc. They may be used in planning menus to select the combination of foods that will supply the most available zinc to the daily diet. On the basis of animal experiments to date, a daily phytate:zinc molar ratio of 10 or less is thought to be acceptable in providing adequate dietary zinc, and daily ratios consistently above 20 may jeopardize zinc status. Many factors other than the daily dietary phytate:zinc molar ratio influence zinc nutriture, but the ratio concept is a tool which may contribute to a more accurate assessment of zinc status.

Estimation of dietary iodine intake of Americans in recent years.

The iodine content of diets of typical American infants, toddlers, and adults in recent years was found to be far in excess of the amount necessary for adequate nutrition. Dairy products were the major contributor. Other large contributors were grain and cereal products, sugars and adjuncts, and meat, fish, and poultry in adult diets and grain and cereal products and meat, fish, and poultry in infant and toddler diets. A statistical evaluation of the data and a discussion of possible sources of iodine are presented.

Calcium, phosphorus, iron, iodine, and zinc in the "total diet".

Advances in food technology have changed the nutrient composition of foods, raising questions as to whether mineral intakes in the U.S. are now adequate or excessive. When the FDA assayed "market basket" samples collected at the retail level in twenty urban areas of the U.S. during 1974 and 1975, the following minerals and the daily intake as percentages of the U.S. RDAs were found: (a) For adults (based on a 2,800 kcal intake)--calcium, 114; phosphorus, 171; iron, 98; iodine, 428; and zinc, 89; (b) for six-month-old infants--calcium, 163; phosphorus, 173; iron, 47; iodine, 878; and zinc, 112; and (c) for two-year-olds--calcium, 114; phosphorus, 130; iron, 112; iodine, 526; and zinc, 106.

Estimated fluoride intake of average two-year-old children in four dietary regions of the United States.

Analysis of toddler "Market Basket" food collections indicates that an average two-year-old child living in cities with water supplies containing 0.37 to 1.04 ppm of fluoride has a daily fluoride intake of 0.315 to 0.610 mg/day (0.025 to 0.049 mg/kg body weight) from food, water, and beverages.