Benefit and risk assessment of increasing potassium intake by replacement of sodium chloride with potassium chloride in industrial food products in Norway.

High sodium chloride (NaCl) intake is associated with health risks. NaCl may be replaced by potassium chloride (KCl) to decrease sodium intake. However, increased potassium may also have negative health effects. We conducted a benefit and risk assessment of increasing potassium by ratios of 30:70, 50:50, 70:30 (weight % K+: weight % Na+) in children, adolescents and adults in Norway, using intake data from national food consumption surveys and available literature on potassium health effects. An intake of at least 3.5 g/day of potassium decreases risk of stroke and hypertension, and this level was used in the benefit assessment of the healthy population. Three g/day of potassium added to mean food intake is assumed safe, and these levels were used in the risk assessment. Not all persons reached the protective level of potassium, and increasing numbers exceeded the safe levels, in these scenarios. In addition, elderly above 85 years and infants below one year of age, as well as several patient groups and medication users, are particularly vulnerable to hyperkalemia. In conclusion, the number of Norwegians facing increased risk is far greater than the number likely to benefit from this replacement of sodium with potassium in industrially produced food.

Effect of a nutrition intervention on intake of vegetables, fruits, and semi whole grain bread among low and high consumers in the Norwegian National Guard.

BACKGROUND: Nutritional information seldom reaches individuals with the most unhealthful dietary habits. OBJECTIVE: To explore whether an intervention focusing on a combination of nutritional information and increased availability of vegetables, fruits, and semi whole grain bread was effective to raise the intake, and knowledge, of these foods among recruits in the military with low as well as high baseline intake. METHODS: Intervention study, including 479 recruits, in intervention and control military camps. The participants were divided into three groups (low, medium, and high) according to their baseline intake of vegetables, fruits, and semi whole grain bread. RESULTS: Those with low/medium baseline intake in the intervention camp had a significant increase in the intake of vegetables, fruits, and semi whole grain bread at follow-up. All three intake groups in the intervention camp also had significantly higher intake of these foods compared to those in the control camp at follow-up. The knowledge scores increased significantly among both high and low consumers in the intervention camp, but not in the control camp. CONCLUSION: The intervention led to increased intake of vegetables, fruits, and semi whole grain bread among those recruits in the intervention camp, who were most in need to change their diet.

A nutrition intervention with a main focus on vegetables and bread consumption among young men in the Norwegian National Guard.

BACKGROUND: Young men are difficult to reach with conventional nutrition information and they have a low intake of vegetables and whole grain cereals. Few intervention studies have focused on improving young men's consumption of vegetables and whole grains. OBJECTIVE: A 5-month intervention focusing on a combination of increased availability of healthy foods and nutritional information was developed to stimulate the intake of vegetables and semi-whole grain bread among a group of young men in the Norwegian military. SUBJECTS: A total of 376 recruits in the intervention group and 105 recruits in the control group participated in the entire study. RESULTS: The average daily increase in consumption of vegetables was 82 g (p<0.001), and semi-whole grain bread 47 g (p<0.001) between baseline and follow-up in the intervention group. No significant changes were observed in the control group. Differences between intervention and control group at follow-up were significant (p<0.001) for vegetables and semi-whole grain bread, when controlling for baseline values, and seasonal variation for vegetables. The recruits in the intervention group received higher scores on the questions concerning nutritional knowledge after the intervention, compared to baseline (p<0.001). There was a significantly higher increase in the intake of vegetables among the recruits who increased the number of correct answers to the knowledge questions (ß-value: 0.14, p<0.05) than among the others. There was no significant change in scores of food satisfaction after the intervention. CONCLUSION: The combination of increased availability of healthy food items and nutrition information was an effective way to increase the intake of vegetables and semi-whole grain bread, without a reduction in food satisfaction, among young men in the military.

Whole grain foods and health - a Scandinavian perspective.

The food-based dietary guidelines in the Scandinavian countries that recommend an intake of minimum 75 g whole grain per 10 MJ (2,388 kcal) per day are mainly derived from prospective cohort studies where quantitative but little qualitative details are available on whole grain products. The objective of the current paper is to clarify possible differences in nutritional and health effects of the types of whole grain grown and consumed in the Scandinavian countries. A further objective is to substantiate how processing may influence the nutritional value and potential health effects of different whole grains and whole grain foods. The most commonly consumed whole grain cereals in the Scandinavian countries are wheat, rye, and oats with a considerable inter-country variation in the consumption patterns and with barley constituting only a minor role. The chemical composition of these different whole grains and thus the whole grain products consumed vary considerably with regard to the content of macro- and micronutrients and bioactive components. A considerable amount of scientific substantiation shows that processing methods of the whole grains are important for the physiological and health effects of the final whole grain products. Future research should consider the specific properties of each cereal and its processing methods to further identify the uniqueness and health potentials of whole grain products. This would enable the authorities to provide more specific food-based dietary guidelines in relation to whole grain to the benefit of both the food industry and the consumer.

Body weight, weight perceptions and food intake patterns. A cross-sectional study among male recruits in the Norwegian National Guard.

BACKGROUND: Young men tend to have a low intake of vegetables and fruit. Unfortunately, this group is difficult to reach with health information. Furthermore, knowledge about weight perceptions and the relationship to food behaviour among young men is scant. The purpose of this study was to explore the relationship between BMI, health and weight perceptions and food intake patterns among young men in the military. METHODS: Data were collected with a 4-day food diary among 578 male recruits (age 18-26, mean 19.7) in the Norwegian National Guard (response rate 78%), in addition to a questionnaire, including questions about health and weight perceptions, and food frequency when still living at home. Weight and height were objectively measured. Food patterns were explored with principal component analysis, based on the diary data. A multivariate linear regression analysis determined the association between BMI and food patterns, and attitudes to health and slenderness, adjusting for smoking, physical activity and phase of data collection. RESULTS: Twenty eight percent of the recruits were overweight/obese (BMI > 25 kg/m(2)). Two-thirds meant that it is important for them to be slender, and these recruits reported more of both light (p = 0.025) and hard (p = 0.016) physical activity than the others. It was a positive association between the recruits' food frequency at home, and the amount of intake in the military camp for several food items. A principal component analysis identified three distinct food patterns, loading on 1) plant foods, 2) fast food/soft drinks, 3) milk/cereals. Those who stated that it is important for them to be slender, or to have good health, did not have significantly different food intake patterns than the others. BMI was inversely related to scores on the plant food pattern, and positive attitudes to slenderness. CONCLUSION: The majority of the recruits find it important to be slender. This orientation had a bearing on their physical activity pattern, but less on the food intake pattern. The data also indicate that subjects with high intakes of plant foods were less likely to have a high BMI than others. It is important to raise awareness of healthy eating in young men.

Whole grain for whom and why?

A definition of whole grain is a critical first step in investigating health claims for whole grain and its products. Today, there is no internationally accepted definition of whole grain. Some existing definitions are broad and commodity-based, including grains with similar end uses, while others are more restricted. Scientific knowledge must be the basis for inclusion of certain grains. It is better to start with a restricted list of grains (a precautionary principle) and extend this as more knowledge becomes available. An exact definition of the raw materials (milled, cracked, crushed, rolled, or flaked) and knowledge of the components providing health effects would appear to be crucial issues for the European authorities when approving health claims. It is important that health claims are evidence-based, sustainable, and officially validated.

Phytate in foods and significance for humans: food sources, intake, processing, bioavailability, protective role and analysis.

The article gives an overview of phytic acid in food and of its significance for human nutrition. It summarises phytate sources in foods and discusses problems of phytic acid/phytate contents of food tables. Data on phytic acid intake are evaluated and daily phytic acid intake depending on food habits is assessed. Degradation of phytate during gastro-intestinal passage is summarised, the mechanism of phytate interacting with minerals and trace elements in the gastro-intestinal chyme described and the pathway of inositol phosphate hydrolysis in the gut presented. The present knowledge of phytate absorption is summarised and discussed. Effects of phytate on mineral and trace element bioavailability are reported and phytate degradation during processing and storage is described. Beneficial activities of dietary phytate such as its effects on calcification and kidney stone formation and on lowering blood glucose and lipids are reported. The antioxidative property of phytic acid and its potentional anticancerogenic activities are briefly surveyed. Development of the analysis of phytic acid and other inositol phosphates is described, problems of inositol phosphate determination and detection discussed and the need for standardisation of phytic acid analysis in foods argued.

Association between folate intake from different food sources in Norway and homocysteine status in a dietary intervention among young male adults.

The aim of the present investigation was to study the effect of a dietary intervention which combined nutrition information with increased availability of vegetables, fruits and wholegrain bread. The effect of the intervention was determined by changes in the intake of vegetables, fruits, wholegrain bread and estimated nutrients. Furthermore, the study investigated whether changes in relative contribution from different food sources of folate were related to changes in the concentration of plasma total homocysteine (p-tHcy). The 5-month intervention study included 376 male recruits from the Norwegian National Guard, Vaernes (intervention group) and 105 male recruits from the Norwegian National Guard, Heggelia (control group). The study resulted in an increase in the total consumption of vegetables, fruits, berries and juice (P < 0.001) and of wholegrain bread (P < 0.001). The participants in the intervention group showed a higher increase in the intake of dietary fibre (P < 0.001) and folate (P < 0.001) compared with the control group. The relative contribution of folate intake from fruits, vegetables and wholegrain bread was higher in the intervention group compared with the control group (P < 0.001 for all). The increased intake of folate from wholegrain bread was inversely associated with a reduced concentration of p-tHcy (P = 0.017). In summary, the dietary intervention resulted in an increased intake of vegetables, fruits and wholegrain bread and a subsequent increase in folate intake from these food components. Reduction in the concentration of p-tHcy was significantly related to an increased folate intake due to an increased consumption of wholegrain bread.

BMI, lipid profile, physical fitness and smoking habits of young male adults and the association with parental education.

BACKGROUND: Few studies have focused on the potential relationship between parental educational level and cardiovascular risk factors among young male adults. The aim of this study was to investigate cardiovascular disease risk factors among young men and whether body mass index (BMI), serum lipids, physical fitness and smoking habits were related to paternal and maternal education. METHODS: In this cross-sectional study 750 18- to 26-year-old male recruits participated. RESULTS: Linear regression analyses showed that the paternal education was inversely associated with BMI (P = 0.035) and the concentration of total cholesterol (P = 0.003) and low-density lipoprotein (LDL) (P = 0.014). Running performance was inversely related to cigarette smoking (P = 0.022) and the concentration of triacylglycerol (P = 0.001). BMI was positively related to the concentration of LDL (P = 0.002), total cholesterol/high-density lipoprotein (HDL) ratio (P < 0.001) and inversely related to the concentration of HDL (P < 0.001), running performance (P < 0.001) and muscular strength (P = 0.011). Recruits with low BMI, both high and low fitness, had a significantly better lipid profile than recruits with high BMI and low fitness (P

Changes in predictors and status of homocysteine in young male adults after a dietary intervention with vegetables, fruits and bread.

BACKGROUND: Elevated plasma total homocysteine (p-tHcy) is associated with increased risk of cardiovascular disease, and an inverse association has been shown between the dietary intake of B-vitamins, B-vitamin profile and the concentration of p-tHcy. AIM OF THE STUDY: The main objective of this investigation was to study the effect of a dietary intervention focusing on an increased intake of vegetables, fruits and bread. The effect of the dietary intervention was determined by the changes in plasma concentrations of tHcy, cysteine (cys), riboflavin, flavin adenine dinucleotide (FAD) and flavin mononucleotide (FMN) and serum concentrations of folate and vitamin B(12). METHOD: An intervention study with duration of 5 months, including 541 male recruits from the Norwegian National Guard, Vaernes and a control group, including 209 male recruits from the Norwegian Army, Heggelia. RESULTS: The dietary intervention resulted in decreased concentration of p-tHcy (-10%, P = 0.002), p-cys (-6%, P < 0.001) and FMN (-11%, P = 0.310) and increased concentration of riboflavin (+23%, P < 0.001) and FAD (+10%, P = 0.008) in the intervention group compared with the control group. The change in p-tHcy concentration was positively related to the change in the concentration of p-cys (P < 0.001) and FMN (P = 0.035) and inversely related to the change in concentration of folate (P = 0.021). CONCLUSIONS: A dietary intervention program focusing on an increased intake of vegetables, fruits and bread showed a favourable effect on the concentration of p-tHcy and its metabolites. Our findings suggest that the changes in the concentration of p-cys, folate and FMN seem to be predictors of changes in the p-tHcy concentration.

Preferences and perceptions of personal vegetable consumption: a study among young men in the Norwegian National Guard.

A survey was developed to assess the intake, main sources and preferences related to vegetables among 578 male recruits (response rate 78%), in addition to perceptions of personal vegetable consumption. The recruits' average vegetable intake (including potatoes) was 244 g/day. Six per cent of the recruits consumed the recommended 450 g/day or more of vegetables. However, 33% of all recruits stated that they consume enough vegetables. The most important sources of vegetables were potatoes and hot composite dishes for lunch and dinner. High (> or = 282 g/day) and low (< or = 182 g/day) consumers had distinctly different patterns of vegetable consumption. The hot dishes were a more important source among low than high vegetable consumers (P < 0.01). Several recruits reported liking raw (76%) and cooked (58%) vegetables, and preferences were positively related to the vegetable intake (P < 0.02) and (P < 0.001). The results suggest some optimistic bias among the recruits regarding their personal vegetable consumption.

Correlates of vegetable consumption among young men in the Norwegian National Guard.

The aim of this study was to investigate socio-environmental, personal and behavioural factors associated with vegetable consumption among young men in the military. Respondents included 578 male recruits (mean age 19.7) in the Norwegian National Guard (response rate 78%). Data were collected with a food diary (4-day record) and an attitudinal questionnaire. A model including items on personal factors (attitudes, preferences, self-efficacy, knowledge and perceived availability), socio-environmental factors (social influence, socio-economic status, eating habits at home) and behavioural factors (meal frequency, number of hot meals, snack consumption, smoking) was developed to assess correlates of the recruits' vegetable intake. The study showed that the recruits' consumption of vegetables (including potatoes) varied from 0 to 957 g/day with an average of 244 g/day. Overall, 32% of the variance in vegetable consumption was explained by factors included in the model. The most important correlates were occupational status of the parents, frequency of vegetable consumption when living at home, social influence, preferences for cooked vegetables, weight beliefs, number of hot meals for lunch and dinner and smoking habits. In conclusion, the present study indicates that in addition to cognitive factors, socio-environmental and behavioural factors can explain the variance in vegetable intake among young men in the military.