Symposium of Dietary Intakes - Thailand - April 2016
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Transcript of Symposium of Dietary Intakes - Thailand - April 2016
Key Finding of the 2nd Thailand National Food Consumption Survey
Nipa Rojroongwasinkul, Ph.D. Institute of Nutrition
Mahidol University [email protected]
ÿ Introduction
ÿObjectives
ÿMethodology
ÿFindings
ÿConclusions
Outlines ÿ Emphasis on public health and consumer protection, in
combination with globalization of the food market, has created a strong demand for exposure assessments of food chemicals (i.e. pesticide residues, food additives, mycotoxins, etc.)
The two main data sets used in a dietary exposure assessment are: • food chemical concentration data (e.g. maximum use
levels from standards, proposed levels of use, manufacturers use data, analytical survey data)
• food consumption data for the populations of interest (e.g. national food consumption survey data).
Introduction
Key Finding of the 2nd Thailand National Food Consumption Survey
Nipa Rojroongwasinkul, Ph.D. Institute of Nutrition
Mahidol University [email protected]
ÿ Introduction
ÿObjectives
ÿMethodology
ÿFindings
ÿConclusions
Outlines ÿ Emphasis on public health and consumer protection, in
combination with globalization of the food market, has created a strong demand for exposure assessments of food chemicals (i.e. pesticide residues, food additives, mycotoxins, etc.)
The two main data sets used in a dietary exposure assessment are: • food chemical concentration data (e.g. maximum use
levels from standards, proposed levels of use, manufacturers use data, analytical survey data)
• food consumption data for the populations of interest (e.g. national food consumption survey data).
Introduction
Key Finding of the 2nd Thailand National Food Consumption Survey
Nipa Rojroongwasinkul, Ph.D. Institute of Nutrition
Mahidol University [email protected]
ÿ Introduction
ÿObjectives
ÿMethodology
ÿFindings
ÿConclusions
Outlines ÿ Emphasis on public health and consumer protection, in
combination with globalization of the food market, has created a strong demand for exposure assessments of food chemicals (i.e. pesticide residues, food additives, mycotoxins, etc.)
The two main data sets used in a dietary exposure assessment are: • food chemical concentration data (e.g. maximum use
levels from standards, proposed levels of use, manufacturers use data, analytical survey data)
• food consumption data for the populations of interest (e.g. national food consumption survey data).
Introduction
Key Finding of the 2nd Thailand National Food Consumption Survey
Nipa Rojroongwasinkul, Ph.D. Institute of Nutrition
Mahidol University [email protected]
ÿ Introduction
ÿObjectives
ÿMethodology
ÿFindings
ÿConclusions
Outlines ÿ Emphasis on public health and consumer protection, in
combination with globalization of the food market, has created a strong demand for exposure assessments of food chemicals (i.e. pesticide residues, food additives, mycotoxins, etc.)
The two main data sets used in a dietary exposure assessment are: • food chemical concentration data (e.g. maximum use
levels from standards, proposed levels of use, manufacturers use data, analytical survey data)
• food consumption data for the populations of interest (e.g. national food consumption survey data).
Introduction
ÿTo evaluate the food consumption pattern including type and amount of food commonly consumed by the Thai population
Objective
ÿ Conducted in 2013-2015 by Institute of Nutrition, Mahidol University ÿ Supported by National Bureau of Agricultural Commodity and Food Standards (ACFS), Thailand
The 2nd National Food Consumption Survey (NFCS)
Aims of the survey
• To obtain a comprehensive food consumption database for exposure assessment of food chemicals and others
• To be used as a key information in establishing food and agricultural standards
• To be used as a key information in establishing health promotion strategies related to food and nutrition of the population
Methodology
ßCollaborative with National Statistical Office
- Sample size calculation
- Sampling design - Sample listing
ÿTo evaluate the food consumption pattern including type and amount of food commonly consumed by the Thai population
Objective
ÿ Conducted in 2013-2015 by Institute of Nutrition, Mahidol University ÿ Supported by National Bureau of Agricultural Commodity and Food Standards (ACFS), Thailand
The 2nd National Food Consumption Survey (NFCS)
Aims of the survey
• To obtain a comprehensive food consumption database for exposure assessment of food chemicals and others
• To be used as a key information in establishing food and agricultural standards
• To be used as a key information in establishing health promotion strategies related to food and nutrition of the population
Methodology
ßCollaborative with National Statistical Office
- Sample size calculation
- Sampling design - Sample listing
ÿTo evaluate the food consumption pattern including type and amount of food commonly consumed by the Thai population
Objective
ÿ Conducted in 2013-2015 by Institute of Nutrition, Mahidol University ÿ Supported by National Bureau of Agricultural Commodity and Food Standards (ACFS), Thailand
The 2nd National Food Consumption Survey (NFCS)
Aims of the survey
• To obtain a comprehensive food consumption database for exposure assessment of food chemicals and others
• To be used as a key information in establishing food and agricultural standards
• To be used as a key information in establishing health promotion strategies related to food and nutrition of the population
Methodology
ßCollaborative with National Statistical Office
- Sample size calculation
- Sampling design - Sample listing
ÿTo evaluate the food consumption pattern including type and amount of food commonly consumed by the Thai population
Objective
ÿ Conducted in 2013-2015 by Institute of Nutrition, Mahidol University ÿ Supported by National Bureau of Agricultural Commodity and Food Standards (ACFS), Thailand
The 2nd National Food Consumption Survey (NFCS)
Aims of the survey
• To obtain a comprehensive food consumption database for exposure assessment of food chemicals and others
• To be used as a key information in establishing food and agricultural standards
• To be used as a key information in establishing health promotion strategies related to food and nutrition of the population
Methodology
ßCollaborative with National Statistical Office
- Sample size calculation
- Sampling design - Sample listing
Thailand
Bangkok North North-East South Central
Districts
Participants (7 Age groups: Male, Female)
4 Provinces / Region
Districts Municipal
Districts Non-municipal
Sampling design: Stratified four-stage cluster sampling, quotas by age, sex
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Participants (7 Age groups: Male, Female)
Participants (7 Age groups: Male, Female)
Bangkok and 4 provinces/region ß North: 13 districts ß Northeast: 15 districts ß Central: 12 districts ß South: 12 districts ß Bangkok 12 districts 17 provinces, 64 districts
7 Age groups number
1. 0-2.9 y 1,211 2. 3-5.9 y 1,192 3. 6-12.9 y 1,327 4. 13-17.9 y 1,155 5. 18-34.9 y 1,160 6. 35-64.9 y 1,287 7. ≥ 65 y 1,146 Total sample size 8,478
Target population in sampling Data collection period
From March 2014 – March 2015, collected data in 3 rounds for each season
ÿ Summer (March – June, 2014)
ÿ Rainy (July – October, 2014)
ÿ Winter (November 2014 – March 2015)
Thailand
Bangkok North North-East South Central
Districts
Participants (7 Age groups: Male, Female)
4 Provinces / Region
Districts Municipal
Districts Non-municipal
Sampling design: Stratified four-stage cluster sampling, quotas by age, sex
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Participants (7 Age groups: Male, Female)
Participants (7 Age groups: Male, Female)
Bangkok and 4 provinces/region ß North: 13 districts ß Northeast: 15 districts ß Central: 12 districts ß South: 12 districts ß Bangkok 12 districts 17 provinces, 64 districts
7 Age groups number
1. 0-2.9 y 1,211 2. 3-5.9 y 1,192 3. 6-12.9 y 1,327 4. 13-17.9 y 1,155 5. 18-34.9 y 1,160 6. 35-64.9 y 1,287 7. ≥ 65 y 1,146 Total sample size 8,478
Target population in sampling Data collection period
From March 2014 – March 2015, collected data in 3 rounds for each season
ÿ Summer (March – June, 2014)
ÿ Rainy (July – October, 2014)
ÿ Winter (November 2014 – March 2015)
Thailand
Bangkok North North-East South Central
Districts
Participants (7 Age groups: Male, Female)
4 Provinces / Region
Districts Municipal
Districts Non-municipal
Sampling design: Stratified four-stage cluster sampling, quotas by age, sex
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Participants (7 Age groups: Male, Female)
Participants (7 Age groups: Male, Female)
Bangkok and 4 provinces/region ß North: 13 districts ß Northeast: 15 districts ß Central: 12 districts ß South: 12 districts ß Bangkok 12 districts 17 provinces, 64 districts
7 Age groups number
1. 0-2.9 y 1,211 2. 3-5.9 y 1,192 3. 6-12.9 y 1,327 4. 13-17.9 y 1,155 5. 18-34.9 y 1,160 6. 35-64.9 y 1,287 7. ≥ 65 y 1,146 Total sample size 8,478
Target population in sampling Data collection period
From March 2014 – March 2015, collected data in 3 rounds for each season
ÿ Summer (March – June, 2014)
ÿ Rainy (July – October, 2014)
ÿ Winter (November 2014 – March 2015)
Thailand
Bangkok North North-East South Central
Districts
Participants (7 Age groups: Male, Female)
4 Provinces / Region
Districts Municipal
Districts Non-municipal
Sampling design: Stratified four-stage cluster sampling, quotas by age, sex
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Enumeration Areas (EAs)
Participants (7 Age groups: Male, Female)
Participants (7 Age groups: Male, Female)
Bangkok and 4 provinces/region ß North: 13 districts ß Northeast: 15 districts ß Central: 12 districts ß South: 12 districts ß Bangkok 12 districts 17 provinces, 64 districts
7 Age groups number
1. 0-2.9 y 1,211 2. 3-5.9 y 1,192 3. 6-12.9 y 1,327 4. 13-17.9 y 1,155 5. 18-34.9 y 1,160 6. 35-64.9 y 1,287 7. ≥ 65 y 1,146 Total sample size 8,478
Target population in sampling Data collection period
From March 2014 – March 2015, collected data in 3 rounds for each season
ÿ Summer (March – June, 2014)
ÿ Rainy (July – October, 2014)
ÿ Winter (November 2014 – March 2015)
• Dietary assessment ÿ Semi-quantitative food frequency
questionnaires (SFFQ): amount and frequency of foods consumed over the past month
ÿ 24-hour dietary recall, sub-sample 10% for the 2nd day non-consecutive 24-hour dietary recall
Methodology
• Other information ÿ Measured body weight and height
ÿ Socio-demographic data
Methodology
Food groups included in the SFFQ
16 food groups • Cereals and products • Tubers and products • Nuts and seeds • Vegetables including local vegetables such as edible flowers,
processed /preserved vegetables • Fruits and processed /preserved fruit • Animal foods and products, insects • Aquatic animals such as fish, shell fish • Eggs and products • Dairy products • Fats and oils • Sugar and sugary products • Seasonings, spices and herbs • Alcoholic beverage • Non-alcoholic beverage • Snack foods • Food supplements
Food list
• List of food items (food and beverage): single item (as consumed), processed and ready to eat foods, including seasonal foods
Age group # of food items < 3 years 173 ≥ 3 years 501
• Dietary assessment ÿ Semi-quantitative food frequency
questionnaires (SFFQ): amount and frequency of foods consumed over the past month
ÿ 24-hour dietary recall, sub-sample 10% for the 2nd day non-consecutive 24-hour dietary recall
Methodology
• Other information ÿ Measured body weight and height
ÿ Socio-demographic data
Methodology
Food groups included in the SFFQ
16 food groups • Cereals and products • Tubers and products • Nuts and seeds • Vegetables including local vegetables such as edible flowers,
processed /preserved vegetables • Fruits and processed /preserved fruit • Animal foods and products, insects • Aquatic animals such as fish, shell fish • Eggs and products • Dairy products • Fats and oils • Sugar and sugary products • Seasonings, spices and herbs • Alcoholic beverage • Non-alcoholic beverage • Snack foods • Food supplements
Food list
• List of food items (food and beverage): single item (as consumed), processed and ready to eat foods, including seasonal foods
Age group # of food items < 3 years 173 ≥ 3 years 501
• Dietary assessment ÿ Semi-quantitative food frequency
questionnaires (SFFQ): amount and frequency of foods consumed over the past month
ÿ 24-hour dietary recall, sub-sample 10% for the 2nd day non-consecutive 24-hour dietary recall
Methodology
• Other information ÿ Measured body weight and height
ÿ Socio-demographic data
Methodology
Food groups included in the SFFQ
16 food groups • Cereals and products • Tubers and products • Nuts and seeds • Vegetables including local vegetables such as edible flowers,
processed /preserved vegetables • Fruits and processed /preserved fruit • Animal foods and products, insects • Aquatic animals such as fish, shell fish • Eggs and products • Dairy products • Fats and oils • Sugar and sugary products • Seasonings, spices and herbs • Alcoholic beverage • Non-alcoholic beverage • Snack foods • Food supplements
Food list
• List of food items (food and beverage): single item (as consumed), processed and ready to eat foods, including seasonal foods
Age group # of food items < 3 years 173 ≥ 3 years 501
• Dietary assessment ÿ Semi-quantitative food frequency
questionnaires (SFFQ): amount and frequency of foods consumed over the past month
ÿ 24-hour dietary recall, sub-sample 10% for the 2nd day non-consecutive 24-hour dietary recall
Methodology
• Other information ÿ Measured body weight and height
ÿ Socio-demographic data
Methodology
Food groups included in the SFFQ
16 food groups • Cereals and products • Tubers and products • Nuts and seeds • Vegetables including local vegetables such as edible flowers,
processed /preserved vegetables • Fruits and processed /preserved fruit • Animal foods and products, insects • Aquatic animals such as fish, shell fish • Eggs and products • Dairy products • Fats and oils • Sugar and sugary products • Seasonings, spices and herbs • Alcoholic beverage • Non-alcoholic beverage • Snack foods • Food supplements
Food list
• List of food items (food and beverage): single item (as consumed), processed and ready to eat foods, including seasonal foods
Age group # of food items < 3 years 173 ≥ 3 years 501
Findings 83
74 73 71 70 64 61 60 58 57
0102030405060708090
100
%
Aged < 3 years, (n = 1211)
95 93 91 85 81 81 78
73 72 71
0102030405060708090
100
%
Aged ≥ 3 years, (n = 7267)
Ten most popular food consumed
18
73
15
3 5
20
6 3
14
2 0
10
20
30
40
50
60
70
80
Amount (g/day)
Aged < 3 years
25
256
14 8 10 8 8 9
75
37
0
50
100
150
200
250
300
Amount (g/day)
Aged ≥ 3 years
Amount per capita of ten most popular food consumed
60
22 20
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Fresh/UHT milk Formula milk powder
%
51
171
47
0
20
40
60
80
100
120
140
160
180
Steamed rice (g) Fresh/UHT milk (mL) Formula milk powder(g)
Amount
Most popular food consumed daily, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
Findings 83
74 73 71 70 64 61 60 58 57
0102030405060708090
100
%
Aged < 3 years, (n = 1211)
95 93 91 85 81 81 78
73 72 71
0102030405060708090
100
%
Aged ≥ 3 years, (n = 7267)
Ten most popular food consumed
18
73
15
3 5
20
6 3
14
2 0
10
20
30
40
50
60
70
80
Amount (g/day)
Aged < 3 years
25
256
14 8 10 8 8 9
75
37
0
50
100
150
200
250
300
Amount (g/day)
Aged ≥ 3 years
Amount per capita of ten most popular food consumed
60
22 20
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Fresh/UHT milk Formula milk powder
%
51
171
47
0
20
40
60
80
100
120
140
160
180
Steamed rice (g) Fresh/UHT milk (mL) Formula milk powder(g)
Amount
Most popular food consumed daily, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
Findings 83
74 73 71 70 64 61 60 58 57
0102030405060708090
100
%
Aged < 3 years, (n = 1211)
95 93 91 85 81 81 78
73 72 71
0102030405060708090
100
%
Aged ≥ 3 years, (n = 7267)
Ten most popular food consumed
18
73
15
3 5
20
6 3
14
2 0
10
20
30
40
50
60
70
80
Amount (g/day)
Aged < 3 years
25
256
14 8 10 8 8 9
75
37
0
50
100
150
200
250
300
Amount (g/day)
Aged ≥ 3 years
Amount per capita of ten most popular food consumed
60
22 20
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Fresh/UHT milk Formula milk powder
%
51
171
47
0
20
40
60
80
100
120
140
160
180
Steamed rice (g) Fresh/UHT milk (mL) Formula milk powder(g)
Amount
Most popular food consumed daily, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
Findings 83
74 73 71 70 64 61 60 58 57
0102030405060708090
100
%
Aged < 3 years, (n = 1211)
95 93 91 85 81 81 78
73 72 71
0102030405060708090
100
%
Aged ≥ 3 years, (n = 7267)
Ten most popular food consumed
18
73
15
3 5
20
6 3
14
2 0
10
20
30
40
50
60
70
80
Amount (g/day)
Aged < 3 years
25
256
14 8 10 8 8 9
75
37
0
50
100
150
200
250
300
Amount (g/day)
Aged ≥ 3 years
Amount per capita of ten most popular food consumed
60
22 20
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Fresh/UHT milk Formula milk powder
%
51
171
47
0
20
40
60
80
100
120
140
160
180
Steamed rice (g) Fresh/UHT milk (mL) Formula milk powder(g)
Amount
Most popular food consumed daily, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
Most popular food consumed weekly, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
64 56 54 51 49 46 42 40 40 38
0102030405060708090
100
%
37
11 13
49
16
25
34
9
33
10
0
10
20
30
40
50
60
Amount
Most popular food consumed daily, aged ≥ 3 years
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
75
24
13 9
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Glutinous rice Coffee (3 in 1) Fresh milk/UHT
%
135 123
21
214
0
50
100
150
200
250
Steamed rice (g) Glutinous rice(g)
Coffee, 3 in 1 (g) Fresh milk/UHT(mL)
Amount
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
Most popular food consumed weekly, aged ≥ 3 years
78 76
62 60 58 55 50 47 46 45
0102030405060708090
100
%
56
32 33 43
82
37 40
101
19
69
0
20
40
60
80
100
120
Amount (g)
Conclusions
ÿ Most popular food consumed in Thai population are eggs, steamed rice, pork, mackerel, chicken and yardlong bean
ÿ Most popular food consumed daily in children aged < 3 years are steamed rice, fresh milk, formula milk
ÿ Most popular food consumed daily in aged ≥ 3 years are steamed rice, glutinous rice, coffee and fresh milk
Most popular food consumed weekly, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
64 56 54 51 49 46 42 40 40 38
0102030405060708090
100
%
37
11 13
49
16
25
34
9
33
10
0
10
20
30
40
50
60
Amount
Most popular food consumed daily, aged ≥ 3 years
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
75
24
13 9
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Glutinous rice Coffee (3 in 1) Fresh milk/UHT
%
135 123
21
214
0
50
100
150
200
250
Steamed rice (g) Glutinous rice(g)
Coffee, 3 in 1 (g) Fresh milk/UHT(mL)
Amount
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
Most popular food consumed weekly, aged ≥ 3 years
78 76
62 60 58 55 50 47 46 45
0102030405060708090
100
%
56
32 33 43
82
37 40
101
19
69
0
20
40
60
80
100
120
Amount (g)
Conclusions
ÿ Most popular food consumed in Thai population are eggs, steamed rice, pork, mackerel, chicken and yardlong bean
ÿ Most popular food consumed daily in children aged < 3 years are steamed rice, fresh milk, formula milk
ÿ Most popular food consumed daily in aged ≥ 3 years are steamed rice, glutinous rice, coffee and fresh milk
Most popular food consumed weekly, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
64 56 54 51 49 46 42 40 40 38
0102030405060708090
100
%
37
11 13
49
16
25
34
9
33
10
0
10
20
30
40
50
60
Amount
Most popular food consumed daily, aged ≥ 3 years
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
75
24
13 9
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Glutinous rice Coffee (3 in 1) Fresh milk/UHT
%
135 123
21
214
0
50
100
150
200
250
Steamed rice (g) Glutinous rice(g)
Coffee, 3 in 1 (g) Fresh milk/UHT(mL)
Amount
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
Most popular food consumed weekly, aged ≥ 3 years
78 76
62 60 58 55 50 47 46 45
0102030405060708090
100
%
56
32 33 43
82
37 40
101
19
69
0
20
40
60
80
100
120
Amount (g)
Conclusions
ÿ Most popular food consumed in Thai population are eggs, steamed rice, pork, mackerel, chicken and yardlong bean
ÿ Most popular food consumed daily in children aged < 3 years are steamed rice, fresh milk, formula milk
ÿ Most popular food consumed daily in aged ≥ 3 years are steamed rice, glutinous rice, coffee and fresh milk
Most popular food consumed weekly, aged < 3 years
% consumed, Aged < 3 years
Amount consumed/time, Aged < 3 years
64 56 54 51 49 46 42 40 40 38
0102030405060708090
100
%
37
11 13
49
16
25
34
9
33
10
0
10
20
30
40
50
60
Amount
Most popular food consumed daily, aged ≥ 3 years
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
75
24
13 9
0
10
20
30
40
50
60
70
80
90
100
Steamed rice Glutinous rice Coffee (3 in 1) Fresh milk/UHT
%
135 123
21
214
0
50
100
150
200
250
Steamed rice (g) Glutinous rice(g)
Coffee, 3 in 1 (g) Fresh milk/UHT(mL)
Amount
% consumed, Aged ≥ 3 years
Amount consumed/time, Aged ≥ 3 years
Most popular food consumed weekly, aged ≥ 3 years
78 76
62 60 58 55 50 47 46 45
0102030405060708090
100
%
56
32 33 43
82
37 40
101
19
69
0
20
40
60
80
100
120
Amount (g)
Conclusions
ÿ Most popular food consumed in Thai population are eggs, steamed rice, pork, mackerel, chicken and yardlong bean
ÿ Most popular food consumed daily in children aged < 3 years are steamed rice, fresh milk, formula milk
ÿ Most popular food consumed daily in aged ≥ 3 years are steamed rice, glutinous rice, coffee and fresh milk
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