Skip to main content
Log in

Energy and macronutrient intakes and adherence to dietary guidelines of infants and toddlers in Belgium

  • Original Contribution
  • Published:
European Journal of Nutrition Aims and scope Submit manuscript

Abstract

Purpose

Early feeding habits may have a significant impact on later body composition and health. The knowledge on dietary habits is, however, still limited for older infants and toddlers. Therefore, we aimed to: (1) assess the average daily energy and macronutrient intakes and to identify their major foods sources; (2) compare it to the nationally and internationally recommended dietary intake (RDI).

Methods

A food survey (January–February 2012) was conducted in a cohort of healthy infants and toddlers, stratified for age, gender, region, occupation and socio-economic status of the mother and week and weekend days. The national dietary software programme Nubel® was used to analyse nutritional values.

Results

We included 92 (19.8 %) 6-to 12-month-olds, 200 (43.0 %) 13- to 24-month-olds and 173 (37.2 %) 25- to 36-month-olds in the analysis. Median energy intake was 15–20 % above the RDI of 79–82 kcal/kg/day. Nearly, all children had a protein intake above the RDI, and for 156 (33.5 %), this was above the upper tolerable limit of 15 % of total energy intake. The median fat intake increased with increasing age and was slightly below the RDI. Mean water and carbohydrate intake were in accordance with the RDI. Fibre intake was below the RDI of 15 g/d for 93.1 % of the oldest and 83.5 % of the middle age group (p < 0.01). Milk is the most important source for energy en macronutrients until the age of 2 years.

Conclusions

Energy and especially protein intakes are too high, while fat and fibre intakes are too low in Belgian infants and toddlers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Carruth BR, Skinner JD (2002) Feeding behaviors and other motor development in healthy children (2–24 months). J Am Coll Nutr 21(2):88–96

    Article  Google Scholar 

  2. Carruth BR, Ziegler PJ, Gordon A, Hendricks K (2004) Developmental milestones and self-feeding behaviors in infants and toddlers. J Am Diet Assoc 104(1 Suppl 1):51–56. doi:10.1016/j.jada.2003.10.019

    Article  Google Scholar 

  3. Bernard JY, De Agostini M, Forhan A, Alfaiate T, Bonet M, Champion V, Kaminski M, de Lauzon-Guillain B, Charles MA, Heude B (2013) Breastfeeding duration and cognitive development at 2 and 3 years of age in the EDEN mother–child Cohort. J Pediatr. doi:10.1016/j.jpeds.2012.11.090

    Google Scholar 

  4. Kiefte-de Jong JC, de Vries JH, Franco OH, Jaddoe VW, Hofman A, Raat H, de Jongste JC, Moll HA (2012) Fish consumption in infancy and asthma-like symptoms at preschool age. Pediatrics 130(6):1060–1068. doi:10.1542/peds.2012-0875

    Article  Google Scholar 

  5. Magalhaes TC, Vieira SA, Priore SE, Ribeiro AQ, Lamounier JA, Franceschini SC, Sant’Ana LF (2012) Exclusive breastfeeding and other foods in the first 6 months of life: effects on nutritional status and body composition of Brazilian children. Sci World J 2012:468581. doi:10.1100/2012/468581

    Article  Google Scholar 

  6. Ohlund I, Hernell O, Hornell A, Stenlund H, Lind T (2010) BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI. Eur J Clin Nutr 64(2):138–145. doi:10.1038/ejcn.2009.132

    Article  CAS  Google Scholar 

  7. Shepherd AA (2008) Nutrition through the life-span. Part 2: children, adolescents and adults. Br J Nurs 17(21):1332–1338

    Article  Google Scholar 

  8. Scowen P (2007) The child is father of the man. J Fam Health Care 17(6):186

    Google Scholar 

  9. Lobstein TJ, James WP, Cole TJ (2003) Increasing levels of excess weight among children in England. Int J Obes 27(9):1136–1138. doi:10.1038/sj.ijo.0802324

    Article  CAS  Google Scholar 

  10. Ogden CL, Carroll MD, Kit BK, Flegal KM (2012) Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA J Am Med Assoc 307(5):483–490. doi:10.1001/jama.2012.40

    Article  Google Scholar 

  11. Rolland-Cachera MF, Deheeger M, Thibault H (2001) Epidemiologic bases of obesity. Archives de pediatrie: organe officiel de la societe francaise de pediatrie 8(Suppl 2):287s–289s

    Article  Google Scholar 

  12. Baker JL, Olsen LW, Sorensen TI (2007) Childhood body-mass index and the risk of coronary heart disease in adulthood. New Engl J Med 357(23):2329–2337. doi:10.1056/NEJMoa072515

    Article  CAS  Google Scholar 

  13. Magnussen CG, Koskinen J, Chen W, Thomson R, Schmidt MD, Srinivasan SR, Kivimaki M, Mattsson N, Kahonen M, Laitinen T, Taittonen L, Ronnemaa T, Viikari JS, Berenson GS, Juonala M, Raitakari OT (2010) Pediatric metabolic syndrome predicts adulthood metabolic syndrome, subclinical atherosclerosis, and type 2 diabetes mellitus but is no better than body mass index alone: the Bogalusa Heart Study and the Cardiovascular Risk in Young Finns Study. Circulation 122(16):1604–1611. doi:10.1161/circulationaha.110.940809

    Article  Google Scholar 

  14. Weber M, Grote V, Closa-Monasterolo R, Escribano J, Langhendries JP, Dain E, Giovannini M, Verduci E, Gruszfeld D, Socha P, Koletzko B (2014) Lower protein content in infant formula reduces BMI and obesity risk at school age: follow-up of a randomized trial. Am J Clin Nutr 99(5):1041–1051. doi:10.3945/ajcn.113.064071

    Article  CAS  Google Scholar 

  15. Saavedra JM, Deming D, Dattilo A, Reidy K (2013) Lessons from the feeding infants and toddlers study in North America: what children eat, and implications for obesity prevention. Ann Nutr Metab 62(Suppl 3):27–36. doi:10.1159/000351538

    Article  CAS  Google Scholar 

  16. Hoge Gezondheidsraad (2009) Voedingsaanbevelingen voor België, 2009, nr. 8309. Hoge Gezondheidsraad, Brussel

  17. Roelants M, Hauspie R, Hoppenbrouwers K (2009) References for growth and pubertal development from birth to 21 years in Flanders, Belgium. Ann Hum Biol 36(6):680–694. doi:10.3109/03014460903049074

    Article  CAS  Google Scholar 

  18. Agostoni C, Scaglioni S, Ghisleni D, Verduci E, Giovannini M, Riva E (2005) How much protein is safe? Int J Obes 29(Suppl 2):S8–S13

    Article  CAS  Google Scholar 

  19. Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, Michaelsen KF, Moreno L, Puntis J, Rigo J, Shamir R, Szajewska H, Turck D, van Goudoever J (2008) Complementary feeding: a commentary by the ESPGHAN Committee on nutrition. J Pediatr Gastroenterol Nutr 46(1):99–110. doi:10.1097/01.mpg.0000304464.60788.bd

    Article  Google Scholar 

  20. Kyttala P, Erkkola M, Kronberg-Kippila C, Tapanainen H, Veijola R, Simell O, Knip M, Virtanen SM (2010) Food consumption and nutrient intake in Finnish 1–6-year-old children. Public Health Nutr 13(6a):947–956. doi:10.1017/s136898001000114x

    Article  Google Scholar 

  21. Manios Y, Grammatikaki E, Papoutsou S, Liarigkovinos T, Kondaki K, Moschonis G (2008) Nutrient intakes of toddlers and preschoolers in Greece: the GENESIS study. J Am Diet Assoc 108(2):357–361. doi:10.1016/j.jada.2007.10.042

    Article  CAS  Google Scholar 

  22. Sette S, Le Donne C, Piccinelli R, Arcella D, Turrini A, Leclercq C (2011) The third Italian national food consumption survey, INRAN-SCAI 2005-06–part 1: nutrient intakes in Italy. Nutr Metab Cardiovasc Dis NMCD 21(12):922–932. doi:10.1016/j.numecd.2010.03.001

    Article  Google Scholar 

  23. Ocké MC vRC, Fransen HP, Buurma EJM, de Boer EJ, Brandts HAM, Niekerk EM, van der Laan JD, Drijvers JJMM, Ghameshlou Z (2008) Dutch National Food Consumption Survey-Young children 2005/2006. National Institute for Public Health and the Environment

  24. Huybrechts I, De Henauw S (2007) Energy and nutrient intakes by pre-school children in Flanders-Belgium. Br J Nutr 98(3):600–610. doi:10.1017/s000711450773458x

    Article  CAS  Google Scholar 

  25. FOA/WHO/UNU (Food and Agriculture Organization of the United States/World Health Organization/United Nations University) (2004) Human energy requirements: report of a joint FAO/WHO/UNU expert consultation. Food and Nutrition technical report series. FOA/WHO/UNU, Rome

    Google Scholar 

  26. FOA/WHO/UNU (Food and Agriculture Organization of the United States/World Health Organization/United Nations University) (1985) Energy and protein requirements: report of a joint FAO/WHO/UNU expert consultation. WHO Technical Report Series. FOA/WHO/UNU, Rome

    Google Scholar 

  27. EFSA Panel on Dietetic Products NaAN (2013) Scientific opinion on dietary reference values for energy. EFSA J 11(1):3005. doi:10.2903/j.efsa.2013.3005

    Google Scholar 

  28. Scientific Advisory Committee on Nutrition (SACN) (2011) Dietary reference values for energy. SACN

  29. Health Council of the Netherlands (2001) Dietary reference intakes: energy, proteins, fats, and digestible carbohydrates. Health council of the Netherlands, The Hague

    Google Scholar 

  30. FOA/WHO/UNU (Food and Agriculture Organization of the United States/World Health Organization/United Nations University) (2002) Protein and amino acid requirements in human nutrition: a report of a joint FAO/WHO/UNU expert consultation. WHO technical report series. WHO, Geneva

    Google Scholar 

  31. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Speizer FE, Hennekens CH, Willett WC (1999) Dietary protein and risk of ischemic heart disease in women. Am J Clin Nutr 70(2):221–227

    Google Scholar 

  32. Skov AR, Toubro S, Ronn B, Holm L, Astrup A (1999) Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity. Int J Obes 23(5):528–536

    Article  CAS  Google Scholar 

  33. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2012) Scientific opinion on dietary reference values for protein. EFSA J 10(2):66. doi:10.2903/j.efsa.2012.2557

    Google Scholar 

  34. Walton J e (2012) National pre-school nutrition survey-summary report. www.iuna.net. Accessed 01 Aug 2014

  35. Fox MK, Reidy K, Novak T, Ziegler P (2006) Sources of energy and nutrients in the diets of infants and toddlers. J Am Diet Assoc 106(1 Suppl 1):28–42. doi:10.1016/j.jada.2005.09.034

    Google Scholar 

  36. Koletzko B, von Kries R, Closa R, Escribano J, Scaglioni S, Giovannini M, Beyer J, Demmelmair H, Gruszfeld D, Dobrzanska A, Sengier A, Langhendries JP, Rolland Cachera MF, Grote V (2009) Lower protein in infant formula is associated with lower weight up to age 2 y: a randomized clinical trial. Am J Clin Nutr 89(6):1836–1845. doi:10.3945/ajcn.2008.27091

    Article  CAS  Google Scholar 

  37. Vandenplas Y, De Ronne N, Van De Sompel A, Huysentruyt K, Robert M, Rigo J, Scheers I, Brasseur D, Goyens P (2014) A Belgian consensus-statement on growing-up milks for children 12–36 months old. Eur J Pediatr 173(10):1365–1371. doi:10.1007/s00431-014-2321-7

    Article  CAS  Google Scholar 

  38. Ghisolfi J, Fantino M, Turck D, de Courcy GP, Vidailhet M (2013) Nutrient intakes of children aged 1–2 years as a function of milk consumption, cows’ milk or growing-up milk. Public Health Nutr 16(3):524–534. doi:10.1017/s1368980012002893

    Article  Google Scholar 

  39. Walton J, Flynn A (2013) Nutritional adequacy of diets containing growing up milks or unfortified cow’s milk in Irish children (aged 12–24 months). Food Nutr Res. doi:10.3402/fnr.v57i0.21836

    Google Scholar 

  40. Pani P, Carletti C, Knowles A, Parpinel M, Concina F, Montico M, Cattaneo A (2014) Patterns of nutrients’ intake at 6 months in the northeast of Italy: a cohort study. BMC Pediatr 14:127. doi:10.1186/1471-2431-14-127

    Article  Google Scholar 

  41. Smithers LG, Golley RK, Brazionis L, Emmett P, Northstone K, Lynch JW (2012) Dietary patterns of infants and toddlers are associated with nutrient intakes. Nutrients 4(8):935–948. doi:10.3390/nu4080935

    Article  CAS  Google Scholar 

  42. Shim JS, Oh K, Kim HC (2014) Dietary assessment methods in epidemiologic studies. Epidemiol Health 36:e2014009. doi:10.4178/epih/e2014009

    Article  Google Scholar 

  43. Kocturk TO, Mjones S (1986) Consumption pattern of infant foods by Turkish immigrants. Scand J Prim Health Care 4(1):13–18

    Article  CAS  Google Scholar 

  44. Miguel-Gil B, Cruz-Rodriguez C, Masvidal-Aliberch RM, de Frutos-Gallego E, Estabanell-Buxo A, Riera-Vidal D (2012) Infant feeding in recent immigrant population. Enferm Clin 22(3):118–125. doi:10.1016/j.enfcli.2012.03.002

    Article  Google Scholar 

  45. Venuta A, Rovesti S (2009) Children feeding practices in Pakistani families immigrant to Italy. La Pediatria medica e chirurgica: Med Surg Pediatr 31(4):165–167

    CAS  Google Scholar 

  46. Dubois L, Girad M (2007) Accuracy of maternal reports of pre-schoolers’ weights and heights as estimates of BMI values. Int J Epidemiol 36(1):132–138. doi:10.1093/ije/dyl281

    Article  Google Scholar 

  47. O’Connor DP, Gugenheim JJ (2011) Comparison of measured and parents’ reported height and weight in children and adolescents. Obesity 19(5):1040–1046. doi:10.1038/oby.2010.278

    Article  Google Scholar 

  48. Department of Health (1991) Dietary reference values for food energy and nutrients in the United Kingdom. HMSO, London

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Koen Huysentruyt.

Ethics declarations

Conflict of interest

YV is a consultant for Biocodex and United Pharmaceuticals. The other authors have no conflict of interest to declare. DL and TVA received funding from Nutricia BE for their independent research.

Sources of funding

Nutricia Belgium provided the funding for the data gathering, which was performed independently by Ipsos. Nutricia had no role in the analysis and interpretation of the data, or in the writing of the article.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 78 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huysentruyt, K., Laire, D., Van Avondt, T. et al. Energy and macronutrient intakes and adherence to dietary guidelines of infants and toddlers in Belgium. Eur J Nutr 55, 1595–1604 (2016). https://doi.org/10.1007/s00394-015-0978-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00394-015-0978-y

Keywords

Navigation