Luis Moreno - ICD 2016

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YOGURT: A FOOD THAT IT IS WORTH TO BE RE-DISCOVERED

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

Yogurt and diet quality – yogurt consumption for a healthy diet and lifestyle

Prof. Luis A. Moreno

Universidad de Zaragoza

Could yogurt be the signature of a healthy diet?

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

● Its own nutritional content

● Its impact on concomitant and/or subsequent food intake

● Its relationship with healthy behaviors

Could yogurt be the signature of a healthy diet?

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

● Its own nutritional content

● Its impact on concomitant and/or subsequent food intake

● Its relationship with healthy behaviors

Relative Contribution of a Portion (175 g) of Plain Yogurt (1% to 2% Milk Fat) to Energy and Nutrient Intakes in Men and Women

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

(Panahi S, Tremblay A. J Am Coll Nutr 2016; Published online: 22 June 2016)

NutrientNutrient Content DRI for women

Women(% daily intake)

DRI for menMen

(% daily intake)

Energy (kcal) 114 6a 4.5a

Protein (g) 9.5 46 21 56 17

Calcium (mg) 332 1000 33 1000 33

Magnesium (mg) 30.8 320 9.6 420 7.3

Phosphorus (mg) 261 700 37 700 37

Riboflavin (mg) 0.39 1.1 35 1.3 30

Zinc (mg) 1.6 8 20 11 14.5

Vitamin B12 (µg) 1.0 2.4 42 2.4 42

aBased on a 2000 kcal/d diet and 2500 kcal/d diet for women and men, respectively

Contribution of yogurt group to average daily vitamin and mineral intakes as percent of the Reference Nutrient Intake in UK children

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

Micronutrient 4 – 18 months 1.5 – 3 years 4 – 10 years 11 – 18 years

Riboflavin (% contribution) 21.3 17.0 9.5 3.7

Vitamin B12 (% contribution) 53.8 42.1 16.8 4.8

Calcium (% contribution) 13.5 18.7 9.5 2.9

Iodine (% contribution) 15.8 16.4 9.4 4.2

Phosphorus (% contribution) 13.7 20.3 11.1 3.6

(Williams EB et al. Nutr Bull 2015; 40: 9-32)

Could yogurt be the signature of a healthy diet?

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

● Its own nutritional content

● Its impact on concomitant and/or subsequent food intake

● Its relationship with healthy behaviors

Prevalence of nutrient inadequacy among yogurt consumers vs non-consumers in American men and women

P values all less than 0.001

(Wang H et al. Nutr Res 2013; 33: 18-26)

Yogurt consumption is associated with better diet quality in French adults

(Lecerf JM et al. Nutr Clin Metab 2016; 30: 11-21)

Proportion (%) of adults not reaching 2/3 of the nutrient intake recommendations

Yogurt consumption in the INFOGENE study

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

(Cormier H et al. Eur J Nutr 2016, 55, 577-587)

Prudent and Western dietary patterns in the INFOGENE study

(Cormier H et al. Eur J Nutr 2016, 55, 577-587)

Covariate-adjusted mean energy, macronutrient, and micronutrient intake by yogurt consumption group in children 8 – 18 years

(Keast DR et al. Nutrients 2015, 7, 1577-1593)

HEI-2005 total and component scores of US children aged 2–18 years by yogurt consumption status: NHANES 2003–2006

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

(Zhu Y et al. Eur J Nutr 2015; 54: 543-550)

Association of yogurt consumption with diet quality and fiber intake

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

Variable Non-consumers

(n = 3016)

Consumers

(n = 3510)

Mean energy from yogurt (% kcal) 0 2.07

DGAI score 8.05 9.14*

Fiber intake (g) (model 1) 15.14 17.03*

(Wang H et al. Nutr Res 2013; 33: 18-26)

Could yogurt be the signature of a healthy diet?

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

● Its own nutritional content

● Its impact on concomitant and/or subsequent food intake

● Its relationship with healthy behaviors

Factors associated with the probability of yogurt consumption in adults and the elderly

(Possa G et al. Nutr Res 2015; 35: 700-706)

Relationships between Changes in Food and Beverage Consumption and Weight Changes Every 4 Years

(Mozaffarian D et al. NEJM 2011; 364: 2392-2404)

Odds ratios (OR) and 95% Confidence Intervals showing the association of yogurt consumption (at least 125 g in the 3 days vs. no consumption) with different predictor variables

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

(D’Addezio L et al. Med J Nutr Metab 2015; 8: 119-129)

Objetivos

Participating countriesGhent, BelgiumStrovolos, Cyprus Copenhagen, Denmark Tallin, EstoniaGrenoble, FranceBremen, GermanyBremerhaven, GermanyDortmund, GermanyWuppertal, Germany Pécs, HungaryAvellino, ItalyCampobasso, ItalyMilan, ItalyNaples, Italy Zaragoza, SpainPalma de Mallorca, SpainGothenburg, SwedenBristol, United KingdomGlasgow, United KingdomLancaster, United Kingdom

Number of contacted and recruited children, and number of subjects whose data are valid for analysis by country

7229 children (49.0% girls)

with complete information

IDEFICS - IFamily

Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study

• Healthy Lifestyle in EUROPE

• Healthy Lifestyle in EUROPE

ZaragozaLille

Ghent Dortmund

Stockholm

Vienna Pécs

Athens

Rome Heraklion

HELENA-CSS

N = 300 x 1013.0 - 16.9 y

Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study

HELENA-CSS

184516833528

8026461443

Complete information

Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study

MVPA and SB

MVPA: <60 min/day and >60 min/day

Total screen time: > 2h and ≤ 2h

1. Low PA / High SB

2. Low PA / Low SB

3. High PA / High SB

4. High PA / Low SB

Conclusions

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

Yogurt consumers have

● Better nutritional intakes

● Healthier dietary patterns

Active and low sedentary children and adolescents consume

more yogurt, specially boys

Yogurt consumption can be viewed as a signature of a

healthy diet and lifestyle

Luis A. Moreno Aznar lmoreno@unizar.esGENUD Research Group Universidad de Zaragoza

Agradecimientos