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Vitamin and mineral nutrition for the health and development of the children of Europe

Published online by Cambridge University Press:  01 February 2001

Andrew Tomkins*
Affiliation:
Centre for International Child Health, Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK
*
*Corresponding author: Email a.tomkins@ich.ucl.ac.uk
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Abstract

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Most European countries are now affected by demographic transition and changing epidemiology of disease; the nutrition of children is increasingly recognised as crucial for present and future health. Adequate dietary intake and nutritional status among children are important for their own growth, development and function but there is now increasing evidence that childhood nutrition also influences adult health. Intrauterine nutrition influences adult morbidity and mortality, but the childhood diet and nutritional status modify the increased risk of being born small. Thus, childhood diet needs to be taken more seriously in order to improve a nation's health as well as producing bright, active children. A key factor is the recognition that nutritional interventions at different stages of the life cycle are necessary if childhood nutrition is to improve. The mosaic pattern of the geography and social structure of communities in Europe produces ‘poverty’ and ‘consumer’ related nutrition patterns - often side by side. At one extreme, there is an urgent need to prevent obesity; while at the other extreme serious attention is required towards the prevention of deficiency disorders, mostly related to poverty and social exclusion. Few European governments take childhood nutrition at all seriously. This paper reviews a number of micronutrient issues and makes the case for the development of evidence-based policies and programmes for improving the nutrition of children in Europe.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

14th report on the World Nutrition Situation. Switzerland: ACC/SCN, 2000.Google Scholar
2Our healthier nation: a contract for health. HMSO, 1998.Google Scholar
3The Diets of British Children. HMSO, 1989.Google Scholar
4The Health of Refugee Children. Kings Fund UK and the Royal College of Paedaitrics and Child Health, 1999.Google Scholar
5Power, C, Parsons, T. Nutritional and other influences in childhood as predictors of adult obesity [In process Citation]. 2000; Proc. Nutr. Soc. 59(2): 267–72.Google Scholar
6Power, C, Lake, JK, Cole, TJ. Body mass index and height from childhood to adulthood in the 1958 British born cohort. Am. J. Clin. Nutr. 1997 66(5): 10941101.Google Scholar
7Waterlow, JC, Tomkins, AM, Grantham-McGregor, SM. Protein Energy Malnutrition. London, Melbourne, Auckland: Edward Arnold, 1992.Google Scholar
8Roy, SK, Tomkins, AM, Akramuzzaman, SM, Behrens, RH, Haider, R, Mahalanabis, D. et al. Randomised controlled trial of zinc supplementation in malnourished Bangladeshi children with acute diarrhoea. Arch. Dis. Child. 1997; 77(3): 196200.Google Scholar
9Morris, SS, Victora, CG, Barros, FC, Halpern, R, Menezes, AM, Cesar, JA. et al. Length and ponderal index at birth: associations with mortality, hospitalizations, development and post-natal growth in Brazilian infants. Int. J. Epidemiol. 1998; 27(2): 242–7.CrossRefGoogle ScholarPubMed
10Grantham-McGregor, SM, Walker, SP, Chang, S. Nutritional deficiencies and later behavioural development. Proc. Nutr. Soc. 2000; 59(1): 4754.CrossRefGoogle ScholarPubMed
11Johnson, WG, Stenroos, ES, Heath, SC, Chen, Y, Carroll, R, McKoy, VV. et al. Distribution of alleles of the methylenetetra-hydrofolate reductase (MTHFR) C677T gene polymorphism in familial spina bifida. Am. J. Med. Genet. 1999; 87(5): 407–12.3.0.CO;2-Z>CrossRefGoogle Scholar
12Barker, DJ. Fetal origins of cardiovascular disease. Ann. Med. 1999; 31(Suppl 1): 36.Google Scholar
13Barker, DJ. Intrauterine programming of coronary heart disease and stroke. Acta. Paediatr. 1997; 423: 178–82.Google Scholar
14Yajnik, C. Interactions of perturbations in intrauterine growth and growth during childhood on the risk of adult-onset disease [In Process citation]. Proc. Nutr. Soc. 2000; 59(2): 257–65.Google Scholar
15Barker, DJ. The long-term outcome of retarded fetal growth. Schweiz Med. Wochenschr. 1999; 129(5): 189–96.Google ScholarPubMed
16Fonseca, W, Kirkwood, BR, Victora, CG, Fuchs, SR, Flores, JA, Misago, C. Risk factors for childhood pneumonia among the urban poor in Fortaleza, Brazil: a case-control study. Bull. World. Health Organ. 1996; 74(2): 199208.Google ScholarPubMed
17Barros, FC, Semer, TC, Tonioli, FS, Tomasi, E, Victora, CG. The impact of lactation centres on breastfeeding patterns, morbidity and growth: a birth cohort study. Acta Paediatr. 1995; 84(11): 1221–6.CrossRefGoogle ScholarPubMed
18Cole, TJ. Secular trends in growth [In Process citation]. 2000; Proc. Nutr. Soc. 59(2): 317–24.CrossRefGoogle ScholarPubMed
19Cole, TJ. Growth monitoring with the British 1990 growth reference. Arch. Dis. Child. 1997; 76(1): 47–9.CrossRefGoogle ScholarPubMed
20Kirby, BJ. Childhood Origins of coronary artery disease. Trend Card. Vasc. Dis. 1998; 11/12 pp. 1314.Google Scholar
21Tomkins, AM, Watson, FE. Malnutrition and Infection: a review, WHO, Geneva. 1999.Google Scholar
22Filteau, SM. Micronutrients and tropical infections. Trans R. Soc. Trop. Med. Hyg. 1994; 88(1): 1326.Google Scholar
23Tomkins, A. Malnutrition, morbidity and mortality in children and their mothers. Proc. Nutr. Soc. 2000; 59(1): 135–46.Google Scholar
24Davies, DP. Nutrition in child health. London: Royal College of Physicians of London, 1995.Google Scholar
25Gibson, RS, Ferguson, EL, Lehrfeld, J. Complementary foods for infant feeding in developing countries: their nutrient adequacy and improvement. Eur. J. Clin. Nutr. 1998; 52(10): 764–70.CrossRefGoogle ScholarPubMed
26Golden, BE, Golden, MH. Effect of zinc on lean tissue synthesis during recovery from malnutrition. Eur. J. Clin. Nutr. 1992; 46(10): 697706.Google ScholarPubMed
27Zinc in human medicine: Proceedings of a Symposium on the role of zinc in health and disease. Isleworth and Toronto: TIL Publications Ltd, 1984.Google Scholar
28Duthie, GG, Bellizzi, MC. Effects of antioxidants on vascular health. Br. Med. Bull. 1999; 55(3): 568–77.CrossRefGoogle ScholarPubMed
29Huda, SN, Grantham-McGregor, SM, Rahman, KM, Tomkins, A. Biochemical hypothyroidism secondary to iodine deficiency is associated with poor school achievement and cognition in Bangladeshi children. J. Nutr. 1999; 129(5): 980–7.Google Scholar
30Nelson, M, Naismith, DJ. The nutritional status of poor children in London. J. Hum. Nutr. 1979; 33(1): 3345.Google Scholar
31Nelson, M. Childhood nutrition and poverty [In Process citation]. Proc. Nutr. Soc. 2000; 59(2): 307–15.CrossRefGoogle ScholarPubMed
32Walker, SP, Grantham-McGregor, SM, Powell, CA, Chang, SM. Effects of growth restriction in early childhood on growth, IQ, and cognition at age 11 to 12 years and the benefits of nutritional supplementation and psychosocial stimulation. J. Pediatr. 2000; 137(1): 3641.Google Scholar
33Filteau, SM, Tomkins, AM. Promoting vitamin A status in low-income countries. Lancet 1999; 353(9163): 1458–9.Google Scholar
34Diplock, AT. Defense against reactive oxygen species. Free Radic. Res. 1998; 29(6): 463–7.CrossRefGoogle ScholarPubMed
35Duthie, SJ, Collins, AR, Duthie, GG. The role of carotenoids in modulating DNA stability and lipid peroxidation. Importance for human health. Subcell. Biochem. 1998; 30: 181207.Google Scholar
36Abbott, RA, Cox, M, Markus, H, Tomkins, A. Diet, body size and micronutrient status in Parkinson's disease. Eur. J. Clin. Nutr. 1992; 46(12): 879–84.Google ScholarPubMed
37Hambidge, M, Krebs, N. Assessment of zinc status in man. Indian J. Pediatr. 1995; 62(2): 169–80.Google Scholar
38Roy, SK, Tomkins, AM, Mahalanabis, D, Akramuzzaman, SM, Haider, R, Behrens, RH. et al. Impact of zinc supplementation on persistent diarrhoea in malnourished Bangladeshi children. Acta Paediatr. 1998; 87(12): 1235–9.Google Scholar
39Bates, CJ, Prentice, A, Cole, TJ, van der Pols, JC, Doyle, W, Finch, S. et al. Micronutrients: highlights and research challenges from the 1994–5 National Diet and Nutrition Survey of people aged 65 years and over. Br. J. Nutr. 1999; 82(1): 715.CrossRefGoogle ScholarPubMed
40Lawson, M, Thomas, M. Vitamin D concentrations in Asian children aged 2 years living in England: population survey. BMJ 1999; 318(7175): 28.CrossRefGoogle ScholarPubMed
41Lawson, M, Thomas, M, Hardiman, A. Dietary and lifestyle factors affecting plasma vitamin D levels in Asian children living in England. Eur. J. Clin. Nutr. 1999; 53(4): 268–72.CrossRefGoogle ScholarPubMed
42Wilkinson, RJ, Llewelyn, M, Toossi, Z, Patel, P, Pasvol, G, Lalvani, A. et al. Influence of vitamin D deficiency and vitamin D receptor polymorphisms on tuberculosis among Gujarati Asians in west London: a case-control study. Lancet 2000; 355(9204): 618–21.CrossRefGoogle ScholarPubMed
43Golden, MH. Trace elements in human nutrition. Hum. Nutr. Clin. Nutr. 1982; 36(3): 185202.Google Scholar
44Beck, MA. Nutritionally induced oxidative stress: effect on viral disease. Am. J. Clin. Nutr. 2000; 71(Suppl 6): 1676S–81S.CrossRefGoogle ScholarPubMed
45Benton, D. Vitamin-mineral supplements and intelligence. Proc. Nutr. Soc. 1992; 51(3): 295302.Google Scholar
46Dowler, E. Nutrition and Diet in lone parent families in London. Family Policies Studies Centre, 231 Baker Street, London NW1 7XE, 1995.Google Scholar
47Karp, R, Fairorth, J, Kanofsky, P, Matthews, W, Nelson, M, Solimano, G. Effects of rise in food costs on hemoglobin concentrations of early school-age children, 1972–75. Public Health Rep. 1978; 93(5): 456–9.Google Scholar
48Mardel, S, Hailey, PC, Mahmutovic, A, Broom, J, Golden, MH, Franklin, M. et al. Micronutrient status of the besieged residents of Sarajevo: May 1993. Eur. J. Clin. Nutr. 1995; 49(Suppl 2): S46S61.Google Scholar
49Goel, KM, Logan, RW, House, F, Connell, MD, Strevens, E, Watson, WH. et al. The prevalence of haemoglobinopathies, nutritional iron and folate deficiencies in native and immigrant children in Glasgow. Health Bull. (Edinb.) 1978; 36(4): 176–83.Google Scholar
50Improving Children's Health: a survey of 1999–2000 Health Improvement Programmes. NSPCC National Centre, 442 Curtain Road, London EC2A 3NH, UK: NSPCC, 2000.Google Scholar