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Inadequacy of vitamins and minerals among high-school pupils in Ouarzazate, Morocco

To assess micronutrient intakes and the prevalence of inadequacy in a sample of high-school pupils in Ouarzazate, Morocco. Food records were compiled over three non-consecutive days by pre-trained pupils. Micronutrient intakes were estimated using the DIAL software, adapted to include foods commonly...

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Published in:Public health nutrition 2014-08, Vol.17 (8), p.1786-1795
Main Authors: Anzid, Karim, Baali, Abdellatif, Vimard, Patrice, Levy-Desroches, Susan, Cherkaoui, Mohamed, López, Pilar Montero
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description To assess micronutrient intakes and the prevalence of inadequacy in a sample of high-school pupils in Ouarzazate, Morocco. Food records were compiled over three non-consecutive days by pre-trained pupils. Micronutrient intakes were estimated using the DIAL software, adapted to include foods commonly eaten in Morocco. The prevalence of inadequacy was estimated by the proportion of individuals with intakes below the Estimated Average Requirement (EAR) for vitamins B12, A and K, thiamin, riboflavin, niacin, pyridoxine, folate, ascorbic acid, iodine, Ca, Mg and P; below the Adequate Intake (AI) level for pantothenic acid, biotin, Na and K; and using the probability approach for Fe. Data were adjusted for intra-individual variation with exclusion of under-reporters. Ouarzazate, a semi-urban region situated on the southern slopes of the High Atlas with little industrial development but an important tourism sector. A self-selected sample of 312 pupils aged 15-19 years from the five public high schools. After exclusion of under-reporters, 293 remained for analysis. The highest proportions of below-EAR/AI intakes were seen for pantothenic acid (girls 85·1 %, boys 78·0 %), biotin (boys 83·1 %, girls 79·4 %), thiamin (boys 66·9 %), folate (girls 93·1 %, boys 74·6 %), iodine (boys 94·9 %, girls 88·0 %) and Ca (girls 83·4 %, boys 74·6 %). Na intake was generally in excess whereas K intake was below the AI level. In general, girls had better-quality diets than boys, who appeared to consume more 'empty calories'. Our findings suggest that in this population of Moroccan adolescents, nutritional intervention and educational strategies are needed to promote healthy eating habits and correct micronutrient inadequacies. To provide reliable and precise estimates of nutrient intakes, an update of Moroccan food composition databases is urgently needed. We recommend that national authorities address these issues.
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Food records were compiled over three non-consecutive days by pre-trained pupils. Micronutrient intakes were estimated using the DIAL software, adapted to include foods commonly eaten in Morocco. The prevalence of inadequacy was estimated by the proportion of individuals with intakes below the Estimated Average Requirement (EAR) for vitamins B12, A and K, thiamin, riboflavin, niacin, pyridoxine, folate, ascorbic acid, iodine, Ca, Mg and P; below the Adequate Intake (AI) level for pantothenic acid, biotin, Na and K; and using the probability approach for Fe. Data were adjusted for intra-individual variation with exclusion of under-reporters. Ouarzazate, a semi-urban region situated on the southern slopes of the High Atlas with little industrial development but an important tourism sector. A self-selected sample of 312 pupils aged 15-19 years from the five public high schools. After exclusion of under-reporters, 293 remained for analysis. The highest proportions of below-EAR/AI intakes were seen for pantothenic acid (girls 85·1 %, boys 78·0 %), biotin (boys 83·1 %, girls 79·4 %), thiamin (boys 66·9 %), folate (girls 93·1 %, boys 74·6 %), iodine (boys 94·9 %, girls 88·0 %) and Ca (girls 83·4 %, boys 74·6 %). Na intake was generally in excess whereas K intake was below the AI level. In general, girls had better-quality diets than boys, who appeared to consume more 'empty calories'. Our findings suggest that in this population of Moroccan adolescents, nutritional intervention and educational strategies are needed to promote healthy eating habits and correct micronutrient inadequacies. To provide reliable and precise estimates of nutrient intakes, an update of Moroccan food composition databases is urgently needed. 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Living conditions ; Epidemiology ; Feeding Behavior ; Female ; Food ; Health care ; Health promotion ; Humans ; Industrial development ; Iodine ; Iodine - administration & dosage ; LDCs ; Male ; Medical sciences ; Medicine ; Minerals - administration & dosage ; Morocco - epidemiology ; Nutrition ; Nutrition Assessment ; Nutrition Policy ; Nutritional Requirements ; Potassium - administration & dosage ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research Papers ; Schools ; Sex Factors ; Sodium - administration & dosage ; Sodium, Dietary - administration & dosage ; Teenagers ; Trace Elements - administration & dosage ; Trace Elements - deficiency ; Urban areas ; Vitamin B ; Vitamin B Complex - administration & dosage ; Vitamins ; Young Adult]]></subject><ispartof>Public health nutrition, 2014-08, Vol.17 (8), p.1786-1795</ispartof><rights>Copyright © The Authors 2013</rights><rights>2015 INIST-CNRS</rights><rights>The Authors 2013 2013 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-f4d3c4c1cb6bc4a9876972ef9d7a80d8cd1584373e00dc95f8e8ae9656feaf063</citedby><cites>FETCH-LOGICAL-c502t-f4d3c4c1cb6bc4a9876972ef9d7a80d8cd1584373e00dc95f8e8ae9656feaf063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282389/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1368980013002140/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,72960</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28599535$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23953955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anzid, Karim</creatorcontrib><creatorcontrib>Baali, Abdellatif</creatorcontrib><creatorcontrib>Vimard, Patrice</creatorcontrib><creatorcontrib>Levy-Desroches, Susan</creatorcontrib><creatorcontrib>Cherkaoui, Mohamed</creatorcontrib><creatorcontrib>López, Pilar Montero</creatorcontrib><title>Inadequacy of vitamins and minerals among high-school pupils in Ouarzazate, Morocco</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To assess micronutrient intakes and the prevalence of inadequacy in a sample of high-school pupils in Ouarzazate, Morocco. 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Food records were compiled over three non-consecutive days by pre-trained pupils. Micronutrient intakes were estimated using the DIAL software, adapted to include foods commonly eaten in Morocco. The prevalence of inadequacy was estimated by the proportion of individuals with intakes below the Estimated Average Requirement (EAR) for vitamins B12, A and K, thiamin, riboflavin, niacin, pyridoxine, folate, ascorbic acid, iodine, Ca, Mg and P; below the Adequate Intake (AI) level for pantothenic acid, biotin, Na and K; and using the probability approach for Fe. Data were adjusted for intra-individual variation with exclusion of under-reporters. Ouarzazate, a semi-urban region situated on the southern slopes of the High Atlas with little industrial development but an important tourism sector. A self-selected sample of 312 pupils aged 15-19 years from the five public high schools. After exclusion of under-reporters, 293 remained for analysis. The highest proportions of below-EAR/AI intakes were seen for pantothenic acid (girls 85·1 %, boys 78·0 %), biotin (boys 83·1 %, girls 79·4 %), thiamin (boys 66·9 %), folate (girls 93·1 %, boys 74·6 %), iodine (boys 94·9 %, girls 88·0 %) and Ca (girls 83·4 %, boys 74·6 %). Na intake was generally in excess whereas K intake was below the AI level. In general, girls had better-quality diets than boys, who appeared to consume more 'empty calories'. Our findings suggest that in this population of Moroccan adolescents, nutritional intervention and educational strategies are needed to promote healthy eating habits and correct micronutrient inadequacies. To provide reliable and precise estimates of nutrient intakes, an update of Moroccan food composition databases is urgently needed. We recommend that national authorities address these issues.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23953955</pmid><doi>10.1017/S1368980013002140</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Cambridge Journals Online; PubMed Central
subjects Adolescent
Adult
Air. Soil. Water. Waste. Feeding
Avitaminosis - epidemiology
Biological and medical sciences
Biotin
Calcium - administration & dosage
Calcium, Dietary - administration & dosage
Child development
Chronic illnesses
Developing countries
Diet - standards
Dietary minerals
Eating behavior
Environment. Living conditions
Epidemiology
Feeding Behavior
Female
Food
Health care
Health promotion
Humans
Industrial development
Iodine
Iodine - administration & dosage
LDCs
Male
Medical sciences
Medicine
Minerals - administration & dosage
Morocco - epidemiology
Nutrition
Nutrition Assessment
Nutrition Policy
Nutritional Requirements
Potassium - administration & dosage
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research Papers
Schools
Sex Factors
Sodium - administration & dosage
Sodium, Dietary - administration & dosage
Teenagers
Trace Elements - administration & dosage
Trace Elements - deficiency
Urban areas
Vitamin B
Vitamin B Complex - administration & dosage
Vitamins
Young Adult
title Inadequacy of vitamins and minerals among high-school pupils in Ouarzazate, Morocco
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