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Biomedical subjects

M Deheeger

Publications and source records attributed to M Deheeger.

30 records · Page 2Linked to original sources

[Dietary intake in a representative sample of the population of Val-de Marne: II. Supply of macronutrients].

This paper describes an assessment of the nutritional value (carbohydrates, proteins, fats) of food intake studied in a population residing in the Val-de-Marne district of the Paris region. Data were collected from 1,108 subjects, aged 6 months to 97 years, randomly selected from the public telephone directories of 12 of the 47 towns and cities in the district. Dietary intake was evaluated from individual home interviews by specialized dietitians, using the dietary history method. Age was shown to be a major determinant of macro nutrient intake (expressed in absolute value) in both sexes. The amount of food consumed differed between men and women. Expressed as a relative value of energy intake (after exclusion of alcohol-related calories), the proportion of different macronutrients was similar in all age groups, for both sexes, and was not in agreement with recommended dietary allowances: too high levels of fats and insufficient levels of carbohydrates, especially starch.

Adolescent↗

[Dietary intake of a representative sample of the population of Val-de-Marne; III. Mineral and vitamin intake].

Mineral and vitamin intakes were assessed among 1108 subjects, aged 6 months to 97 years in 12 of 47 towns and cities in the district of Val-de-Marne (Paris area), using the telephone directory as random sampling base. Micronutrients intake was evaluated by individual interviews at home by specialized dietitians (dietary history method). Mineral and vitamin intake was found to vary widely with age. In absolute value, overall mineral and vitamin dietary intakes was higher in men than in women (except for vitamin C). Conversely, the dietary density for mineral and vitamins was higher in females. For a large part of the studied population, it would appear difficult to satisfy recommended dietary allowances for many micronutrients (iron, zinc, vit. B1, B6, C, A et E). These results bring to light possible difficulties in covering certain mineral and vitamin requirements in the French population.

Adolescent↗

Influence of body fat distribution during childhood on body fat distribution in adulthood: a two-decade follow-up study.

Development of body fat distribution was assessed in a two-decade follow-up study. The present article describes the development of various trunk/extremity ratios and gives the figures by age and sex between 1 month to 21 years. The relationship between adult and childhood skinfold (SF) ratio measurements is weak in boys and slightly better in girls. From the present and our previous study, we can select adiposity measurements in children which both are associated to pathologies and have the best correlations with adult values, i.e. the body mass index (BMI) in both sexes, trunk SF in boys and the subscapular/arm SF ratio in girls. Consequently, a boy with both high BMI and trunk SF values or a girl with both high BMI and subscapular/arm SF values have an increased risk of centralized obesity at adult age.

Adipose Tissue↗

[Milk consumption in 10-month-old infants. Effects on iron intake].

A study was conducted in 278 10-month-old infants, examined in 2 health care centres in Paris. The dietary history method was used to evaluate their food consumption: 54.5% were receiving usual cow's milk (semi-skimmed or whole milk), 44% adapted infant formulas, and 1.5% cow milk products only. There was no relationship between the quality of milk consumption of these infants and the socio-economic level or the nationality of their parents. Infants receiving usual cow milk had an iron intake lower than the recommended daily amounts while those who were fed with the adapted infant formulas had an adequate daily iron intake.

Anemia, Hypochromic↗

Obesity and food intake in children: evidence for a role of metabolic and/or behavioral daily rhythms.

Food intake was studied in 339 French children, aged 7-12 years. Daily energy consumption and distribution of intake over the waking hours estimated from dietary histories were compared in children of five corpulence categories. The categories (lean, slim, average, fat, obese) were defined on the basis of the weight/height2 index. No difference in estimated daily energy intake was observed between corpulence groups; however, the reported distribution of intake over the waking hours varied. Obese and fat children ate less at breakfast and more at dinner than leaner peers. The traditionally larger meals of the day (lunch and dinner) represented higher proportions of daily intake in fat and obese children; the energy value of breakfast and afternoon snack was inversely related to corpulence. Although these effects do not rule out hyperphagia or increased 'externality' in some overweight subjects, the results suggest a possible contribution of disturbed metabolic and/or behavioral daily cycles in the development of overweight. This hypothesis, which should be investigated further, suggests prevention strategies.

Child↗

[Feeding of 10-month-old infants. What problems? What solutions?].

The feeding of 279 infants aged 10 months was evaluated by the dietary history method, in Paris health centers for children. The results of this survey, as compared with the recommended dietary allowances of the Centre National de Coordination des Etudes et Recherches sur la Nutrition et l'Alimentation (CNERNA) and of the National Research Council (NRC), showed that nutriment, vitamin and mineral needs are generally covered. However, intakes lower than the recommendations were observed concerning iron in 72% of the children, polyunsaturated fatty acids in 50% and vitamin E in 70%. In other respects, protein and saccharose intakes were high. Feeding of 10 months old children could be easily improved by choosing foods properly, allowing to cover these children's needs and to avoid excesses.

Humans↗

Adiposity rebound in children: a simple indicator for predicting obesity.

To follow and predict the evolution of adiposity during growth, individual adiposity curves, assessed by the weight/height2 index, were drawn for 151 children from the age of 1 month to 16 yr. Adiposity increases during the 1st yr and then decreases. A renewed rise, termed here the adiposity rebound, occurs at about 6 yr. Individual weight/height2 curves may differ regarding their percentile range level and age at adiposity rebound. The present study shows a relationship between the age at adiposity rebound and final adiposity. An early rebound (before 5.5 yr) is followed by a significantly higher adiposity level than a later rebound (after 7 yr). This phenomenon is observed whatever the subject's adiposity at 1 yr. The present observations might be connected with the cellularity of adipose tissue.

Adipose Tissue↗

Nutrient balance and body composition.

The prevalence of obesity in industrialized countries is increasing in spite of decreased energy and fat intakes. This trend might be mainly a consequence of a decline in energy expenditure. It is suggested here that it might also be accounted for by the increasing proportion of protein in the diet, affecting the hormonal status. The nutrient imbalance is particularly apparent in early childhood, when a low fat and high protein diet is not justified because of high energy needs for growth and because it is the period of high rate of myelinization of the nervous system. At later ages, the proportion of fat exceeds the recommended level, and the protein intake remains high. A diet containing less animal and more vegetable products would reduce both protein and saturated fat excesses and could help decrease metabolic risk factors.

Age Factors↗

Tracking the development of adiposity from one month of age to adulthood.

The development of adiposity was followed in 164 subjects from the age of one month to adulthood. The 25th and 75th centiles of the weight/height2 (W/H2) index were chosen as cut-off points to define the lean, medium and fat subjects at both one and 21 years of age. Only 42% of the children remained in their original category, that is 41% of the lean infants at one year stayed lean, 42% of the medium infants stayed medium and 41% of the fat infants stayed fat. Accordingly, most fat infants did not stay fat, but twice as many fat as non-fat infants became fat adults (41 and 20% respectively). The relative risk of being fat adults was 1 for the lean, 1 for the medium and 2 for the fat infants at one year. Several paths of development emerged: they were related to age at the second rise in adiposity, termed adiposity rebound, which usually occurs at about six years, as observed on skinfold thickness and W/H2 charts. The earlier the rebound, the higher the adiposity at adult age, whether this was measured by W/H2 index or subscapular skinfold. The cohorts of children who left the channel they had been following included fat infants with a late rebound who subsequently returned to normal, and lean infants with an early rebound who grew fatter. Other cohorts remained in their original groups, for example, fat infants with an early rebound who stayed fat and lean infants with a late one who stayed lean. Age at rebound provided two indications: the existence of a regulartory process among the transiently fat or lean infants who returned to average after a late or early rebound respectively, and pathological development among the children who became fat or lean after an early or late rebound. Age at rebound is an indicator of the subsequent development of fatness.

Adipose Tissue↗

[Longitudinal study of the feeding of children of 10 months, 2 and 4 years of age].

A longitudinal study of feeding habits in children aged 10 months, 2 years and 4 years was undertaken in 2 health centers for children in the Paris area. The evolution of the feeding of the same children was studied according to age and the nutritional intakes were compared with the recommended dietary allowances of the Centre National de Coordination des Etudes et Recherches sur la Nutrition et l'Alimentation (CNERNA). The results show that there are excesses and insufficiencies common or specific to the 3 ages. High protein and saccharose or sugar supplemented diets were observed at ages 10 months, 2 and 4 years as it was for lipids at age 4 years. Insufficient intakes of iron, essential fatty acids and vitamin E were present at the 3 ages studied. Insufficient zinc and vitamin B1 intakes were found since age 2 years, and insufficient folic acid and vitamin B6 at 4 years. The energy intakes increased between 10 months and 4 years, especially between 10 months and 2 years, where mean increase was twice as important as between 2 and 4 years. Some children received decreasing intakes: 6% ate less at 2 years than at 10 months and 22% less at 4 years than at 2 years. The quantities of aliments taken increased with age except for some aliments such as vegetables, potatoes and fruit. On the basis of the observation of the evolution of children's behavior, one could propose dietary advices, in order to improve the problems described here.(ABSTRACT TRUNCATED AT 250 WORDS)

Child, Preschool↗