efsa comprehensive european food consumption database… · consumption database: the achievements...

Liisa ValstaDietary and Chemical Monitoring (DCM) Unit

EFSA Comprehensive European Food Consumption Database:

The achievements made so far

Hazard

Exposure Assessment

Chemical Occurrence

Food consumption

Food consumption in exposure assessment

FoodTerminology

18 November 2011 2EFSA Stakeholder Consultative Platform

• Past activities towards an EFSA food consumption database

• The EFSA Comprehensive European food consumption database in use

• Towards the EU Menu era: harmonised food consumption data collection


Outline of the presentation

CONCISEBroad categories, not covering children, not harmonised, no FFQ

Evolution consumption data

tt COMPREHENSIVEDetailed categories, partly covering children, not harmonised, no FFQ

HARMONISED, EUMenuDetailed categories, covering children, harmonised including FFQ


In 2005 the Scientific Committee suggested the establishment of a harmonised food consumption database in the EU.

It also recommended that EFSA should contribute to the development of a European framework for the harmonisation of food consumption data in the EU and make these data publicly accessible.


Scientific Committee

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EFSA Scientific Colloquium

“A common database on foodconsumption would improve theconsistency and reliability ofexposure assessments carriedout by the various EFSA Panelsand other experts in Europe”


CConsumption dataRepresentative for EUCapturing regional differencesAcute and chronic exposure

Vulnerable groupsSpecial dietsPregnant womenChildren

High consumersEthnic dietsBig eaters“Unusual habits”


Needs assessment

The Concise European Food Consumption Database: • provides data in a limited

number of 15 main food categories (29 sub-categories),

• contains data from 19 European countries,

• Was used for assessment in the past.


Concise database

Comprehensive database

18 November 2011 EFSA Stakeholder Consultative Platform 10

Dietary surveys 32Member States 22Number of subjects 66,492Number of different foods 63,495Number of different FoodEx codes 1,504Number of consumption records 6,309,489

• DPPA/EFSA/DATEX/2008-2009• Individual food consumption data from 20 Member

States provided to EFSA: – the most recent data within the country,– at the finest level of detail,– representative consumption at national level for,

at least, the adult population,– summary statistics published on

the EFSA website February 2011


Comprehensive Database: Adults

Country (survey) Name of the dietary survey Period Target population Age range Method Replicates

AustriaAustrian Study On Nutritional Status (ASNS)

2005 - 06 Adults 19-65 24 h dietary recall 1

Belgium Diet National 2004 2004 – 05 Adults > 15 24 h dietary recall 2

Bulgaria

National Survey of Food Intake and Nutritional Status

2004 Adults > 16 24 h dietary recall 1

NUTRICHILD 2007 Small children < 5 24 h dietary recall 2

Czech Republic SISP04 2003 - 04 Children and adults > 4 24 h dietary recall 2

Denmark Danish Dietary Survey 2000 - 02 Children and adults 4-75 Food record 7

Estonia NDS 1997 1997 Adults 19-64 24 h dietary recall 1

Finland FINDIET 2007 2007 Adults 25-74 48 h dietary recall 1

France INCA2 2005 – 07 Children and adults 3-79 Food record 7

Germany National Nutrition Survey II 2005 – 07 Adults and adolescents 14-80 24 h dietary recall 2

Hungary National Repr Surv 2003 Adults > 18 Food record 3

Ireland NSFC 1997 – 99 Adults 18-64 Food record 7

Italy INRAN-SCAI 2005–06 2005 – 06 Children and adults > 0.1 Food record 3

Latvia EFSA_TEST 2008 Children and adults 7-66 24 h dietary recall 2

Netherlands VCP2003 2003 Adults 19-30 24 h dietary recall 2

Poland IZZ-FAO-2000 2000 Children and adults 1-96 24 h dietary recall 1

Slovakia SK MON 2008 2008 Adults 19-59 24 h dietary recall 1

Slovenia CRP-2008 2007 - 08 Adults 18-65 24 h dietary recall 1

SpainAESAN-FIAB 1999 - 2001 Adults 17-60 Food record 3

AESAN 2009 Adults 18-60 24 h dietary recall 2

Sweden RIKSMATEN 1997-98 1997 - 98 Adults 18-74 Food record 7

United KingdomNational Diet & Nutrition Survey (NDNS)

2000 - 01 Adults 19-64 Food record 7


Comprehensive Database: Adults

Comprehensive Database: Children


• EXPOCHI EFSA Article 36 project• Individual food consumption data from 12 Member

States provided to EFSA:• at the finest level of detail,• representative for the children population at

national or regional level

Country Provider Period Age years Representative Subjects Days Method

Belgium Ugent 2002-03 2.5 to 6.5 Regional (Flanders) 661 3 Dietary record

Cyprus REF 2003 2 to 18 National 303 3 Dietary record

Czech Republic NIPH 2003-04 4 to 14 National 602 2 24-hour recall

Denmark DTU Food 2000-02 4 to 10 National 606 7 Dietary record

Finland Evira2003-06 1, 3 and 6 Regional (South) 1,448 3 Dietary record

2000 7 to 8 Regional (South-west) 250 4 Dietary record

France AFSSA 2005-07 3 to 10 National 574 7 Dietary record

Germany FKE 2006-08 1 to 10 Regional (Dortmund) 926 3 Dietary record

Greece UoC 2004-05 4 to 6 Regional (Crete) 874 3 Dietary record

Italy INRAN 2005-06 1 to 10 National 252 3 Dietary record

Poland NFNI 2000 1 to 14 National 611 1 24-hour recall

SpainFIN 1998-00 1 to 14 National 382 2 24-hour recall

PGHI 2004-05 4 to 14 Regional (Basque) 1050 2 24-hour recall

Sweden NFA 2003 3 to 4 National 2,495 4 24-hour recall

Netherlands RIKILT 2005-06 2 to 6 National 1,279 3 Dietary record


Comprehensive Database: Children

The Comprehensive Database currently includes foodconsumption data for:

•Infants (<1 year): 2 surveys in 2 countries,

•Toddlers (1-2 years): 8 surveys in 8 countries,

•Children (3-9 years): 16 surveys in 14 countries,

•Adolescents (10-17 years): 14 surveys in 12 countries,

•Adults (18-64 years) 21 surveys in 20 countries,

•Elderly (65-74 years): 9 surveys in 9 countries,

•Very elderly (≥75 years): 8 surveys in 8 countries.


Age classes

Examples :• 24 h dietary recall vs. food record • broad survey period, from 1997 (Estonia) to 2009

(Spain)• from 1 to 7 days data per subject• individual vs. household sample unit• from 28% to 98% response rate • week-end days not evenly represented in 6 surveys• seasonality not fully covered in 10 surveys (only one

season represented in 4 surveys)• body weight and height measured or estimated• food classification


Different consumption patterns induced by differences in survey methodology?

Survey methodology

Food classification - FoodEx

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Data providers were asked to:• disaggregate household dishes to the ingredient level found

in the classification. Ideally only ready to eat dishes shouldbe codified under the “Composite food” group in FoodEx• link all their different food descriptors with a FoodEx code

at the most detailed possible levelFoodEx: Food list: ~1,700 end-points (food names, generic food names). Hierarchical structure, up to 4 levels, not equal branching–20 main food groups –2nd level composed by ~160 itemsStructured on child-parent relation

18 November 2011 EFSA Stakeholder Consultative Platform

18 November 2011 18

FoodEx Level 2

1. Livestock meat

2. Poultry

3. Game mammals

4. Game birds

5. Mixed meat

6. Edible offal, farmed animals

7. Edible offal, game animals

8. Preserved meat

9. Sausages

10. Meat specialities

11. Pastes, pâtés and terrines

12. Meat imitates

FoodEx Level 3 - Preserved meat

1. Ham, pork

2. Ham, beef

3. Beef, dried

4. Pork, dried

5. Turkey, dried

6. Ham, turkey

7. Bacon

8. Corned beef

9. Corned pork

10. Corned turkey

11. Pastrami, pork

12. Pastrami, beef

13. Pastrami, lamb

14. Luncheon meat

15. Preserved poultry

EFSA Stakeholder Consultative Platform

Meat and meat products

FoodEx Level 1

In the future: FoodEx2


CCONCISE15 broad categoriesand 13 sub-categoriesAd hoc EC requests

Evolution food terminology

s FOODEX 1Hierarchical system with four levelsAddressing legislation

FOODEX 2Harmonised hierarchical system with facets linked to core food list


18 November 2011 21

• EFSA has the right to use raw individual foodconsumption data for carrying out riskassessments and other scientific analyses withinthe activities related to EFSA’s mandate.

• A formal authorisation from the data providermust be requested for any other use of the data.


Conditions of use

18 November 2011 22

GUIDANCE of EFSA on the Use of the EFSA Comprehensive European Food Consumption Database in Exposure Assessment• Published: March 2011• Drafted by the DCM (DATEX) Food Consumption

and Exposure Working Group (FCE WG)

Summary statistics on the EFSA website include data:• for each country, dietary survey and age class, • at the 1st and 2nd level of the FoodEx• for chronic and acute consumption• for the total population and for consumers only• in grams/day and in grams/kg body weight per day


Guidance of EFSA

18 November 2011 23

• Exclude dietary surveys with only one day per subject when calculating chronic exposure

• Avoid direct country-to-country comparisons• Always assess exposure at the country level

and avoid merging different dietary surveys together with the aim of assessing exposure at European level

• Cautious interpretation of the high percentiles


Main recommendations

“Update of the EFSA Comprehensive European Food Consumption Database”

(CFT/EFSA/DCM/2011/01)

18 November 2011 24

Deadline for submission of offers: End of August 2011

Commencement of activities December 2011

End of the projects: December 2012


Update

Comprehensive vs. Concise

Added value:• more details on food descriptors• food consumption data at day level• more recent data• availability of food consumption data for children

Problems unresolved:• food consumption databases are not harmonised

– different information available across MSs – difficulties in assessing exposure at EU level


Recommendations

• Validate model diets with EFSA’s Comprehensive Database

• Always consider children populations

• Harmonise acute and chronic exposure calculations for high consumers:

– common protection goals should be agreed

– handling of high consumers among consumers only

• Statistically based sampling designs for monitoring programs

• Promote use of Standard Sample Description

• Promote Total Diet Studies as complement to monitoring data

• Trial probabilistic exposure particularly for acute scenarios

• Model usual intake from short-term dietary data18 November 2011 26EFSA Stakeholder Consultative Platform

Harmonised database

EU Menu - the first harmonised pan-European food consumption survey

�Create collaborative MS consortium�Develop standardised guidance�Provide access to methodological platform�Initiate pilot projects for children and adults•Publish principles and protocols•Collect representative food consumption data over all four seasons for children and adults


General principles for the collection of national food consumption data in the view of a pan-

European dietary survey• EFSA needs• Sampling method and design• Dietary assessment methodologies• Administration of the interview• Dietary survey tools• Non dietary information and quality control

Discussed and endorsed by the Expert group on foodconsumption data in mid October 2009.

Published on the EFSA Journal in December 2009.

EFSA Guidance published 2009


Pilot study for the Assessment of Nutrient intake and food Consumption Among Kids in Europe (PANCAKE)

Project leader: RIVM (The Netherlands)Project period:

December 2009 – December 2011

PANCAKE Article 36 project

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The main objectives of the project are to develop and test tools and procedures for the collection of individual food consumption data for:

• infants up to 11 months of age• toddlers from 12 up to 35 months of age • other children from 3 to 10 years of age• breastfeeding mothers


PANEU Article 36 project

Pilot study in the view of a Pan-European dietary survey – Adolescents, adults and elderly (PANEU)

Project leader: HFSO (Hungary)Project period: December 2010 – December 2012

The main objectives of the project are to developtools and procedures for the collection of individualfood consumption data for:

• adolescents from 10 to 18 years of age • adults from 18 to 64 years of age• elderly from 65 to 74 years of age


EU Menu pilot countries


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EU Menu


The first harmonised pan-European food consumption survey

Activity completed by

2010

2011

2012

2013

2014

2015

2016

2017

2018

Planning, collaboration, coordination

Project pilots, capacity building

Dietary survey in 5-7 countries

Dietary survey in 5-7 countries

Dietary survey in 5-7 countriesDietary survey in 5-7 countriesDietary survey in 5-7 countries

Databases, processing of data

Dissemination of results

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Liisa Valsta [email protected]

Thank you!

18 November 2011 EFSA Stakeholder Consultative Platform

Questions?

efsa comprehensive european food consumption database… · consumption database: the achievements...

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