Evidence map›Paper›PMID 38323223›Full record

ArticleFrontiers in nutrition2023

Unfavorable nutrient intakes in children up to school entry age: results from the nationwide German KiESEL study.

Leonie Burgard, Sara Jansen, Clarissa Spiegler, Anna-Kristin Brettschneider, Andrea Straßburg, Ute Alexy, Stefan Storcksdieck Genannt Bonsmann, Regina Ensenauer, Thorsten Heuer

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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  5. [Food supplements and fortified foods: benefits, risks and approaches to consumer protection].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  6. [Importance and supply of micronutrients in infants, children and adolescents].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Leonie BurgardDepartment of Nutritional Behaviour, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Sara JansenDepartment of Child Nutrition, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Clarissa SpieglerDepartment of Nutritional Behaviour, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Anna-Kristin BrettschneiderDepartment of Child Nutrition, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Andrea StraßburgDepartment of Nutritional Behaviour, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Ute AlexyDepartment of Nutritional Epidemiology, Institute of Nutrition and Food Sciences, University of Bonn, Bonn, Germany.
Stefan Storcksdieck Genannt BonsmannDepartment of Nutritional Behaviour, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Regina EnsenauerDepartment of Child Nutrition, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.
Thorsten HeuerDepartment of Nutritional Behaviour, Max Rubner-Institut (MRI) - Federal Research Institute of Nutrition and Food, Karlsruhe, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nutrition in the first years of life is a cornerstone for child development and long-term health, yet there is a lack of current data on energy and nutrient intake among toddlers and preschoolers in Germany. Objective: To analyze energy and nutrient intake in toddlers (1- to 2-year-olds) and preschoolers (3- to 5-year-olds) in Germany and compare the results with the Dietary Reference Values (DRVs) by the European Food Safety Authority. Design: Dietary intake was assessed by weighed food record data (3 + 1 day) of 890 children from the representative cross-sectional Children's Nutrition Survey to Record Food Consumption (KiESEL), carried out in 2014-2017 as a module of the German Health Interview and Examination Survey for Children and Adolescents Wave 2. For the calculation of energy and nutrient intake, the German Nutrient Database BLS 3.02, LEBTAB, and a supplement database were used. Results: Median intakes of energy and most nutrients met or exceeded the DRVs in both toddlers and preschoolers. However, low intakes relative to DRVs were found for vitamin D (6-9% of DRV, including supplements) and iodine (57-65% of DRV). Age specific downward deviations were observed for iron intake in toddlers (75% of DRV) and for calcium intake in preschoolers (67-77% of DRV). In contrast, intakes were high for saturated fatty acids (SFA) (14-16 E%), mono-/disaccharides (60-87 g/day), and protein [2.1-2.6 g/(kg body weight*day)]. Conclusion: Nutrient imbalances in toddlers and preschoolers in Germany, which are partly age-related, give rise to concern. Research is needed to determine if routine vitamin D supplementation should be extended beyond infancy. Public health efforts to increase the rate of use of iodized salt and to reduce the intake of SFA and mono-/disaccharides in children's diets are to be strengthened.

Indexed as

energy intakeGermanynutrient intakenutrition surveypreschoolerstoddlers

Identifiers

PMID38323223
PMCPMC10844530

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.