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Intake and sources of phylloquinone (vitamin K1) in 4-year-old British children: comparison between 1950 and the 1990s

Published online by Cambridge University Press:  02 January 2007

CJ Prynne*
Affiliation:
MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
CW Thane
Affiliation:
MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
A Prentice
Affiliation:
MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
MEJ Wadsworth
Affiliation:
MRC National Survey of Health and Development, University College and Royal Free Medical School, 1–19 Torrington Place, London, WC1E 6BT, UK
*
*Corresponding author: Email celia.greenberg@mrc-hnr.cam.ac.uk
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Abstract

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Objective

To compare dietary intake and sources of phylloquinone (vitamin K1) in 4-year-old British children between 1950 and the 1990s, and report their variation by sociodemographic factors.

Design

Nationally representative samples of 4-year-olds from the longitudinal Medical Research Council National Survey of Health and Development (NSHD) (1950) and the cross-sectional National Diet and Nutrition Surveys (NDNS, 1992/93 and 1997).

Setting

Great Britain.

Subjects

Subjects were 4599 children born on 3–9 March 1946 (NSHD) and 307 children in the 1990s (NDNS).

Results

Geometric mean dietary phylloquinone intake was significantly higher in 1950 (39 μg day−1, 95% confidence interval (CI) 37, 40) compared with the 1990s (24 μg day−1, 95% CI 22, 25) (P < 0.001). This difference remained when intake was expressed per MJ energy intake and per kilogram body weight, and after accounting for sex, region and occupational social class of the family. In 1950, phylloquinone intake in Scotland was significantly lower than in the rest of Britain. By the 1990s these regional differences had disappeared. Food sources of phylloquinone intake changed significantly between 1950 and the 1990s, with fats and oils contributing more and vegetables less, although vegetables contributed most (60% and 48%, respectively) to phylloquinone intake in both surveys.

Conclusions

Phylloquinone intakes of children have decreased significantly since 1950. With the suggested need for adequate phylloquinone intake for optimal development and maintenance of bone and the cardiovascular system, the substantially lower phylloquinone intakes reported in children of the 1990s, compared with 1950, may have implications for the health of these two systems in later adulthood.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1Shearer, MJ. Role of vitamin K and Gla proteins in the pathophysiology of osteoporosis and vascular calcification. Current Opinion in Clinical Nutrition and Metabolic Care 2000; 3: 433–8.CrossRefGoogle ScholarPubMed
2Schurgers, LJ, Dissel, PE, Spronk, HM, Soute, BA, Dhore, CR, Cleutjens, JP, et al. Role of vitamin K and vitamin K-dependent proteins in vascular calcification. Zeitschrift für Kardiologie 2001; 90(Suppl. 3): 5763.CrossRefGoogle ScholarPubMed
3Schurgers, LJ, Geleijnse, JM, Grobbee, DE, Pols, HAP, Hofman, A, Witteman, JCM, et al. Nutritional intake of vitamins K 1 (phylloquinone) and K2 (menaquinone) in the Netherlands. Journal of Nutritional and Environmental Medicine 1999; 9: 115–22.CrossRefGoogle Scholar
4Booth, SL, Webb, R, Peters, JC. Assessment of phylloquinone and dihydrophylloquinone dietary intakes among a nationally representative sample of US consumers using 14-day food diaries. Journal of the American Dietetic Association 1999; 99: 1072–6.CrossRefGoogle ScholarPubMed
5Cooper, C, Eriksson, JG, Forsen, T, Osmond, C, Tuomilehto, J, Barker, DJ. Maternal height, childhood growth and risk of hip fracture in later life: a longitudinal study. Osteoporosis International 2001; 12: 623–9.CrossRefGoogle ScholarPubMed
6Stary, H. Macrophages, macrophage foam cells, and eccentric intimal thickening in the coronary arteries of young children. Atherosclerosis 1987; 64: 91108.CrossRefGoogle ScholarPubMed
7Booth, SL, Pennington, JAT, Sadowski, JA. Food sources and dietary intakes of vitamin K1 (phylloquinone) in the American diet: data from the FDA Total Diet Study. Journal of the American Dietetic Association 1996; 96: 149–54.CrossRefGoogle ScholarPubMed
8Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2001.Google Scholar
9Price, R, Fenton, S, Shearer, MJ, Bolton-Smith, C. Daily and seasonal variation in phylloquinone (vitamin K1) intake in Scotland. Proceedings of the Nutrition Society 1996; 55: 244A.Google Scholar
10Bolton-Smith, C, Price, RJG, Shearer, MJ. Decreasing phylloquinone (vitamin K1) and total fat intake in a 10-year longitudinal study of Scottish adults. Proceedings of the Nutrition Society 2000; 59: 24A.Google Scholar
11Thane, CW, Paul, AA, Bates, CJ, Bolton-Smith, C, Prentice, A, Shearer, MJ. Intake and sources of phylloquinone (vitamin K1): variation with socio-demographic and lifestyle factors in a national sample of British elderly people. British Journal of Nutrition 2002; 87: 605–13.CrossRefGoogle Scholar
12Prynne, CJ, Paul, AA, Greenberg, DC, Bolton-Smith, C, Stear, SJ, Jones, SC. Dietary intake and sources of phylloquinone (vitamin K1) of a sample of adolescents in Cambridge, UK. Proceedings of the Nutrition Society. 2001; 60: 208A.Google Scholar
13Thane, CW, Prynne, CJ, Ginty, F, Bolton-Smith, C, Stear, SJ, Jones, SC, et al. Dietary phylloquinone (vitamin K1) intake: comparison between adolescents living in Cambridge and a national British sample. Proceedings of the Nutrition Society 2002; 61: 146A.Google Scholar
14Mora, S, Gilsanz, V. Establishment of peak bone mass. Endocrinology and Metabolism Clinics of North America 2003; 32: 3963.CrossRefGoogle ScholarPubMed
15Zipursky, A. Prevention of vitamin K deficiency bleeding in newborns. British Journal of Haematology 1999; 104: 430–7.CrossRefGoogle ScholarPubMed
16Rashid, M, Durie, P, Andrew, M, Kalnins, D, Shin, J, Corey, M. Prevalence of vitamin K deficiency in cystic fibrosis. American Journal of Clinical Nutrition 1999; 70: 378–82.CrossRefGoogle ScholarPubMed
17Prynne, CJ, Paul, AA, Price, GM, Day, KC, Hilder, WS, Wadsworth, MEJ. Food and nutrient intake of a national sample of 4-year-old children in 1950: comparison with the 1990s. Public Health Nutrition 1999; 2: 537–47.CrossRefGoogle ScholarPubMed
18Price, GM, Paul, AA, Key, FB, Harter, A, Cole, T, Day, K, et al. Measurement of diet in a large national survey: comparison of computerised and manual coding in household measures. Journal of Human Nutrition and Dietetics 1995; 8: 417–28.CrossRefGoogle Scholar
19Paul, AA, Southgate, DAT. McCance & Widdowson's The Composition of Foods, 4th ed. London: HMSO, 1978.Google Scholar
20Ministry of Health. The Feeding of Young Children from One to Five. London: HMSO, 1949.Google Scholar
21Bolton-Smith, C, Price, RJG, Fenton, ST, Harrington, DJ, Shearer, MJ. Compilation of a provisional UK database for the phylloquinone (vitamin K1) content of foods. British Journal of Nutrition 2000; 83: 389–99.Google ScholarPubMed
22Food Standards Agency. McCance & Widdowson's The Composition of Foods. 6th summary ed. Cambridge: Royal Society of Chemistry, 2002.Google Scholar
23Ward, R. The vitamin E content of margarine. British Journal of Nutrition 1958; 12: 231–6.CrossRefGoogle ScholarPubMed
24Gregory, JR, Collins, DL, Davies, PSW, Hughes, JM, Clarke, PC. National Diet and Nutrition Survey: Children aged 1½ to 4½ years. Vol. 1: Report of the Diet and Nutrition Survey. London: HMSO, 1995.Google Scholar
25Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, LV, Smithers, G. National Diet and Nutrition Survey: Young people aged 4 to 18 years. Vol. 1: Report of the Diet and Nutrition Survey. London: The Stationery Office, 2000.Google Scholar
26Great Britain Office of Population Censuses and Surveys. Standard Occupational Classification, Vol. 3: Social Classifications and Coding Methodology. London: HMSO, 1991.Google Scholar
27Department of Health. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects No. 41. London: HMSO, 1991.Google Scholar
28Food and Nutrition Board. Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press, 1989.Google Scholar
29Food and Agriculture Organization of the United Nations. Food Balance Sheets. Available at http://www.fao.org.Google Scholar
30Gijsbers, BLM, Jie, K-SGVermeer, C. Effect of food composition on vitamin K absorption in human volunteers. British Journal of Nutrition 1996; 76: 223–9.CrossRefGoogle ScholarPubMed
31Garber, AK, Binkley, NC, Krueger, DC, Suttie, JW. Comparison of phylloquinone bioavailability from food sources or a supplement in human subjects. Journal of Nutrition 1999; 129: 1201–3.CrossRefGoogle ScholarPubMed
32Booth, SL, O'Brien-Morse, ME, Dallal, GE, Davidson, KW, Gundberg, CM. Response of vitamin K status to different intakes and sources of phylloquinone-rich foods: comparison of younger and older adults. American Journal of Clinical Nutrition 1999; 70: 368–77.CrossRefGoogle ScholarPubMed
33Prynne, CJ, Paul, AA, Mishra, GD, Hardy, RJ, Bolton-Smith, C, Wadsworth, MEJ. Sociodemographic inequalities in the diet of young children in the 1946 British birth cohort. Public Health Nutrition 2002; 5: 733–45.CrossRefGoogle ScholarPubMed
34Davies, PSW, Bates, CJ, Cole, TJ, Prentice, A, Clarke, PC. Vitamin D: seasonal and regional differences in preschool children in Great Britain. European Journal of Clinical Nutrition 1999; 53: 195–8.CrossRefGoogle ScholarPubMed
35Baxter, I, Schroder, M. Vegetable consumption among Scottish children: a review of the determinants and proposed strategies to overcome low consumption. British Food Journal 1997; 99: 380–7.CrossRefGoogle Scholar
36Todd, S, Woodward, M, Tunstall-Pedoe, H, Bolton-Smith, C. Dietary antioxidant vitamin and fibre in the etiology of cardiovascular disease and all-causes mortality: results from the Scottish Heart Health Study. American Journal of Epidemiology 1999; 150: 1073–80.CrossRefGoogle ScholarPubMed
37Department of Health. Coronary Heart Disease in Scotland. Report of a Policy Review. Edinburgh: The Scottish Office/Department of Health, 1996.Google Scholar
38New, SA. Intake of fruit and vegetables: implications for bone health. Proceedings of the Nutrition Society 2003; 62: 889–99.CrossRefGoogle ScholarPubMed
39Hardy, RJ, Wadsworth, MEJ, Langenberg, C, Kuh, D. Birth weight, childhood growth and blood pressure at 43 years in a British birth cohort. International Journal of Epidemiology 2003; 33: 19Google Scholar
40Aihie Sayer, A, Poole, J, Cox, V, Kuh, D, Hardy, R, Wadsworth, MEJ, et al. Weight from birth to 53 years; a longitudinal study of the influence on clinical hand osteoarthritis. Arthritis & Rheumatism 2003; 48: 1030–3.CrossRefGoogle Scholar