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Harmonized Cross-Sectional Surveys Focused on Fluid Intake in Children, Adolescents and Adults: The Liq.In7
Homero Martinez1, Isabelle Guelinckx, Jordi Salas-Salvadó
1Micronutrient Forum, Micronutrient Initiative, Ottawa, Ont., Canada.
Insights
Many children and adolescents do not meet adequate water intake recommendations. This study assessed total fluid intake (TFI) across age groups and countries, finding significant variations and a need for increased water consumption initiatives.
Area of Science:
- Nutrition Science
- Public Health
- Pediatrics
Background:
- Adequate fluid intake is crucial for overall health, particularly in growing populations.
- Understanding beverage consumption patterns is essential for public health recommendations.
- Previous research has highlighted variations in hydration habits globally.
Purpose of the Study:
- To assess the total fluid intake (TFI) in children, adolescents, and adults.
- To evaluate the contribution of water and other beverages to TFI across different countries.
- To compare fluid intake with European Food Safety Authority (EFSA) adequate intake (AI) recommendations.
Main Methods:
- Conducted 15 cross-sectional surveys (Liq.In7 study) involving 3,611 children, 8,109 adolescents, and 16,276 adults.
- Utilized a 7-day fluid-specific record to quantify total fluid intake (TFI).
- Analyzed the contribution of drinking water and other beverages to TFI.
Main Results:
- Median TFI was 1.2 L/day for children, 1.2 L/day for adolescents, and 1.8 L/day for adults.
- Only 39% of children, 25% of adolescents, and 51% of adults met EFSA AI recommendations for water.
- Beverage contribution to TFI varied significantly by country; water was primary in some, while hot beverages, juices, or sweet drinks dominated in others.
Conclusions:
- A substantial proportion of children and adolescents do not meet recommended water intake levels.
- Water intake was not the leading contributor to TFI in all surveyed nations.
- Interventions to promote increased water consumption are necessary, especially for younger populations.
Objective:
To assess the intake of water and all other beverages in children, adolescents and adults.
Methods:
Three thousand six hundred eleven children (8 ± 2 years), 8,109 adolescents (13 ± 2 years) and 16,276 adults (40 ± 14 years) (47% men) were recruited in 15 cross-sectional surveys (liquid intake across 7 days, Liq.In7 study) and completed a 7-day fluid-specific record to assess total fluid intake (TFI), where TFI was defined as the sum of drinking water and other type of beverages.
Results:
The median TFI was 1.2, 1.2 and 1.8 liters/day in children, adolescents and adults respectively, with important differences observed between countries. Only 39% of children, 25% of adolescents and 51% of adults met the European Food Safety Authority adequate intake (AI) recommendations of water from fluids. In the surveys of Spain, France, Belgium, Germany, Turkey, Iran, Indonesia and China, water was the major contributor (47-78%) to TFI. In the adult surveys of UK, Poland, Japan and Argentina, hot beverages were the highest contributor to TFI. The fluid intake of children and adolescents in Mexico, Brazil, Argentina and Uruguay was characterized by a contribution of juices and sweet beverages that was as important as the contribution of water to TFI.
Conclusion:
Given that a relatively high proportion of subjects, especially children and adolescents, failed to meet the recommended AI of water from fluids and that water intake was not the highest contributor to TFI in all countries, undertaking actions to increase water intake are warranted.
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