TY - RPRT T1 - Wastewater-based epidemiological surveillance - Methodological appendix Y1 - 2024 A1 - Raphael Janssens A1 - Hadrien Maloux A1 - Sven Hanoteaux A1 - Laura Van Poelvoorde A1 - Nancy Roosens A1 - Bavo Verhaegen A1 - Julie Linussio A1 - Koenraad Van Hoorde A1 - Steven Van Gucht A1 - Karin De Ridder A1 - Koen Blot A1 - Veronik Hutse A1 - Marie Lesenfants KW - applied genomics KW - environment KW - epidemiology KW - Surveillance KW - wastewater KW - wastewater surveillance KW - wastewater-based epidemiology PB - Sciensano CY - Brussels, Belgium UR - https://www.sciensano.be/en/biblio/wastewater-based-epidemiological-surveillance-methodological-appendix ER - TY - RPRT T1 - Wastewater-based epidemiological surveillance - Weekly report Y1 - 2024 A1 - Raphael Janssens A1 - Hadrien Maloux A1 - Sven Hanoteaux A1 - Laura Van Poelvoorde A1 - Nancy Roosens A1 - Bavo Verhaegen A1 - Julie Linussio A1 - Koenraad Van Hoorde A1 - Steven Van Gucht A1 - Karin De Ridder A1 - Koen Blot A1 - Veronik Hutse A1 - Marie Lesenfants KW - applied genomics KW - environment KW - epidemiology KW - Surveillance KW - wastewater KW - wastewater surveillance KW - wastewater-based epidemiology PB - Sciensano CY - Brussels, Belgium UR - https://www.sciensano.be/en/biblio/wastewater-based-epidemiological-surveillance-weekly-report ER - TY - JOUR T1 - Association between SARS-CoV-2 variants and post COVID-19 condition: findings from a longitudinal cohort study in the Belgian adult population JF - BMC Infect Dis Y1 - 2023 A1 - Huyen Nguyen Thi Khanh A1 - Laura Cornelissen A1 - Diego Castanares-Zapatero A1 - Robby De Pauw A1 - Dieter Van Cauteren A1 - Stefaan Demarest A1 - Sabine Drieskens A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Rana Charafeddine A1 - Pierre Smith KW - long COVID KW - post-COVID-19 condition KW - SARS-CoV-2 variants AB -

BACKGROUND: While many studies on the determinants of post-COVID-19 conditions (PCC) have been conducted, little is known about the relationship between SARS-CoV-2 variants and PCC. This study aimed to assess the association between different SARS-CoV-2 variants and the probability of having PCC three months after the infection.

METHODS: This study was a longitudinal cohort study conducted between April 2021 and September 2022 in Belgium. In total, 8,238 adults with a confirmed SARS-CoV-2 infection were followed up between the time of their infection and three months later. The primary outcomes were the PCC status three months post infection and seven PCC symptoms categories (neurocognitive, autonomic, gastrointestinal, respiratory, musculoskeletal, anosmia and/or dysgeusia, and other manifestations). The main exposure variable was the type of SARS-CoV-2 variants (i.e. Alpha, Delta, and Omicron), extracted from national surveillance data. The association between the different SARS-CoV-2 variants and PCC as well as PCC symptoms categories was assessed using multivariable logistic regression.

RESULTS: The proportion of PCC among participants infected during the Alpha, Delta, and Omicron-dominant periods was significantly different and respectively 50%, 50%, and 37%. Participants infected during the Alpha- and Delta-dominant periods had a significantly higher odds of having PCC than those infected during the Omicron-dominant period (OR = 1.61, 95% confidence interval [CI] = 1.33-1.96 and OR = 1.73, 95%CI = 1.54-1.93, respectively). Participants infected during the Alpha and Delta-dominant periods were more likely to report neurocognitive, respiratory, and anosmia/dysgeusia symptoms of PCC.

CONCLUSIONS: People infected during the Alpha- and Delta-dominant periods had a higher probability of having PCC three months after infection than those infected during the Omicron-dominant period. The lower probability of PCC with the Omicron variant must also be interpreted in absolute figures. Indeed, the number of infections with the Omicron variant being higher than with the Alpha and Delta variants, it is possible that the overall prevalence of PCC in the population increases, even if the probability of having a PCC decreases.

VL - 23 CP - 1 M3 - 10.1186/s12879-023-08787-8 ER - TY - JOUR T1 - Classification of post COVID-19 condition symptoms: a longitudinal study in the Belgian population JF - BMJ Open Y1 - 2023 A1 - Sarah Nayani A1 - Diego Castanares-Zapatero A1 - Robby De Pauw A1 - Dieter Van Cauteren A1 - Stefaan Demarest A1 - Sabine Drieskens A1 - Laura Cornelissen A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Rana Charafeddine A1 - Pierre Smith AB -

Objectives Since the onset of the COVID-19 pandemic, most research has focused on its acute pathophysiology, yet some people tend to experience persisting symptoms beyond the acute phase of infection, referred to as post COVID-19 condition (PCC). However, evidence on PCC is still scarce. This study aimed to assess the distribution, classification of symptoms and associated factors of PCC in adults.

Design Longitudinal online cohort study.

Setting National study in Belgium.

Participants Participants were Belgian adults with a recent SARS-CoV-2 infection and were recruited when called up for contact tracing. A total of 3039 participants were included and completed an online questionnaire at the time of their infection and again 3 months later.

Outcome measures The baseline questionnaire assessed the initial health status of the participants and their status during the acute phase of the infection. The follow-up questionnaire assessed their PCC status 3 months after infection. A latent class analysis (LCA) was performed to assess whether there are different classes of individuals with a similar set of self-reported PCC symptoms.

Results Half of the participants reported PCC 3 months after infection (47%). The most frequent symptoms were fatigue (21%), headache (11%) and memory problems (10%). The LCA highlighted three different classes of PCC symptoms with different risk factors: (1) a combination of loss of smell and taste, (2) a combination of neurological symptoms and (3) other heterogeneous symptoms.

Conclusions With the increasing number of people who underwent COVID-19, PCC has become an important but complex public health problem due to the heterogeneity of its symptoms. The classification of symptoms performed in this study can help give insight into different aetiologies of PCC and better plan care according to the symptoms and needs of those affected.

VL - 13 CP - 10 M3 - 10.1136/bmjopen-2023-072726 ER - TY - JOUR T1 - The health and economic burden of musculoskeletal disorders in Belgium from 2013 to 2018 JF - Popul Health Metr Y1 - 2023 A1 - Vanessa Gorasso A1 - Johan Van der Heyden A1 - Robby De Pauw A1 - Ingrid Pelgrims A1 - Eva M De Clercq A1 - Karin De Ridder A1 - Stefanie Vandevijvere A1 - Stijn Vansteelandt A1 - Bert Vaes A1 - Delphine De Smedt A1 - Brecht Devleesschauwer KW - Absenteeism costs KW - Disability-Adjusted Life Years KW - Healthcare costs KW - Musculoskeletal disorders AB -

INTRODUCTION: Low back pain (LBP), neck pain (NKP), osteoarthritis (OST) and rheumatoid arthritis (RHE) are among the musculoskeletal (MSK) disorders causing the greatest disability in terms of Years Lived with Disability. The current study aims to analyze the health and economic impact of these MSK disorders in Belgium, providing a summary of morbidity and mortality outcomes from 2013 to 2018, as well as direct and indirect costs from 2013 to 2017.

METHODS: The health burden of LBP, NKP, OST and RHE in Belgium from 2013 to 2018 was summarized in terms of prevalence and disability-adjusted life years (DALY) using data from the Belgian health interview surveys (BHIS), the INTEGO database (Belgian registration network for general practitioners) and the Global Burden of Diseases study 2019. The economic burden included estimates of direct medical costs and indirect costs, measured by cost of work absenteeism. For this purpose, data of the respondents to the BHIS-2013 were linked with the national health insurance data (intermutualistic agency [IMA] database) 2013-2017.

RESULTS: In 2018, 2.5 million Belgians were affected by at least one MSK disorder. OST represented the disorder with the highest number of cases for both men and women, followed by LBP. In the same year, MSK disorders contributed to a total of 180,746 DALYs for female and 116,063 DALYs for men. LBP appeared to be the largest contributor to the health burden of MSK. Having at least one MSK disorder costed on average 3 billion € in medical expenses and 2 billion € in indirect costs per year, with LBP being the most costly.

CONCLUSION: MSK disorders represent a major health and economic burden in Belgium. As their burden will probably continue to increase in the future, acting on the risk factors associated to these disorders is crucial to mitigate both the health and economic burden.

VL - 21 CP - 1 M3 - 10.1186/s12963-023-00303-z ER - TY - JOUR T1 - Linking health survey data with health insurance data: methodology, challenges, opportunities and recommendations for public health research. An experience from the HISlink project in Belgium JF - Arch Public Health Y1 - 2023 A1 - Finaba Berete A1 - Stefaan Demarest A1 - Rana Charafeddine A1 - Karin De Ridder A1 - Herman Van Oyen A1 - Wannes Van Hoof A1 - Olivier Bruyère A1 - Johan Van der Heyden KW - Data linkage KW - Health administrative insurance data KW - Health claims data KW - health interview surveys KW - Record linkage AB -

In recent years, the linkage of survey data to health administrative data has increased. This offers new opportunities for research into the use of health services and public health. Building on the HISlink use case, the linkage of Belgian Health Interview Survey (BHIS) data and Belgian Compulsory Health Insurance (BCHI) data, this paper provides an overview of the practical implementation of linking data, the outcomes in terms of a linked dataset and of the studies conducted as well as the lessons learned and recommendations for future links.Individual BHIS 2013 and 2018 data was linked to BCHI data using the national register number. The overall linkage rate was 92.3% and 94.2% for HISlink 2013 and HISlink 2018, respectively. Linked BHIS-BCHI data were used in validation studies (e.g. self-reported breast cancer screening; chronic diseases, polypharmacy), in policy-driven research (e.g., mediation effect of health literacy in the relationship between socioeconomic status and health related outcomes, and in longitudinal study (e.g. identifying predictors of nursing home admission among older BHIS participants). The linkage of both data sources combines their strengths but does not overcome all weaknesses.The availability of a national register number was an asset for HISlink. Policy-makers and researchers must take initiatives to find a better balance between the right to privacy of respondents and society's right to evidence-based information to improve health. Researchers should be aware that the procedures necessary to implement a link may have an impact on the timeliness of their research. Although some aspects of HISlink are specific to the Belgian context, we believe that some lessons learned are useful in an international context, especially for other European Union member states that collect similar data.

VL - 81 CP - 1 M3 - 10.1186/s13690-023-01213-0 ER - TY - JOUR T1 - Post COVID-19 condition and health-related quality of life: a longitudinal cohort study in the Belgian adult population JF - BMC Public Health Y1 - 2023 A1 - Pierre Smith A1 - Robby De Pauw A1 - Dieter Van Cauteren A1 - Stefaan Demarest A1 - Sabine Drieskens A1 - Laura Cornelissen A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Rana Charafeddine KW - Belgium KW - long COVID KW - Quality of Life AB -

Background

Since the onset of the COVID-19 pandemic, most research has focused on the acute phase of COVID-19, yet some people experience symptoms beyond, referred to as post COVID-19 conditions (PCC). However, evidence on PCC and its impacts on health-related quality of life (HRQoL) is still scarce. This study aimed to assess the impact of COVID-19 and PCC on HRQoL.

Methods

This is a longitudinal cohort study of the Belgian adult population with recent SARS-CoV-2 infection. In total, 5,727 people were followed up between the time of their infection and three months later. HRQoL was measured with the EQ-5D-5L questionnaire before and during the infection and three months later. Linear mixed regression models were built to assess the longitudinal association between participants’ characteristics and the evolution of their HRQoL.

Results

This study found a significant decline in HRQoL during the SARS-CoV-2 infection in comparison to the situation before (β=-9.91, 95%CI=-10.13;-9.85), but no clinically important difference three months after the infection compared to the situation before, except among people reporting PCC (β=-11.15, 95%CI=-11.72;-10.51). The main symptoms of PCC with a significant negative impact on the different dimensions of HRQoL were fatigue/exhaustion (21%), headache (11%), memory problems (10%), shortness of breath (9%), and joint (7%) or muscle pain (6%). The dimension of HRQoL most negatively affected by several PCC symptoms was pain/discomfort.

Conclusions

With the growing number of people infected with SARS-CoV-2, PCC and its impact on HRQoL are becoming important public health issues. To allow people with PCC to recover and to limit its detrimental impact on HRQoL, it is essential to manage its various heterogeneous symptoms using a multidisciplinary approach.

VL - 23 CP - 1 M3 - 10.1186/s12889-023-16336-w ER - TY - JOUR T1 - Anxiety and Depression in Belgium during the First 15 Months of the COVID-19 Pandemic: A Longitudinal Study JF - Behavioral Sciences Y1 - 2022 A1 - Helena Bruggeman A1 - Pierre Smith A1 - Finaba Berete A1 - Stefaan Demarest A1 - Lize Hermans A1 - Elise Braekman A1 - Rana Charafeddine A1 - Sabine Drieskens A1 - Karin De Ridder A1 - Lydia Gisle KW - Anxiety KW - COVID-19 KW - dépression KW - longitudinal study KW - Mental health AB -

The COVID-19 pandemic and policy measures enacted to contain the spread of the coronavirus have had nationwide psychological effects. This study aimed to assess the impact of the first 15 months of the COVID-19 pandemic on the level of anxiety (GAD-7 scale) and depression (PHQ-9 scale) of the Belgian adult population. A longitudinal study was conducted from April 2020 to June 2021, with 1838 respondents participating in 6 online surveys. Linear mixed models were used to model the associations between the predictor variables and the mental health outcomes. Results showed that the prevalence of symptoms of anxiety and depression was higher in times of stricter policy measures. Furthermore, after the initial stress from the outbreak, coping and adjustment were observed in participants, as symptoms of anxiety and depression decreased during times of lower policy restrictions to almost the same level as in pre-COVID times (2018). Though time trends were similar for all population subgroups, higher levels of both anxiety and depression were generally found among women, young people, people with poor social support, extraverts, people having pre-existing psychological problems, and people who were infected/exposed to the COVID-19 virus. Therefore, investment in mental health treatment programs and supports, especially for those risk groups, is crucial.

VL - 12 CP - 5 M3 - 10.3390/bs12050141 ER - TY - JOUR T1 - The CIVISANO protocol: a mixed-method study about the role of objective and perceived environmental factors on physical activity and eating behavior among socioeconomically disadvantaged adults JF - Archives of Public Health Y1 - 2022 A1 - Suzannah D’Hooghe A1 - Yasemin Inaç A1 - Eva M De Clercq A1 - Benedicte Deforche A1 - Sarah Dury A1 - Stefanie Vandevijvere A1 - Nico Van de Weghe A1 - Delfien Van Dyck A1 - Karin De Ridder KW - community-based participatory research KW - Diet KW - Geographic Information Systems KW - Obesity KW - Physical activity KW - Socioeconomic status AB -

Background

Overweight and obesity have a strong socioeconomic profile. Unhealthy behaviors like insufficient physical activity and an unbalanced diet, which are causal factors of overweight and obesity, tend to be more pronounced in socioeconomically disadvantaged groups in high income countries. The CIVISANO project aims to identify objective and perceived environmental factors among different socioeconomic population groups that impede or facilitate physical activity and healthy eating behavior in the local context of two peri-urban Flemish municipalities in Belgium. We also aim to identify and discuss possible local interventions and evaluate the participatory processes of the project.

Methods

This study (2020–2023) will use community-based participatory tools, involving collaborative partnerships with civic and stakeholder members of the community and regular exchanges among all partners to bridge knowledge development and health promotion for socioeconomically disadvantaged citizens. Furthermore, a mixed-methods approach will be used. A population survey and geographic analysis will explore potential associations between the physical activity and eating behaviors of socioeconomically disadvantaged adults (25–65 years old) and both their perceived and objective physical, food and social environments. Profound perceptive context information will be gathered from socioeconomically disadvantaged adults by using participatory methods like photovoice, walk-along, individual map creation and group model building. An evaluation of the participatory process will be conducted simultaneously.

Discussion

The CIVISANO project will identify factors in the local environment that might provoke inequities in adopting a healthy lifestyle. The combination of perceived and objective measures using validated strategies will provide a robust assessment of the municipality environment. Through this analysis, the project will investigate to what extent community engagement can be a useful strategy to reduce health inequities. The strong knowledge exchange and capacity-building in a local setting is expected to contribute to our understanding of how to maximize research impact in this field and generate evidence about potential linkages between a health enhancing lifestyle among socioeconomically disadvantaged groups and their physical, food and social environments.

VL - 80 CP - 1 M3 - 10.1186/s13690-022-00956-6 ER - TY - RPRT T1 - COVIMPACT studie - COVID-19 infectie en de lichamelijke, geestelijke en sociale gevolgen op lange termijn : resultaten van 3 en 6 maanden opvolging na infectie Y1 - 2022 A1 - Pierre Smith A1 - Rana Charafeddine A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Karin De Ridder A1 - Stefaan Demarest A1 - Dieter Van Cauteren ER - TY - JOUR T1 - Domestic violence during the COVID-19 confinement: do victims feel more socially isolated? JF - Archives of Public Health Y1 - 2022 A1 - Sabine Drieskens A1 - Elise Braekman A1 - Karin De Ridder A1 - Lydia Gisle A1 - Rana Charafeddine A1 - Lize Hermans A1 - Stefaan Demarest VL - 80 CP - 1 M3 - 10.1186/s13690-021-00765-3 ER - TY - JOUR T1 - Estimating national and subnational nutrient intake distributions of global diets JF - Am J Clin Nutr Y1 - 2022 A1 - Simone Passarelli A1 - Christopher M Free A1 - Lindsay H Allen A1 - Carolina Batis A1 - Ty Beal A1 - Anja Pia Biltoft-Jensen A1 - Sabri Bromage A1 - Ling Cao A1 - Analí Castellanos-Gutiérrez A1 - Tue Christensen A1 - Sandra P Crispim A1 - Arnold Dekkers A1 - Karin De Ridder A1 - Selma Kronsteiner-Gicevic A1 - Christopher Lee A1 - Yanping Li A1 - Mourad Moursi A1 - Isabelle Moyersoen A1 - Josef Schmidhuber A1 - Alon Shepon A1 - Daniel F Viana A1 - Christopher D Golden KW - Diet KW - Diet Surveys KW - Eating KW - Energy Intake KW - Female KW - Humans KW - Male KW - micronutrients KW - Nutritional Requirements AB -

BACKGROUND: Access to high-quality dietary intake data is central to many nutrition, epidemiology, economic, environmental, and policy applications. When data on individual nutrient intakes are available, they have not been consistently disaggregated by sex and age groups, and their parameters and full distributions are often not publicly available.

OBJECTIVES: We sought to derive usual intake distributions for as many nutrients and population subgroups as possible, use these distributions to estimate nutrient intake inadequacy, compare these distributions and evaluate the implications of their shapes on the estimation of inadequacy, and make these distributions publicly available.

METHODS: We compiled dietary data sets from 31 geographically diverse countries, modeled usual intake distributions for 32 micronutrients and 21 macronutrients, and disaggregated these distributions by sex and age groups. We compared the variability and skewness of the distributions and evaluated their similarity across countries, sex, and age groups. We estimated intake inadequacy for 16 nutrients based on a harmonized set of nutrient requirements and bioavailability estimates. Last, we created an R package-nutriR-to make these distributions freely available for users to apply in their own analyses.

RESULTS: Usual intake distributions were rarely symmetric and differed widely in variability and skewness across nutrients and countries. Vitamin intake distributions were more variable and skewed and exhibited less similarity among countries than other nutrients. Inadequate intakes were high and geographically concentrated, as well as generally higher for females than males. We found that the shape of usual intake distributions strongly affects estimates of the prevalence of inadequate intakes.

CONCLUSIONS: The shape of nutrient intake distributions differs based on nutrient and subgroup and strongly influences estimates of nutrient intake inadequacy. This research represents an important contribution to the availability and application of dietary intake data for diverse subpopulations around the world.

VL - 116 CP - 2 M3 - 10.1093/ajcn/nqac108 ER - TY - RPRT T1 - Etude COVIMPACT - Infection COVID-19 et ses implications physiques, mentales et sociales à long terme : résultats du suivi à 3 et 6 mois suivant l’infection Y1 - 2022 A1 - Pierre Smith A1 - Rana Charafeddine A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Karin De Ridder A1 - Stefaan Demarest A1 - Dieter Van Cauteren ER - TY - JOUR T1 - Health care costs and lost productivity costs related to excess weight in Belgium. JF - BMC Public Health Y1 - 2022 A1 - Vanessa Gorasso A1 - Isabelle Moyersoen A1 - Johan Van der Heyden A1 - Karin De Ridder A1 - Stefanie Vandevijvere A1 - Vansteelandt, Stijn A1 - Delphine De Smedt A1 - Brecht Devleesschauwer KW - Adult KW - Aged KW - Belgium KW - Body Mass Index KW - Chronic disease KW - health care costs KW - Humans KW - Hypertension KW - middle aged KW - Obesity KW - Overweight KW - Weight gain AB -

BACKGROUND: This study aimed to estimate annual health care and lost productivity costs associated with excess weight among the adult population in Belgium, using national health data.

METHODS: Health care costs and costs of absenteeism were estimated using data from the Belgian national health interview survey (BHIS) 2013 linked with individual health insurance data (2013-2017). Average yearly health care costs and costs of absenteeism were assessed by body mass index (BMI) categories - i.e., underweight (BMI < 18.5 kg/m), normal weight (18.5 ≤ BMI < 25 kg/m), overweight (25 ≤ BMI < 30 kg/m) and obesity (BMI ≥ 30 kg/m). Health care costs were also analysed by type of cost (i.e. ambulatory, hospital, reimbursed medication). The cost attributable to excess weight and the contribution of various other chronic conditions to the incremental cost of excess weight were estimated using the method of recycled prediction (a.k.a. standardisation).

RESULTS: According to BHIS 2013, 34.7% and 13.9% of the Belgian adult population were respectively affected by overweight or obesity. They were mostly concentrated in the age-group 35-65 years and had significantly more chronic conditions compared to the normal weight population. Average total healthcare expenses for people with overweight and obesity were significantly higher than those observed in the normal weight population. The adjusted incremental annual health care cost of excess weight in Belgium was estimated at €3,329,206,657 (€651 [95% CI: €144-€1,084] and €1,015 [95% CI: €343-€1,697] per capita for individuals with overweight and obesity respectively). The comorbidities identified to be the main drivers for these incremental health care costs were hypertension, high cholesterol, serious gloom and depression. Mean annual incremental cost of absenteeism for overweight accounted for €242 per capita but was not statistically significant, people with obesity showed a significantly higher cost (p < 0.001) compared to the normal weight population: €2,015 [95% CI: €179-€4,336] per capita. The annual total incremental costs due to absenteeism of the population affected by overweight and obesity was estimated at €1,209,552,137. Arthritis, including rheumatoid arthritis and osteoarthritis, was the most important driver of the incremental cost of absenteeism in individuals with overweight and obesity, followed by hypertension and low back pain.

CONCLUSIONS: The mean annual incremental cost of excess weight in Belgium is of concern and stresses the need for policy actions aiming to reduce excess body weight. This study can be used as a baseline to evaluate the potential savings and health benefits of obesity prevention interventions.

VL - 22 CP - 1 M3 - 10.1186/s12889-022-14105-9 ER - TY - JOUR T1 - Health care costs and lost productivity costs related to excess weight in Belgium JF - BMC Public Health Y1 - 2022 A1 - Vanessa Gorasso A1 - Isabelle Moyersoen A1 - Johan Van der Heyden A1 - Karin De Ridder A1 - Stefanie Vandevijvere A1 - Stijn Vansteelandt A1 - Delphine De Smedt A1 - Brecht Devleesschauwer KW - Absenteeism costs KW - Excess weight KW - Healthcare costs KW - Obesity KW - Overweight AB -

Background

This study aimed to estimate annual health care and lost productivity costs associated with excess weight among the adult population in Belgium, using national health data.

Methods

Health care costs and costs of absenteeism were estimated using data from the Belgian national health interview survey (BHIS) 2013 linked with individual health insurance data (2013–2017). Average yearly health care costs and costs of absenteeism were assessed by body mass index (BMI) categories – i.e., underweight (BMI < 18.5 kg/m2), normal weight (18.5 ≤ BMI < 25 kg/m2), overweight (25 ≤ BMI < 30 kg/m2) and obesity (BMI ≥ 30 kg/m2). Health care costs were also analysed by type of cost (i.e. ambulatory, hospital, reimbursed medication). The cost attributable to excess weight and the contribution of various other chronic conditions to the incremental cost of excess weight were estimated using the method of recycled prediction (a.k.a. standardisation).

Results

According to BHIS 2013, 34.7% and 13.9% of the Belgian adult population were respectively affected by overweight or obesity. They were mostly concentrated in the age-group 35–65 years and had significantly more chronic conditions compared to the normal weight population. Average total healthcare expenses for people with overweight and obesity were significantly higher than those observed in the normal weight population.

The adjusted incremental annual health care cost of excess weight in Belgium was estimated at €3,329,206,657 (€651 [95% CI: €144-€1,084] and €1,015 [95% CI: €343–€1,697] per capita for individuals with overweight and obesity respectively). The comorbidities identified to be the main drivers for these incremental health care costs were hypertension, high cholesterol, serious gloom and depression. Mean annual incremental cost of absenteeism for overweight accounted for €242 per capita but was not statistically significant, people with obesity showed a significantly higher cost (p < 0.001) compared to the normal weight population: €2,015 [95% CI: €179–€4,336] per capita. The annual total incremental costs due to absenteeism of the population affected by overweight and obesity was estimated at €1,209,552,137. Arthritis, including rheumatoid arthritis and osteoarthritis, was the most important driver of the incremental cost of absenteeism in individuals with overweight and obesity, followed by hypertension and low back pain.

Conclusions

The mean annual incremental cost of excess weight in Belgium is of concern and stresses the need for policy actions aiming to reduce excess body weight. This study can be used as a baseline to evaluate the potential savings and health benefits of obesity prevention interventions.

VL - 22 CP - 1 M3 - 10.1186/s12889-022-14105-9 ER - TY - JOUR T1 - Opportunities for a population-based cohort in Belgium JF - Archives of Public Health Y1 - 2022 A1 - Nienke Schutte A1 - Marlies Saelaert A1 - Petronille Bogaert A1 - Karin De Ridder A1 - Herman Van Oyen A1 - Johan Van der Heyden A1 - Brecht Devleesschauwer KW - Cohort KW - Health information KW - population health AB -

Population-based cohorts allow providing answers to a wide range of policy-relevant research questions. In Belgium, existing cohort-like initiatives are limited by their focus on specific population groups or specific topics, or they lack a true longitudinal design. Since 2016, consultations and deliberative processes have been set up to explore the opportunities for a population-based cohort in Belgium. Through these processes, several recommendations emerged to pave the way forward – i.e., to facilitate the establishment of administrative linkages, increase digitalisation, secure long-term financial and organisational efforts, establish a consortium of the willing, and identify and tackle ethical and legal bottlenecks. This comment summarizes these recommendations, as these opportunities should be explored in depth to consolidate the existing collaborations between different stakeholders, and refers to current initiatives that can further facilitate the establishment of a Belgian population-based cohort and, more generally, administrative and health data linkage and reuse for research and policy-making.

VL - 80 CP - 1 M3 - 10.1186/s13690-022-00949-5 ER - TY - JOUR T1 - Post COVID-19 condition and its physical, mental and social implications: protocol of a 2-year longitudinal cohort study in the Belgian adult population. JF - Arch Public Health Y1 - 2022 A1 - Pierre Smith A1 - Kristiaan Proesmans A1 - Dieter Van Cauteren A1 - Stefaan Demarest A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Laura Cornelissen A1 - Karin De Ridder A1 - Rana Charafeddine AB -

BACKGROUND: Since the onset of the COVID-19 pandemic, most research has focused on the pathophysiology and management of the acute symptoms of COVID-19, yet some people tend to experience symptoms beyond the acute phase of infection, that is, Post COVID-19 condition (PCC). However, evidence on the long-term health impacts of a COVID-19 infection are still scarce. The purpose of this paper is to describe the COVIMPACT study, which aims to set up a cohort of people who have been tested positive for COVID-19 and study the evolution of their physical, mental and social health over the medium (3 months) and long term (two years), and the factors associated with an (un)favorable evolution.

METHODS: COVIMPACT is a longitudinal cohort study organised over a two-years period between April 2021 and April 2023. The eligible population is all people aged 18 years and older, living in Belgium, with a recent COVID-19 infection and contacted by the health authorities for contact tracing. Two questionnaires are used: a baseline questionnaire that aims to assess the initial health status of the participants and their status during the acute phase of the illness, and a follow-up questionnaire that is sent every three months after participants enter into the cohort. A matched non-COVID-19 control group was also selected. As of November 1, 2021, 10,708 people completed the baseline questionnaire (5% of the eligible population) and the follow-up participation rate was 79%. In total, 48% of the cohort participants appeared to fit the proposed case definition of PCC (i.e. report at least one symptom related to their COVID-19 infection three months afterwards).

DISCUSSION: This study was designed to provide timely information on the short and long term impact of a COVID-19 infection, to stakeholders such as policymakers, health practitioners and people with PCC. Although the follow-up participation rate was good (79%), the participation rate of the eligible population was low (5%). Compared to other studies, this study has a large sample, of non-hospitalised and hospitalised people, who will be followed over a long period of 3 months to two years post infection, and with a global approach to their health.

VL - 80 CP - 1 M3 - 10.1186/s13690-022-00906-2 ER - TY - JOUR T1 - Post COVID-19 condition and its physical, mental and social implications: protocol of a 2-year longitudinal cohort study in the Belgian adult population JF - Archives of Public Health Y1 - 2022 A1 - Pierre Smith A1 - Kristiaan Proesmans A1 - Dieter Van Cauteren A1 - Stefaan Demarest A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Laura Cornelissen A1 - Karin De Ridder A1 - Rana Charafeddine KW - COVID-19 KW - health KW - longitudinal study KW - Post COVID-19 condition KW - Symptoms AB -

Background: Since the onset of the COVID-19 pandemic, most research has focused on the pathophysiology and management of the acute symptoms of COVID-19, yet some people tend to experience symptoms beyond the acute phase of infection, that is, Post COVID-19 condition (PCC). However, evidence on the long-term health impacts of a COVID-19 infection are still scarce. The purpose of this paper is to describe the COVIMPACT study, which aims to set up a cohort of people who have been tested positive for COVID-19 and study the evolution of their physical, mental and social health over the medium (3 months) and long term (two years), and the factors associated with an (un) favorable evolution.

Methods: COVIMPACT is a longitudinal cohort study organised over a two-years period between April 2021 and April 2023. The eligible population is all people aged 18 years and older, living in Belgium, with a recent COVID-19 infection and contacted by the health authorities for contact tracing. Two questionnaires are used: a baseline questionnaire that aims to assess the initial health status of the participants and their status during the acute phase of the illness, and a follow-up questionnaire that is sent every three months after participants enter into the cohort. A matched non-COVID-19 control group was also selected. As of November 1, 2021, 10,708 people completed the baseline questionnaire (5% of the eligible population) and the follow-up participation rate was 79%. In total, 48% of the cohort participants appeared to ft the proposed case defnition of PCC (i.e. report at least one symptom related to their COVID-19 infection three months afterwards).

Discussion: This study was designed to provide timely information on the short and long term impact of a COVID19 infection, to stakeholders such as policymakers, health practitioners and people with PCC. Although the follow-up participation rate was good (79%), the participation rate of the eligible population was low (5%). Compared to other studies, this study has a large sample, of non-hospitalised and hospitalised people, who will be followed over a long period of 3 months to two years post infection, and with a global approach to their health.

VL - 80 CP - 1 M3 - 10.1186/s13690-022-00906-2 ER - TY - JOUR T1 - Predictors of nursing home admission in the older population in Belgium: a longitudinal follow-up of health interview survey participants JF - BMC Geriatrics Y1 - 2022 A1 - Finaba Berete A1 - Stefaan Demarest A1 - Rana Charafeddine A1 - Karin De Ridder A1 - Johan Vanoverloop A1 - Herman Van Oyen A1 - Bruyère, Olivier A1 - Johan Van der Heyden KW - Administrative data KW - Competing risk analysis KW - Institutionalization KW - Linkage KW - Nursing home admission KW - older adults KW - predictors VL - 22 CP - 1 M3 - 10.1186/s12877-022-03496-4 ER - TY - RPRT T1 - Rapport CIVISANO-vragenlijst Duffel en Herselt Y1 - 2022 A1 - Yasemin Inaç A1 - Karin De Ridder A1 - Suzannah D’Hooghe KW - Diet KW - Food environments KW - municipal environment KW - Physical activity KW - physical activity environments KW - socioeconomic inequities AB -

Tussen mei en november 2021 hebben 331 maatschappelijk kwetsbare en 240 maatschappelijk niet-kwetsbare inwoners van de gemeenten Duffel en Herselt deelgenomen aan de vragenlijst, als onderdeel van het CIVISANO-project. De gegevens van deze deelnemers zijn geanalyseerd en worden uitvoerig besproken in dit rapport. Op basis van deze analyses kunnen dus enkele globale conclusies worden getrokken. Deze staan hieronder per thema samengevat:

PB - Sciensano CY - Brussels, Belgium ER - TY - JOUR T1 - Assessing polypharmacy in the older population: Comparison of a self‐reported and prescription based method JF - Pharmacoepidemiology and Drug Safety Y1 - 2021 A1 - Johan Van der Heyden A1 - Finaba Berete A1 - Françoise Renard A1 - Johan Vanoverloop A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Olivier Bruyère KW - Polypharmacy AB -

Purpose

To explore differences in the prevalence and determinants of polypharmacy in the older general population in Belgium between self-reported and prescription based estimates and assess the relative merits of each data source.

Methods

Data were used from participants aged ≥65 years of the Belgian national health survey 2013 (n = 1950). Detailed information was asked on the use of medicines in the past 24 h and linked with prescription data from the Belgian compulsory health insurance (BCHI). Agreement between polypharmacy (use or prescription ≥5 medicines) and excessive polypharmacy (≥10 medicines) between both sources was assessed with kappa statistics. Multinomial logistic regression was used to study determinants of moderate (5–9 medicines) and excessive polypharmacy (≥10 medicines) and over- and underestimation of prescription based compared to self-reported polypharmacy.

Results

Self-reported and prescription based polypharmacy prevalence estimates were respectively 27% and 32%. Overall agreement was moderate, but better in men (kappa 0.60) than in women (0.45). Determinants of moderate polypharmacy did not vary substantially by source of outcome indicator, but restrictions in activities of daily living (ADL), living in an institution and a history of a hospital admission was associated with self-reported based excessive polypharmacy only.

Conclusions

Surveys and prescription data measure polypharmacy from a different perspective, but overall conclusions in terms of prevalence and determinants of polypharmacy do not differ substantially by data source. Linking survey data with prescription data can combine the strengths of both data sources resulting in a better tool to explore polypharmacy at population level.

VL - 30 CP - 12 M3 - 10.1002/pds.5321 ER - TY - Generic T1 - Association between polypharmacy and mortality in the community-dwelling older population: a data linkage study Y1 - 2021 A1 - Johan Van der Heyden A1 - Finaba Berete A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Bruyère, Olivier A1 - Françoise Renard A1 - Rana Charafeddine JF - International Journal of Epidemiology VL - 50 CP - Supplement_1 M3 - 10.1093/ije/dyab168.675 ER - TY - JOUR T1 - COVID-19 and people who use drugs: Impact of the pandemic on general anxiety and depressive disorders among adults in Belgium. JF - J Affect Disord Y1 - 2021 A1 - L Van Baelen A1 - L. Gremeaux A1 - Jérôme Antoine A1 - Helena Bruggeman A1 - Lydia Gisle A1 - E Plettinckx A1 - Karin De Ridder KW - Adult KW - Anxiety KW - Belgium KW - COVID-19 KW - cross-sectional studies KW - dépression KW - Depressive Disorder KW - Humans KW - Male KW - Pandemics KW - Pharmaceutical Preparations KW - SARS-CoV-2 AB -

BACKGROUND: During previous pandemics people who use drugs (PWUD) were categorized among the most vulnerable. In the current study, firstly, we wanted to evaluate the impact of the COVID-19 crisis on the prevalence of anxiety and depressive disorders among PWUD. Furthermore, we wanted to compare the prevalence of these disorders with that of members from the general population who did not use drugs.

METHODS: We used a matched cohort design based on two separate repeated cross-sectional online surveys (April and November 2020) among PWUD and the general population. Results of GAD-7 and PHQ-9 were used as outcome variables. We calculated absolute and relative risks for matched pairs for both affective disorders, and logistic regression to compare affective disorders over both waves for PWUD.

RESULTS: In April, the prevalence of affective disorders was similar for PWUD and the general population. In November, the risks for anxiety disorders increased with 64% for PWUD compared to non-PWUD (RR = 1.64, 95%CI 1.42-1.88), whereas the risks for depressive disorders more than doubled (RR = 2.29, 95%CI 1.97-2.67). Having a job and being male were protective factors for PWUD for both anxiety and depressive disorders.

LIMITATIONS: As this study used self-reported data, GAD-7 and PHQ-9 give an indication of the presence of anxiety and depression which might differ from a clinician's judgement.

CONCLUSIONS: PWUD might be disproportionally affected by COVID-19. Health care providers should be attentive to substance use as an indicator for increased risk of mental health problems.

VL - 295 M3 - 10.1016/j.jad.2021.08.069 ER - TY - RPRT T1 - COVIMPACT Studie: Long COVID en de lichamelijke, psychische en sociale gevolgen – Resultaten van 3 maanden opvolging Y1 - 2021 A1 - Pierre Smith A1 - Rana Charafeddine A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Karin De Ridder A1 - Stefaan Demarest A1 - Dieter Van Cauteren KW - COVID-19 KW - Langdurige COVID ER - TY - RPRT T1 - Etude COVIMPACT : COVID long et ses implications physiques, mentales et sociales – Résultats du suivi à 3 mois Y1 - 2021 A1 - Pierre Smith A1 - Rana Charafeddine A1 - Sabine Drieskens A1 - Robby De Pauw A1 - Karin De Ridder A1 - Stefaan Demarest A1 - Dieter Van Cauteren KW - COVID-19 KW - long COVID KW - santé mentale KW - santé physique ER - TY - JOUR T1 - Identifying Belgian protein consumption typologies by means of clustering and classification to move towards personalized advices for sustainable and nutritious food choices JF - Appetite Y1 - 2021 A1 - Klara Van Mierlo A1 - Karin De Ridder A1 - Annemie Geeraerd VL - 166 M3 - 10.1016/j.appet.2021.105583 ER - TY - JOUR T1 - Physical activity, sugar-sweetened beverages, whole grain bread and insomnia among adolescents and psychological distress in adulthood: prospective data from the population-based HUNT studyAbstractBackgroundMethodsResultsConclusions JF - International Journal of Behavioral Nutrition and Physical Activity Y1 - 2021 A1 - Kleppang, Annette Løvheim A1 - Karin De Ridder A1 - Siri Håvås Haugland A1 - Tonje Holte Stea VL - 18 CP - 1 M3 - 10.1186/s12966-021-01215-7 ER - TY - JOUR T1 - Short-term impact of the COVID-19 confinement measures on health behaviours and weight gain among adults in Belgium JF - Archives of Public Health Y1 - 2021 A1 - Sabine Drieskens A1 - Nicolas Berger A1 - Stefanie Vandevijvere A1 - Lydia Gisle A1 - Elise Braekman A1 - Rana Charafeddine A1 - Karin De Ridder A1 - Stefaan Demarest KW - coronacrisis KW - obesitas KW - Obesity KW - overgewicht KW - Overweight VL - 79 CP - 1 M3 - 10.1186/s13690-021-00542-2 ER - TY - JOUR T1 - Ten-year changes in diet quality among adolescents and young adults (Food Consumption Survey 2004 and 2014, Belgium). JF - Eur J Nutr Y1 - 2021 A1 - Lucille Desbouys A1 - Manon Rouche A1 - Karin De Ridder A1 - Camille Pedroni A1 - Katia Castetbon KW - ADOLESCENT KW - Adult KW - Belgium KW - Diet KW - Energy Intake KW - Food Preferences KW - Humans KW - NUTRITION SURVEYS KW - Nutritive Value KW - Surveys and Questionnaires KW - Young adult AB -

PURPOSE: To estimate the 10-year change in the overall nutritional quality of adolescent and young adult's diet, as measured by the modified Nutrient Profiling System of the British Food Standards Agency individual Dietary Index (FSAm-NPS-DI) which funds the Nutri-Score development, and in different components of this score, overall and according to the individual characteristics.

METHODS: Two 24-h dietary recalls were carried out in 15- to 39-year-old respondents included in the Belgian Food Consumption Surveys in 2004 (n = 1186) and 2014 (n = 952). The weighted mean individual FSAm-NPS-DI was computed from all foods and beverages consumed, converted into a scale from 0 to 100 (from the poorest to the most favorable diet), and compared between survey years. Subject characteristics associated with the score, along with the mean daily intake of food groups, energy, and nutrients were explored in multiple linear regressions stratified by survey year and age group.

RESULTS: The weighted mean daily FSAm-NPS-DI significantly increased between 2004 and 2014 [2004: 55.3 (SEM: 0.2) vs. 2014: 57.4 (0.5), P < 0.001 in 15- to 18-year olds; 55.0 (0.6) vs. 58.1 (0.4), P < 0.001 in 19- to 25-year olds; 57.1 (0.4) vs. 58.5 (0.3), P < 0.01 in 26- to 39-year olds]. SFA intake decreased in all age groups, and sugar-sweetened beverage, sugar, sodium, and fiber intakes decreased among 15‒18-year olds. The nutritional quality changed unevenly according to sociocultural characteristics, levels of education and regions being the main sources of disparities.

CONCLUSION: The quality of diet improved overall between 2004 and 2014 among young people in Belgium, an uneven change that need to be confirmed in future surveys, following the implementation of the Nutri-Score.

VL - 60 CP - 6 M3 - 10.1007/s00394-021-02499-y ER - TY - JOUR T1 - Use of health care services by people with substance use disorders in Belgium: a register-based cohort study JF - Archives of Public Health Y1 - 2021 A1 - L Van Baelen A1 - E Plettinckx A1 - Jérôme Antoine A1 - Karin De Ridder A1 - Brecht Devleesschauwer A1 - L. Gremeaux AB -

The objective of the study was to describe the frequencies of health-care utilization by people with substance use disorder (SUD), including contacts with general practitioners (GP), psychiatrists, emergency departments (ED) and hospital admissions and to compare this frequency to the general population.

VL - 79 SN - 2049-3258 CP - 1 ER - TY - JOUR T1 - Vaccine effectiveness against infection and onwards transmission of COVID-19: Analysis of Belgian contact tracing data, January-June 2021. JF - Vaccine Y1 - 2021 A1 - Toon Braeye A1 - Laura Cornelissen A1 - Lucy Catteau A1 - Freek Haarhuis A1 - Kristiaan Proesmans A1 - Karin De Ridder A1 - Achille Djiena A1 - Romain Mahieu A1 - Frances De Leeuw A1 - Alex Dreuw A1 - Hammami, Naïma A1 - Sophie Quoilin A1 - Herman Van Oyen A1 - Chloé Wyndham-Thomas A1 - Dieter Van Cauteren KW - Belgium KW - Contact Tracing KW - COVID-19 KW - Humans KW - SARS-CoV-2 KW - vaccines AB -

In Belgium, high-risk contacts of an infected person were offered PCR-testing irrespective of their vaccination status. We estimated vaccine effectiveness (VE) against infection and onwards transmission, controlling for previous infections, household-exposure and temporal trends. We included 301,741 tests from 25 January to 24 June 2021. Full-schedule vaccination was associated with significant protection against infection. In addition, mRNA-vaccines reduced onward transmission: VE-estimates increased to >90% when index and contact were fully vaccinated. The small number of viral-vector vaccines included limited interpretability.

VL - 39 CP - 39 M3 - 10.1016/j.vaccine.2021.08.060 ER - TY - RPRT T1 - BELCOHORT. Opportunities for a population-based cohort in Belgium Y1 - 2020 A1 - Nienke Schutte A1 - Johan Van der Heyden A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - Herman Van Oyen ER - TY - Generic T1 - Brief assessment of (in)direct questions on domestic/partner violence in the Belgian HIS 2013-2018 Y1 - 2020 A1 - Sabine Drieskens A1 - Stefaan Demarest A1 - Karin De Ridder AB -

Background

Domestic and partner violence have considerable physical and mental consequences for the victims. The Belgian Health Interview Survey (HIS) 2013 previously evaluated a combination of two (indirect) related questions as an appropriate tool to assess domestic and partner violence in the general population. A more direct approach in the HIS 2018 will be compared with the HIS 2013 deduction method.

Methods

The HIS is a cross-sectional survey in a representative population sample. The more sensitive subjects like domestic and partner violence are part of the self-administered questionnaire. In 2013 the indicator related to domestic violence was derived from the question whether the perpetrators was a member of the household; for the indicator on partner violence also the household composition was taken into account. For the HIS 2018, the question has been adapted. It was specifically asked who the perpetrator was (i.e. unknown, colleague, acquaintance, friend, (ex-)partner, parents, children) from where easily these two indicators could be defined. Proportions are compared.

Results

In 2018, 1.0% of the population aged 15+ indicated being victim of domestic violence in the past 12 months, which is in line with the proportion found in 2013 (1.1%). However, for partner violence there is a difference in the proportions. In 2018, 0.6% of the population 18-74 years indicated being victim of partner violence in the past 12 months, which is only half of the proportion found in 2013 (1.3%).

Conclusions

For assessing domestic violence, defining perpetrators as members of the household or detailed questioning about the relationship towards the perpetrator produce similar results. For distinguishing partner violence, the estimations benefit from directly defining the relationship towards the perpetrator.

JF - 16th World Congress on Public Health 2020 in Rome ER - TY - JOUR T1 - The Cost of Diets According to Their Caloric Share of Ultraprocessed and Minimally Processed Foods in Belgium. JF - Nutrients Y1 - 2020 A1 - Stefanie Vandevijvere A1 - Camille Pedroni A1 - Karin De Ridder A1 - Katia Castetbon AB -

BACKGROUND: This study estimated the monetary cost of diets with higher and lower caloric shares of ultraprocessed food products (UPF) and unprocessed/minimally processed foods (MPF) in Belgium for various sociodemographic groups.

METHODS: Data from the latest nationally representative Food Consumption Survey (FCS) 2014-2015 ( = 3146; 3-64 years) were used. Dietary data were collected through two nonconsecutive 24-hour recalls (food diaries for children). Average prices for >2000 food items (year 2014) were derived from GfK ConsumerScan panel data and linked with foods consumed in the FCS. Foods eaten were categorized by their extent of processing using the NOVA classification. The average caloric share (percentage of daily energy intake) of UPF and MPF were calculated. The mean diet cost was compared across the UPF and MPF contribution tertiles, using linear regression.

RESULTS: The average price per 100 kcal for UPF was significantly cheaper (EUR 0.55; 95%CI = 0.45-0.64) than for MPF (EUR 1.29; 95% CI = 1.27-1.31). UPF contributed between 21.9% (female adults) and 29.9% (young boys), while MPF contributed between 29.5% (male adolescents) and 42.3% (female adults) to the daily dietary cost. The contribution of MPF to the daily dietary cost was significantly higher for individuals with a higher household education level compared to those with a lower household education level ( < 0.01). Adjusted for covariates, the average dietary cost per 2000 kcal was significantly lower for individuals in the highest compared to the lowest tertile for the proportion of daily energy consumed from UPF (EUR -0.37 ± 0.13; = 0.006), and significantly higher for individuals in the highest compared to the lowest tertile for proportion of daily energy consumed from MPF (EUR 1.18 ± 0.12, < 0.001).

CONCLUSION: Diets with a larger caloric share of UPF were significantly cheaper than those with a lower contribution of these products, while the opposite was found for MPF. Policies that improve relative affordability and accessibility of MPF are recommended.

VL - 12 CP - 9 M3 - 10.3390/nu12092787 ER - TY - JOUR T1 - The Cost of Diets According to Their Caloric Share of Ultraprocessed and Minimally Processed Foods in Belgium JF - Nutrients Y1 - 2020 A1 - Stefanie Vandevijvere A1 - Camille Pedroni A1 - Karin De Ridder A1 - Katia Castetbon VL - 12 CP - 9 M3 - 10.3390/nu12092787 ER - TY - JOUR T1 - The effect of in‐session exposure in Fear‐Avoidance treatment of chronic low back pain: A randomized controlled trial JF - European Journal of Pain Y1 - 2020 A1 - Ryum, Truls A1 - Helge Hartmann A1 - Petter Borchgrevink A1 - Karin De Ridder A1 - Tore C. Stiles M3 - 10.1002/ejp.1659 ER - TY - JOUR T1 - Food cost and adherence to guidelines for healthy diets: evidence from Belgium. JF - Eur J Clin Nutr Y1 - 2020 A1 - Stefanie Vandevijvere A1 - Michelle Seck A1 - Camille Pedroni A1 - Karin De Ridder A1 - Katia Castetbon AB -

BACKGROUND/OBJECTIVES: Evidence on whether healthy diets are more expensive than less healthy diets is mixed. The relative cost of meeting healthy diet guidelines in Belgium was estimated.

SUBJECTS/METHODS: Data from the nationally representative food consumption survey (FCS) 2014-2015 (n = 3146; 3-64 years) were used. Dietary data were collected through two non-consecutive 24-h recalls (records for children). Average prices for >2000 foods were retrieved from the 2014 GfK ConsumerScan panel and linked with foods consumed in the FCS. Daily costs of meeting nutritional guidelines were estimated across age and household education level groups.

RESULTS: Processed meat contributed most (9.8%-14.4% dependent on age group) to the daily cost of diets. Soft drinks contributed to the daily cost more while fruits and vegetables contributed less for lower versus higher educated households. Compared to individuals not meeting any nutrient recommendations (sodium, saturated fat, free sugar, fibre), the average cost/2000 kcal was significantly higher for individuals meeting one (0.36 ± 0.11€, p = 0.001), two (0.87 ± 0.14€, p < 0.001) or three or more (1.44 ± 0.24€, p < 0.001) recommendations. Similarly, compared to individuals not meeting any of the food-based recommendations (fruit, vegetables, wholegrain, nuts and seeds, red meat, processed meat), the average cost/2000 kcal was significantly higher for individuals meeting three or more (1.04 ± 0.27€; p < 0.001) recommendations. For adults, diets meeting guidelines for vegetables were 20% and for fruits 10% more expensive than diets not meeting those guidelines.

CONCLUSIONS: The cost of diets of Belgian people meeting healthy diet guidelines is greater than of those not meeting guidelines. Policies that make healthy diets more affordable are recommended.

M3 - 10.1038/s41430-020-00815-z ER - TY - JOUR T1 - Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium. JF - Public Health Nutr Y1 - 2020 A1 - Stefanie Vandevijvere A1 - Karin De Ridder A1 - Sabine Drieskens A1 - Rana Charafeddine A1 - Finaba Berete A1 - Stefaan Demarest AB -

OBJECTIVE: To assess food insecurity and its association with changes in nutritional habits among Belgian adults during confinement due to COVID-19.

DESIGN: Three cross-sectional online health surveys were conducted during March-May 2020. Multinomial logistic regression models were used to determine associations between self-reported changes in fruit, vegetable, soft drink and sweet and salted snack consumption or weight as dependent variables and food insecurity indicators as independent variables, adjusted for gender, household composition, educational attainment and household income.

SETTING: Belgium.

PARTICIPANTS: 8640 adults recruited by convenience sampling.

RESULTS: About 10.4% of Belgians often or sometimes feared food shortages, 5.0% were often or sometimes short of food without money to buy more and 10.3% often or sometimes could not afford to eat a healthy diet during confinement. These percentages were highest among single-parent families (26.7%, 14.4% and 23.4% respectively). Adults who often or sometimes feared that food would run out during confinement had significantly higher odds of decreased versus unchanged fruit (3.53; 95%CI=2.06-6.05) and vegetable (5.42; 95%CI=2.90-10.11) consumption and significantly higher odds of increased versus unchanged soft drink consumption (3.79; 95%CI=2.20-6.54). Similar results were found for adults who often or sometimes ran out of food and for adults who often or sometimes were not able to afford a healthy diet.

CONCLUSION: Food insecurity during the COVID-19 confinement measures in Belgium was associated with adverse changes in most dietary behaviours. A strong government response is needed to tackle malnutrition and food insecurity to protect public health for ongoing and future pandemics.

M3 - 10.1017/S1368980020005005 ER - TY - JOUR T1 - Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium JF - Public Health Nutrition Y1 - 2020 A1 - Stefanie Vandevijvere A1 - Karin De Ridder A1 - Sabine Drieskens A1 - Rana Charafeddine A1 - Finaba Berete A1 - Stefaan Demarest M3 - 10.1017/S1368980020005005 ER - TY - JOUR T1 - Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants. JF - Lancet Y1 - 2020 A1 - NCD Risk Factor Collaboration A1 - Karin De Ridder AB -

Background: Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents.

Methods: For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5-19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence.

Findings: We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9-10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes-gaining too little height, too much weight for their height compared with children in other countries, or both-occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls.

Interpretation: The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks.

VL - 396 CP - 10261 M3 - 10.1016/S0140-6736(20)31859-6 ER - TY - JOUR T1 - Use of general health care by people with substance use disorders in Belgium (2008-2017) JF - European Journal of Public Health Y1 - 2020 A1 - L Van Baelen A1 - Brecht Devleesschauwer A1 - Karin De Ridder A1 - E Plettinckx A1 - L. Gremeaux VL - 30 CP - Supplement_5 M3 - 10.1093/eurpub/ckaa165.689 ER - TY - JOUR T1 - All-cause mortality rate of people in treatment for substance use disorders in Belgium: A register-based cohort study JF - Journal of Substance Use Y1 - 2019 A1 - L Van Baelen A1 - Jérôme Antoine A1 - Karin De Ridder A1 - E Plettinckx A1 - L. Gremeaux KW - all-cause KW - Belgium KW - mortality KW - substance use disorder KW - Treatment Demand Indicator VL - 24 CP - 5 M3 - https://doi.org/10.1080/14659891.2019.1604841 ER - TY - JOUR T1 - Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices. JF - BMJ Open Y1 - 2019 A1 - Nicole Boffin A1 - Viviane Van Casteren A1 - Karin De Ridder AB -

OBJECTIVES: First, to examine general practitioner (GP) knowledge about the care (needs) of their patients; second, to examine the quality of GP follow-up care; third, to examine the transmission of patient care information from hospitals/emergency services (ES) to GPs.

SETTING: 105 general practices from the representative Belgian Network of Sentinel General Practices (SGP) in Flanders, the largest region of Belgium, during 2013-2016.

PARTICIPANTS: 245 suicide attempts by regular patients.

OUTCOMES MEASURES: Ten care-related measures, including three indicators of quality of follow-up care, were based on data reported by the SGP on structured forms at baseline and at two follow-up points in time.

RESULTS: As for GP knowledge, 10.5% of SGP failed to report whether suicidal risk was noticed in patients seen in the month preceding the attempt; 9.0% whether there were previous attempts; 22.5% whether the patient was receiving mental health treatment at follow-up and 22.0% whether suicidal behaviour was repeated at follow-up. Relatively more patients≥65 years had no suicide risk evaluation (OR 3.54; 95% CI 1.11 to 11.26). As for quality of follow-up care, there was a GP-patient contact following 90.5% of the attempts, follow-up appointments were planned following 43.4% of the attempts and there was a GP contact with patient proxies following 62.8% of the attempts. Patient age ≥65 years (OR 4.09; 95% CI 1.79 to 9.33), a recent GP-patient contact preceding the attempt (OR 1.97; 95% CI 1.13 to 3.43), depression of patient (OR 1.96; 95% CI 1.14 to 3.37) and a suburban SGP area (OR 2.34; 95% CI 1.13 to 4.82) were determinants of an increased quality of care sum. GPs received patient care information from a hospital (ES) for 67.8% of eligible attempts, with SGP practice location being a determinant.

CONCLUSIONS: GPs are highly involved in the care of suicide attempters but there is room for improvement, also in informational continuity from hospital (ES) to GPs.

VL - 9 CP - 5 M3 - 10.1136/bmjopen-2018-028546 ER - TY - JOUR T1 - Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices JF - BMJ Open Y1 - 2019 A1 - Nicole Boffin A1 - Viviane Van Casteren A1 - Karin De Ridder VL - 9 CP - 5 M3 - 10.1136/bmjopen-2018-028546 ER - TY - JOUR T1 - Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices. JF - BMJ Open Y1 - 2019 A1 - Nicole Boffin A1 - Viviane Van Casteren A1 - Karin De Ridder AB -

OBJECTIVES: First, to examine general practitioner (GP) knowledge about the care (needs) of their patients; second, to examine the quality of GP follow-up care; third, to examine the transmission of patient care information from hospitals/emergency services (ES) to GPs.

SETTING: 105 general practices from the representative Belgian Network of Sentinel General Practices (SGP) in Flanders, the largest region of Belgium, during 2013-2016.

PARTICIPANTS: 245 suicide attempts by regular patients.

OUTCOMES MEASURES: Ten care-related measures, including three indicators of quality of follow-up care, were based on data reported by the SGP on structured forms at baseline and at two follow-up points in time.

RESULTS: As for GP knowledge, 10.5% of SGP failed to report whether suicidal risk was noticed in patients seen in the month preceding the attempt; 9.0% whether there were previous attempts; 22.5% whether the patient was receiving mental health treatment at follow-up and 22.0% whether suicidal behaviour was repeated at follow-up. Relatively more patients≥65 years had no suicide risk evaluation (OR 3.54; 95% CI 1.11 to 11.26). As for quality of follow-up care, there was a GP-patient contact following 90.5% of the attempts, follow-up appointments were planned following 43.4% of the attempts and there was a GP contact with patient proxies following 62.8% of the attempts. Patient age ≥65 years (OR 4.09; 95% CI 1.79 to 9.33), a recent GP-patient contact preceding the attempt (OR 1.97; 95% CI 1.13 to 3.43), depression of patient (OR 1.96; 95% CI 1.14 to 3.37) and a suburban SGP area (OR 2.34; 95% CI 1.13 to 4.82) were determinants of an increased quality of care sum. GPs received patient care information from a hospital (ES) for 67.8% of eligible attempts, with SGP practice location being a determinant.

CONCLUSIONS: GPs are highly involved in the care of suicide attempters but there is room for improvement, also in informational continuity from hospital (ES) to GPs.

VL - 9 CP - 5 M3 - 10.1136/bmjopen-2018-028546 ER - TY - JOUR T1 - Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices JF - BMJ Open Y1 - 2019 A1 - Nicole Boffin A1 - Viviane Van Casteren A1 - Karin De Ridder KW - care KW - GENERAL PRACTITIONER KW - observational study KW - suicide VL - 9 CP - 5 M3 - 10.1136/bmjopen-2018-028546 ER - TY - JOUR T1 - Comparison of risk-behaviors among young people who are not in education, employment or training (NEET) versus high school students. A cross-sectional study JF - Norsk Epidemiologi Y1 - 2019 A1 - Tonje H. Stea A1 - Karin De Ridder A1 - Siri Håvås Haugland KW - Adolescents KW - high school KW - LIFESTYLE KW - NEET VL - 28 CP - 1-2 M3 - 10.5324/nje.v28i1-2.3049 ER - TY - JOUR T1 - Consumption of ultra-processed food products and diet quality among children, adolescents and adults in Belgium JF - European Journal of Nutrition Y1 - 2019 A1 - Stefanie Vandevijvere A1 - Karin De Ridder A1 - Thibault Fiolet A1 - Sarah Bel A1 - Jean Tafforeau VL - 58 CP - 8 M3 - 10.1007/s00394-018-1870-3 ER - TY - JOUR T1 - Consumption of ultra-processed food products and diet quality among children, adolescents and adults in Belgium JF - European Journal of Nutrition Y1 - 2019 A1 - Stefanie Vandevijvere A1 - Karin De Ridder A1 - Thibault Fiolet A1 - Sarah Bel A1 - Jean Tafforeau KW - 2014-2015 KW - Belgium KW - food consumption survey KW - ultraprocessed food VL - 58 CP - 8 M3 - 10.1007/s00394-018-1870-3 ER - TY - JOUR T1 - Diagnostic hepatitis C testing of people in treatment for substance use disorders in Belgium between 2011 and 2014 : a cross-sectional study. JF - Acta Gastroenterol Belg Y1 - 2019 A1 - L Van Baelen A1 - Jérôme Antoine A1 - Karin De Ridder A1 - Gaetan Muyldermans A1 - L. Gremeaux KW - Belgium KW - cross-sectional studies KW - Hepacivirus KW - Hepatitis C KW - Humans KW - Mass Screening KW - Substance Abuse, Intravenous AB -

BACKGROUND: Hepatitis C prevalence figures for people who use drugs in Belgium are scarce, and particularly for people who inject drugs. The current study refines the existing HCV estimates by focussing on diagnostic HCV testing practices for this population at risk.

METHODS: The analysis is the result of a descriptive crosssectional study, based on data extracted from the linkage between a database of people in treatment for substance use disorders in Belgium and a database of the Belgian health insurance companies. By using national nomenclature codes for HCV tests, the number of people in treatment for substance use disorders who were tested on HCV, were estimated.

RESULTS: 18,880 out of 30,905 patients (61.1%) in treatment for substance use disorders between 2011 and 2014 have been screened at least once for HCV between 2008 and 2015. 58.0% of those who had never injected and 59.1% of those with an unknown injecting status were tested for HCV, compared to 86.5% of the patients who had recently injected and 84.5% of those who had ever injected. 36.8% of the people who had recently injected were tested for HCV RNA.

CONCLUSIONS: This study supports the need of a continued effort of health care providers to identify people infected with HCV. For a population at risk such as people who use drugs, regular screening is needed to reach the goal set by WHO of near viral elimination of HCV by 2030.

VL - 82 CP - 1 ER - TY - JOUR T1 - Food Consumption in Adolescents and Young Adults: Age-Specific Socio-Economic and Cultural Disparities (Belgian Food Consumption Survey 2014) JF - Nutrients Y1 - 2019 A1 - Lucille Desbouys A1 - Karin De Ridder A1 - Manon Rouche A1 - Katia Castetbon VL - 11 CP - 7 M3 - 10.3390/nu11071520 ER - TY - JOUR T1 - Food Consumption in Adolescents and Young Adults: Age-Specific Socio-Economic and Cultural Disparities (Belgian Food Consumption Survey 2014) JF - Nutrients Y1 - 2019 A1 - Lucille Desbouys A1 - Karin De Ridder A1 - Manon Rouche A1 - Katia Castetbon VL - 11 CP - 7 M3 - 10.3390/nu11071520 ER - TY - JOUR T1 - Habitual food consumption of the Belgian population in 2014-2015 and adherence to food-based dietary guidelines JF - Archives of Public Health Y1 - 2019 A1 - Sarah Bel A1 - Karin De Ridder A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline A1 - Koenraad Cuypers A1 - Jean Tafforeau KW - NUTRITION; nutritional guidelines; Belgium ER - TY - JOUR T1 - Habitual food consumption of the Belgian population in 2014-2015 and adherence to food-based dietary guidelines. JF - Arch Public Health Y1 - 2019 A1 - Sarah Bel A1 - Karin De Ridder A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline A1 - Koenraad Cuypers A1 - Jean Tafforeau KW - 2014-2015 KW - Adolescents KW - adults KW - CHILDREN KW - food consumption survey AB -

Background: Between 2014 and 2015 a second National Food Consumption Survey was conducted in Belgium in order to evaluate the habitual food consumption in the general Belgian population and to compare it with food-based dietary guidelines (FBDG) and results of the 2004 Food Consumption Survey.

Methods: A representative sample of the Belgian population was randomly selected from the National Population Register following a multistage stratified sampling procedure. Information on dietary intake was collected from 3146 subjects between 3 and 64 year old through two non-consecutive 24-hour dietary recalls using GloboDiet®. In addition, a self-administered food frequency questionnaire was completed. The distribution of habitual food consumptions and proportion of persons who did not meet the recommendations were estimated with SPADE.

Results: For most of food groups analysed, the habitual consumption did not comply with FBDG. The consumption of nutrient-poor and energy-dense foods (e.g. alcohol, soft drinks and snacks) was excessive (35% of total energy intake), while the consumption of most other food groups was below the minimum recommended. A large majority of the population had an inadequate consumption of dairy products (98%), vegetables (95%), fruit (91%), potatoes, rice and pasta (88%) bread and cereals (83%) and water and sugar-free drinks (73%). Males had higher consumption of most food groups than females, thereby complying more often with FBDG. For all food groups, except dairy products and fruit, the consumption increased with age. The proportion of individuals meeting FBDG was the highest among young children (3-5 years) and the worst among adolescents aged 14-17 years old. Habitual consumption remained stable between 2004 and 2014 in the population aged 15-64 years old for all food groups except for increased consumption of water and sugar-free drinks (1180 to 1289 g/d) and decreased consumption of spreadable and cooking fat (27 to 19 g/d), red meat (34 to 25 g/d) and bread and cereals (173 to 142 g/d).

Conclusions: The habitual food consumption of the Belgian population (3-64 years) in 2014-2015 deviates largely from FBDG, particularly among adolescents aged between 14 and 17 years old. Few improvements were observed between 2004 and 2014 in the population between 15 and 64 years old. Further efforts are therefore necessary to improve dietary habits in Belgium, in order to prevent and reduce diet-related diseases.

VL - 77 M3 - 10.1186/s13690-019-0343-3 ER - TY - JOUR T1 - Habitual food consumption of the Belgian population in 2014-2015 and adherence to food-based dietary guidelines JF - Archives of Public Health Y1 - 2019 A1 - Sarah Bel A1 - Karin De Ridder A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline A1 - Koenraad Cuypers A1 - Jean Tafforeau VL - 77 CP - 1 M3 - 10.1186/s13690-019-0343-3 ER - TY - RPRT T1 - Mineral oil migration from cardboard food contact materials: Hazard identification and exposure assessment of the Belgian population Y1 - 2019 A1 - Annelies Van Heyst A1 - Birgit Mertens A1 - Séverine Goscinny A1 - M Elskens A1 - Heidi Demaegdt A1 - Karin De Ridder A1 - Kathy Van Den Houwe A1 - I Boonen A1 - K Van Langenhove A1 - J Van de Maele A1 - M Michielsen A1 - Annick Evrard A1 - Stefanie Vandevijvere A1 - Sarah Bel A1 - Els Van Hoeck AB -

Op Belgisch niveau heeft het Nationaal Referentielaboratorium voor Contactmaterialen, Sciensano, een wetenschappelijk onderzoeksproject uitgevoerd over de migratie van minerale olie uit kartonverpakkingen, het Minoil project (Mineral oil migration from cardboard food contact materials: Hazard identification and exposure assessment of the Belgian population). De verkregen analyseresultaten werden in het kader van de Aanbeveling (EU) 2017/84 aan de EFSA gerapporteerd.

ER - TY - JOUR T1 - A novel approach to optimize vitamin D intake in Belgium through fortification based on representative food consumption data JF - The Journal of Nutrition Y1 - 2019 A1 - Isabelle Moyersoen A1 - Brecht Devleesschauwer A1 - Dekkers, Arnold A1 - Janneke Verkaik-Kloosterman A1 - Karin De Ridder A1 - Stefanie Vandevijvere A1 - Jean Tafforeau A1 - Herman Van Oyen A1 - Lachat, Carl A1 - Van Camp, John KW - Food intake KW - NUTRITION KW - Vitamin KW - vitamine D M3 - 10.1093/jn/nxz119 ER - TY - JOUR T1 - Rising rural body-mass index is the main driver of the global obesity epidemic in adults JF - Nature Y1 - 2019 A1 -  NCD-RisC A1 - Karin De Ridder VL - 569 CP - 7755 M3 - 10.1038/s41586-019-1171-x ER - TY - JOUR T1 - Consumption of ultra-processed food products and diet quality among children, adolescents and adults in Belgium JF - European Journal of Nutrition Y1 - 2018 A1 - Stefanie Vandevijvere A1 - Karin De Ridder A1 - Thibault Fiolet A1 - Sarah Bel A1 - Jean Tafforeau KW - Belgium KW - Food intake KW - NUTRITION KW - ultra-processed food ER - TY - JOUR T1 - Correction of self-reported BMI based on objective measurements: a Belgian experience JF - Arch Public Health Y1 - 2018 A1 - Sabine Drieskens A1 - Stefaan Demarest A1 - Sarah Bel A1 - Karin De Ridder A1 - Jean Tafforeau KW - BMI VL - 76 CP - 10 ER - TY - JOUR T1 - Do current fortification and supplementation programs assure adequate intake of fat-soluble vitamins in Belgian infants, toddlers, pregnant women, and lactating women? JF - Nutrients Y1 - 2018 A1 - Isabelle Moyersoen A1 - Lachat, Carl A1 - Koenraad Cuypers A1 - Karin De Ridder A1 - Brecht Devleesschauwer A1 - Jean Tafforeau A1 - Stefanie Vandevijvere A1 - Margot Vansteenland A1 - Bruno De Meulenaer A1 - Van Camp, John A1 - Herman Van Oyen KW - Avitaminosis KW - Child Nutritional Physiological Phenomena KW - Child, Preschool KW - Diet Surveys KW - Dietary Supplements KW - Female KW - Food, Fortified KW - Humans KW - Infant KW - Infant Nutritional Physiological Phenomena KW - Infant, Newborn KW - Lactation KW - Male KW - Maternal Nutritional Physiological Phenomena KW - nutritional status KW - Pregnancy KW - Recommended Dietary Allowances KW - Solubility KW - Vitamin A KW - Vitamin D KW - Vitamin E KW - Vitamin K KW - Vitamins AB -

Adequate intakes of fat-soluble vitamins are essential to support the growth and development of the foetus, the neonate, and the young child. By means of an online self-administered frequency questionnaire, this study aimed to evaluate the intake of vitamins A, D, E, and K in Belgian infants ( = 455), toddlers ( = 265), pregnant women ( = 161), and lactating women ( = 165). The contribution of foods, fortified foods, and supplements on the total intake was quantified. 5% of toddlers, 16% of pregnant women, and 35% of lactating women had an inadequate vitamin A intake. Conversely, excessive vitamin A intakes were associated with consumption of liver (products). Furthermore, 22% of infants were at risk for inadequate vitamin D intake due to the lack of prophylaxis, while consumption of highly dosed supplements posed a risk for excessive intakes in 6%-26% of infants. Vitamin D intake in pregnant women and lactating women was inadequate (median of 51%, respectively, 60% of the adequate intake). In all groups, the risk for inadequate intake of vitamin E and K was low. Contribution of fortified foods to vitamin A, D, E, and K intake was minor, except in toddlers. National fortification strategies should be investigated as an alternative or additional strategy to prevent vitamin D and A deficiency. There is a need to revise and set uniform supplement recommendations. Finally, non-users of vitamin D prophylaxis need to be identified for targeted treatment.

VL - 10 CP - 2 M3 - 10.3390/nu10020223 ER - TY - Generic T1 - Do current fortification and supplementation programs assure adequate intake of vitamin A, D, E and K in Belgium? Y1 - 2018 A1 - Isabelle Moyersoen A1 - Karin De Ridder A1 - Brecht Devleesschauwer A1 - Stefanie Vandevijvere A1 - Koenraad Cuypers A1 - Jean Tafforeau A1 - A. Dekkers A1 - M Van Sleemland A1 - Bruno De Meulenaer A1 - Herman Van Oyen A1 - Lachat, Carl A1 - Van Camp, John KW - NUTRITION KW - Vitamin JF - Belgian Nutrtion Society annual conference CY - Brussels CP - Belgian Nutrition Society ER - TY - Generic T1 - Food contamination with pyrrolizidine alkaloids: the expected and the unexpected Y1 - 2018 A1 - J.F. Picron A1 - Séverine Goscinny A1 - Mélanie Herman A1 - Sarah Bel A1 - Karin De Ridder A1 - Els Van Hoeck KW - Belgium KW - exposure KW - Method validation KW - Pyrrolizidine alkaloids KW - UHPLC-MS/MS AB -

Pyrrolizidine alkaloids (PAs) and their N-oxides (PANOs) are natural toxins, exclusively biosynthesized by a wide variety of plant species (>6000). They are secondary plant metabolites against herbivores and are believed to be one of the most widely spread natural toxins. PAs and PANOs can become a significant public human health problem from the intake of contaminated food of botanical or animal origin. Human poisoning cases have been documented; they are characterized by acute and chronic liver damage, pulmonary hypertension, cardiac or kidneys injuries, and can lead to death. Therefore, the development of efficient analytical methods is required to detect and quantify PAs/PANOs in a large range of food items.

 

The Belgian Scientific Institute of Public Health (WIV-ISP) has directed a project aiming to report occurrence levels of PAs and PANOs in targeted food items to perform a dietary exposure assessment to these natural contaminants and evaluate if they can pose a health problem, filling a data gap at Belgium’s level. Analytical methods based on UHPLC separation and MS/MS detection were developed for the analysis of 16 PAs and 14 PANOs in honey and honey based snacks, meat and meat products, milk and dairy commodities, prepared dishes, sauces, plant based products, dry teas and corresponding infusions, and food supplements. The sample preparation protocols were comprised of an acidic solid-liquid extraction of the analytes followed by SPE clean-up to avoid loss of sensitivity due to matrix effect. Several steps were carefully optimized for each targeted food matrices with a specific focus on very low limits of quantification (LOQs < 1 ng/g or ng/mL), taking into account the various interfering compounds to discard. The analytical methods were validated in-house and the method’s performances were within the criteria allowed by Directive 2002/657/CE and SANTE/11945/2015. A structured sampling plan has been established for more than 1,200 samples available on the Belgian market.

 

The analytical results showed that PAs/PANOs contamination in food is recurrent, with maximum levels ranging from 16 pg/g (ppt) in dairy products to several ppm in plant-based food supplements and dried culinary herbs. Surprisingly, high levels of heliotrine-type PAs/PANOs (>1000 ng/g) were detected in 2 Mediterranean spices/herbs mixes and certain salad mixes were also contaminated with significant levels of senecionine-type compounds. More than 85% of plant-based food supplements contained PAs/PANOs, with levels up to 557,000 ng/g. An original approach enabled us to demonstrate that only a part of the PAs/PANOs contamination is transferred during the brewing process of (herbal) teas (15-25%). This transfer rate contrasts with the conventional strategy used by the European Food Safety Authority (EFSA) consisting of applying a dilution factor to the PAs concentration found in the dry plant products to estimate the contamination level of the infusions.

 

The quantitative results for the different food groups were linked to the actual consumption data for different age groups from the Belgian population to assess their dietary intake to those natural contaminants. It appeared that milk and dairy products were by far the main contributors to the overall PAs/PANOs intake for each age category, even though the concentration levels detected in this food group were the lowest.

JF - ICEPRAR 2018 CY - Mahdia - Tunisia ER - TY - JOUR T1 - Longitudinal pharmacoepidemiological and health services research for substance users in treatment: protocol of the Belgian TDI-IMA linkage. JF - Arch Public Health Y1 - 2018 A1 - L Van Baelen A1 - Karin De Ridder A1 - Jérôme Antoine A1 - L. Gremeaux AB -

Background: Not much is known about the health seeking behavior of people with substance use disorders before they enter specialized treatment and afterwards. This paper explains in detail the protocol that has been followed to establish the Belgian TDI-IMA-database, which is linking two separate databases: the Treatment Demand Indicator (TDI) and the database of the Intermutualistic Agency (IMA). The Treatment Demand Indicator is measuring incidence of people with substance use disorders entering drug treatment. The IMA-database covers data, collected in the framework of the compulsory Belgian health care and benefits insurance program, on reimbursed medication and the use of reimbursed health services. The linkage results in pharmacoepidemiological and health service data for people who were in treatment for substance use disorders and for a group of comparators.

Methods: The TDI-database was linked to the IMA-database for the period between 01/01/2008 and 31/12/2017, based on the national identification number of patients who have been in alcohol or drug treatment between 01/01/2011 and 31/12/2014. Through this linkage, pharmacoepidemiological and health service data became available for at least 3 years before the first registered episode in the TDI-database till at least 3 years after the first episode. For each person in TDI four comparators, who were not in specialized treatment, were matched on age, sex and place of residence.

Discussion: The TDI-IMA-database allows for an analysis of health seeking behavior and health care pathways of people before and after they entered specialized alcohol and drug treatment. The presented protocol could be used in other European countries to establish a linkage between existing health databases. This will allow for a better understanding of the health care needs of patients with substance use disorders.

VL - 76 M3 - https://doi.org/10.1186/s13690-017-0249-x ER - TY - Generic T1 - UHPLC-MS/MS methods for the quantification of pyrrolizidine alkaloids in a wide range of food matrices and exposure assessment for the Belgian population Y1 - 2018 A1 - J.F. Picron A1 - Séverine Goscinny A1 - Mélanie Herman A1 - Sarah Bel A1 - Karin De Ridder A1 - Els Van Hoeck KW - Belgium KW - exposure KW - food KW - Method validation KW - Pyrrolizidine alkaloids KW - UHPLC-MS/MS AB -

Pyrrolizidine alkaloids (PAs) and their N-oxides (PANOs) are natural toxins, exclusively biosynthesized by a wide variety of plant species (>6000). They are secondary plant metabolites against herbivores and are believed to be one of the most widely spread natural toxins. PAs and PANOs can become a significant public human health problem from the intake of contaminated food of botanical or animal origin. Human poisoning cases have been documented; they are characterized by acute and chronic liver damage, pulmonary hypertension, cardiac or kidneys injuries, and can lead to death. Therefore, the development of efficient analytical methods is required to detect and quantify PAs/PANOs in a large range of food items.

 

The Belgian Scientific Institute of Public Health has directed a project aiming to report occurrence levels of PAs and PANOs in targeted food items to perform a dietary exposure assessment to these natural contaminants and evaluate if they can pose a health problem, filling a data gap at Belgium’s level. Analytical methods based on UHPLC separation and MS/MS detection were developed for the analysis of 16 PAs and 14 PANOs in honey and honey based snacks, meat and meat products, milk and dairy commodities, prepared dishes, sauces, plant based products, infusions and food supplements. The sample preparation protocols were comprised of an acidic solid-liquid extraction of the analytes followed by SPE clean-up to avoid loss of sensitivity due to matrix effect. Several steps were carefully optimized for each targeted food matrices with a specific focus on very low limits of quantification (LOQs < 1 ng/g or ng/mL), taking into account the various interfering compounds to discard. The analytical methods were validated in-house and the method’s performances were within the criteria allowed by Directive 2002/657/CE and SANTE/11945/2015. A structured sampling plan has been established for more than 1,200 samples available on the Belgian market.

 

The presentation will describe the analytical strategies deployed for the different food matrices, including some original approaches, and will highlight the critical parameters to obtain the best method sensitivity. Then, we will go through the analytical results and the unexpected ones in particular. Finally, the dietary intake of PAs/PANOs for different age groups from the Belgian population and the contribution of each food category will be discussed.

JF - Analytica Conference CY - Munich - Germany ER - TY - JOUR T1 - Utilization of gabapentin by people in treatment for substance use disorders in Belgium (2011-2014): a cross-sectional study. JF - Arch Public Health Y1 - 2018 A1 - L Van Baelen A1 - Karin De Ridder A1 - Jérôme Antoine A1 - L. Gremeaux AB -

Background: Although gabapentin has been licensed in the European Union only for neuropathic pain and epilepsy for patients who have partial seizures, it has also been prescribed in treatment for substance use disorders. Many studies report the potential risk of abuse of gabapentin by people with substance use disorders. The objective of this paper is to determine if people who have been in treatment for substance use disorders bought gabapentin in a time span that could indicate consumption at a dose that exceeded the maximum approved dose of 3600 mg/day.

Methods: This analysis is the result of an observational cross-sectional descriptive study with matching. Two datasets were used and linked at individual level. Subjects were selected based on their first registration in the database of the Treatment Demand Indicator (TDI) between 2011 and 2014, without any exclusion criteria concerning nationality or age. Through linkage with the database of the InterMutualistic Agency (IMA) information on health service use and medication use was determined. In addition, each subject was matched on age, sex and place of residence to four comparators from the general population who were not in specialized treatment. The prevalence of gabapentin purchases in the period between 2008 and 2014 for both populations were compared. Quantification of the amount of gabapentin between two consecutive purchases was used as a proxy for potential abuse.

Results: Out of 30,905 patients in treatment for substance use disorders 2.7% had bought at least once gabapentin in a public pharmacy or received it from a hospital pharmacy, compared to 0.7% in the comparison group ( = 122,142). In both populations, more than half of the patients bought only once or twice gabapentin and about 10.0% bought at least once gabapentin in a time span that could indicate potential abuse. A limitation of the study is that it is only based on reimbursed medication without clinical information.

Conclusion: Through the linkage of the TDI-database and the database of the Belgian health insurance companies, no evidence was found for regular abuse of prescribed gabapentin in Belgium by people in treatment for substance use disorders.

VL - 76 M3 - https://doi.org/10.1186/s13690-018-0254-8 ER - TY - JOUR T1 - The added value of food frequency questionnaire (FFQ) information to estimate the usual food intake based on repeated 24-hour recalls JF - Archives of Public Health Y1 - 2017 A1 - Cloë Ost A1 - Karin De Ridder A1 - Jean Tafforeau A1 - Herman Van Oyen KW - 24-hour recall KW - episodically consumed foods KW - FFQ KW - food consumption survey KW - food frequnecy questionnaire KW - never-consumers KW - Spade KW - statistical modeling methods KW - usual intake AB -

Background

Statistical methods to model the usual dietary intake of foods in a population generally ignore the additional information on the never-consumers. The objective of this study is to determine the added value of Food Frequency Questionnaire (FFQ) data allowing distinguishing the never-consumers from the non-consumers while modeling the usual intake distribution.

Methods

Three food items with a different proportion of never-consumers were selected from the database of the Belgian food consumption survey of 2004 (N = 3200). The usual intake distribution for these food items was modeled with the Statistical Program for Analysis of Dietary Exposure (SPADE) and modeling parameters were extracted. These parameters were used to simulate (a) a new database with two 24-h recalls per respondent and (b) a “true” usual intake distribution. The usual intake distribution from the new database was obtained by modeling the 24-h recalls with SPADE, once without and once with the inclusion of the FFQ data on the never-consumers. Ratios were calculated for the different percentiles of the usual intake distribution: the modeled usual intake (g/day) (for both SPADE with and without the inclusion of FFQ data on never-consumers) was divided by the corresponding percentile of the simulated “true” usual intake (g/day). The closer the ratio is to one, the better the model fits the data.

Results

Inclusion of the FFQ information to identify the never-consumers did not improve the estimation of the higher percentiles of the usual intake distribution. However, taking into account this FFQ information improved the estimation of the lower percentiles of the usual intake distribution even when the proportion of never-consumers was low.

Conclusions

The inclusion of FFQ information to identify the never-consumers is beneficial when interested in the whole usual intake distribution or in the lower percentiles only, no matter how low the proportion of never-consumers for that food item may be. However, when interest is only in the higher percentiles of the usual intake distribution, inclusion of FFQ information to identify the never-consumers will have no benefit.

VL - 75 CP - 1 M3 - 10.1186/s13690-017-0214-8 ER - TY - Generic T1 - Correcting the self-reported BMI doesn't impact the socio-economic inequalities in obesity Y1 - 2017 A1 - Sabine Drieskens A1 - Stefaan Demarest A1 - Sarah Bel A1 - Karin De Ridder A1 - Jean Tafforeau KW - BMI KW - VALIDATION JF - European Public Health Conference CY - Stockholm ER - TY - RPRT T1 - Dietary exposure to pyrrolizidine alkaloids in young children and adults from the Belgian population (PASFOOD) Y1 - 2017 A1 - J.F. Picron A1 - Karin De Ridder A1 - Els Van Hoeck A1 - Mirjana Andjelkovic A1 - Séverine Goscinny KW - adults KW - Belgium KW - CHILDREN KW - Diet KW - exposure KW - Pyrrolizidine alkaloids AB -

PASFOOD’s first objective was to report occurrence levels of pyrrolizidine alkaloids (PAs) and N-oxide (PANOs) in targeted food items on the Belgian market in order to perform a dietary intake assessment to these natural hepatotoxic protoxins for the Belgian population. Indeed, these contaminants can be transferred to food of vegetal/ animal origin and could become a potential Public Health issue. Therefore, the development of efficient analytical methods was required to detect the presence of PAs at ppb or even ppt levels.

 

Analytical methods based on analytes extraction and SPE purification, followed by UPLC separation and MS/MS detection were developed at WIV-ISP for the analysis of 16 PAs and 14 PANOs. The sample preparation and instrumental methods were optimized to obtain the best method sensitivity. Nine analytical methods were validated in-house and the validation parameters met the critical validation criteria allowed by Directive 2002/657/CE and SANTE/11945/2015 in the vast majority of cases. Moreover, the LOQs achieved were often lower than those required in the project call.

 

A structured sampling plan has been established for more than 1100 samples sold on the Belgian market covering 7 food groups (700 samples were initially foreseen). The targeted food commodities were broadly diversified: honey, honey based snacks & sweets, milk, dairy products, (processed) meat, liver products, pre-packaged salads, mixes of herbs & spices, (herbal) teas, ice-teas and beehive products based – & plant based food supplements. It is noteworthy that we have had the opportunity to access all honeys produced in Belgium.

 

The generated PAs/PANOs occurrence data were compared to the one published by EFSA. Retail honeys were more contaminated than Belgian samples, and high levels of europine were detected for the first time in this matrix. The PAs observed in positive samples among the Belgian honeys were in agreement with the recurrent flora in the country. Honey based sweets & snacks were barely contaminated. In contrast with the data reported by EFSA, the contamination in food items of animal origin (milk, dairy products & meat products) was dominated by N-oxides, which calls in question the results reported in previous studies that stated that PANOs would be degraded or converted to PAs in the course of digestion of the plant material by rumen. However, the levels detected in these matrices were low (ppt range). Consistently with the main target organ of PAs/PANOs, liver products were the most contaminated amongst the meat samples, and mainly products based on duck meat. Surprisingly, very high concentrations of heliotrine-type compounds (ppm range) were detected in herbs mixes for pizza & spaghetti. Some salad mixes were also contaminated with unexpected PA producing botanicals. To the best of our knowledge, only very few studies have focused on the detection of PAs and PANOs in salads and herbs/spices. In light of the results, these matrices should be further investigated. Teas & herbal teas frequently contained high levels of a wide range of PA contaminants. An original spiking experiment enabled to highlight the fact that the transfer of PAs/PANOs from dry (herbal) tea to the infusion in the course of the brewing process was not total: only 16 to 26% of the contamination was transferred to the infusion. This new approach to quantify PAs/PANOs in (herbal) infusions contrasts significantly with the conventional strategy used by EFSA, that only apply a dilution factor from the concentration in the dry plant product to evaluate the contamination of the infusion. As a result, major discrepancies with previously reported concentration values appeared: the contamination levels are lower but much more realistic. Finally, plant based food supplements contained massive concentrations of PA contaminants, but their concentration is highly dependent of the presence of PA producing plants. Indeed, some illegal botanicals according to AR 29/08/97 were found in food supplements bought online and FASFC has been notified for exceeding PA tolerated levels. The contamination in beehive products based food supplements was dominated by pollen samples; other formulations were largely less contaminated. For all studied matrices, the major contributors were senecione-type and lycopsamine-type PAs/PANOs.

 

The dietary intake assessment was performed by coupling the analytical concentration levels with the data on Belgian dietary intake. When using a refined scenario for the classification of food items, the PAs/PANOs intake fell for a factor 4 compared to a more global scenario. The estimates of the mean intake and the 95th percentile fell within the calculated range of EFSA: between the median and the maximal estimates for all age groups. Despite very low concentrations detected, milk and dairy products were the main contributor to the PAs/PANOs intake, whereas food supplements were anecdotal but presented the higher concentration levels.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - JOUR T1 - Fat soluble vitamin intake from the consumption of food, fortified food and supplements: design and methods of the belgian Vitadek-study JF - Archives of Public Health Y1 - 2017 A1 - Isabelle Moyersoen A1 - Stefaan Demarest A1 - Sarah Bel A1 - Karin De Ridder A1 - Jean Tafforeau KW - Food intake KW - vitamine D KW - Vitamins ER - TY - JOUR T1 - Fat-soluble vitamin intake from the consumption of food, fortified food and supplements: design and methods of the Belgian VITADEK study. JF - Arch Public Health Y1 - 2017 A1 - Isabelle Moyersoen A1 - Stefaan Demarest A1 - Karin De Ridder A1 - Jean Tafforeau A1 - Lachat, Carl A1 - Van Camp, John AB -

BACKGROUND: The adequacy of micronutrient intake is a public health concern, as both insufficient and excessive intake levels may result in adverse health effects. Data on dietary intake are needed to evaluate potential problems regarding inadequate intake at population level and to formulate effective public health and food safety recommendations. Assessing the intake of micronutrients in population subgroups such as infants, toddlers, pregnant and lactating women is challenging and requires specific approaches. This paper describes the Belgian VITADEK study, developed to assess fat-soluble vitamin intake from the consumption of food, fortified foods and supplements in four vulnerable groups namely infants, toddlers, pregnant and lactating women.

METHODS: Subjects were selected according to a multi-stage stratified sampling design with a selection of clusters proportionate to the population size. Recruitment occurred in collaboration with Belgian child health consultation centres and obstetric clinics. Participants were asked to complete a self-administered online food frequency questionnaire (FFQ) or to answer the questionnaire by phone if online participation was not possible. The questionnaire was tailored to the specific diet of the different target populations. In order to capture vitamin intake from the consumption of foods, fortified foods and supplements, a market study was conducted to take an inventory of the fortified foods and supplements available on the Belgian market. The food list of the FFQ was based on both this inventory and the top 90% food groups that contribute to fat-soluble vitamin intake. Since fortification differs at brand level, food groups and subgroups were split up to the level of the brand of foods. Brand pictures were used as mnemonics to facilitate the recall of the consumed food items and portion pictures were used to facilitate the reproduction of the consumed portion sizes. Finally a composition table was compiled allowing for the computation of vitamin intake from all sources providing as such more accurate estimates of fat-soluble vitamin intake.

DISCUSSION: The results will allow assessing inadequate micronutrient intake by comparison of vitamin intake with dietary reference values. The data will further allow describing the most contributing food groups as well as the contribution of fortified foods and supplements to total vitamin intake. The data will enable evaluating whether infants, toddlers, pregnant and/or lactating women are reached by the actual Belgian fortification and supplementation programmes. Finally the retrieved data will reveal the potential for voluntary fortification and the need for future fortification and supplementation programmes.

VL - 75 U1 - http://www.ncbi.nlm.nih.gov/pubmed/28523125?dopt=Abstract M3 - 10.1186/s13690-017-0199-3 ER - TY - JOUR T1 - Intake of Fat-Soluble Vitamins in the Belgian Population: Adequacy and Contribution of Foods, Fortified Foods and Supplements. JF - Nutrients Y1 - 2017 A1 - Isabelle Moyersoen A1 - Brecht Devleesschauwer A1 - Dekkers, Arnold A1 - Karin De Ridder A1 - Jean Tafforeau A1 - Van Camp, John A1 - Herman Van Oyen A1 - Lachat, Carl AB -

A key challenge of public health nutrition is to provide the majority of the population with a sufficient level of micronutrients while preventing high-consumers from exceeding the tolerable upper intake level. Data of the 2014 Belgian food consumption survey (n = 3200) were used to assess fat-soluble vitamin (vitamins A, D, E and K) intake from the consumption of foods, fortified foods and supplements. This study revealed inadequate intakes for vitamin A, from all sources, in the entire Belgian population and possible inadequacies for vitamin D. The prevalence of inadequate intake of vitamin A was lowest in children aged 3-6 (6-7%) and highest in adolescents (girls, 26%; boys, 34-37%). Except for women aged 60-64 years, more than 95% of the subjects had vitamin D intake from all sources below the adequate intake (AI) of 15 μg/day. The risk for inadequate intake of vitamins K and E was low (median > AI). Belgian fortification and supplementation practices are currently inadequate to eradicate suboptimal intakes of vitamins A and D, but increase median vitamin E intake close to the adequate intake. For vitamin A, a small proportion (1-4%) of young children were at risk of exceeding the upper intake level (UL), while for vitamin D, inclusion of supplements slightly increased the risk for excessive intakes (% > UL) in adult women and young children. The results may guide health authorities when developing population health interventions and regulations to ensure adequate intake of fat-soluble vitamins in Belgium.

VL - 9 CP - 8 U1 - http://www.ncbi.nlm.nih.gov/pubmed/28800115?dopt=Abstract M3 - 10.3390/nu9080860 ER - TY - JOUR T1 - Intake of Fat-Soluble Vitamins in the Belgian Population: Adequacy and Contribution of Foods, Fortified Foods and Supplements JF - Nutrients Y1 - 2017 A1 - Isabelle Moyersoen A1 - Brecht Devleesschauwer A1 - Dekkers, Arnold A1 - Karin De Ridder A1 - Jean Tafforeau A1 - Van Camp, John A1 - Herman Van Oyen A1 - Lachat, Carl KW - Food intake KW - Vitamin D KW - Vitamins VL - 9 CP - 8 ER - TY - RPRT T1 - Developments and trends on drugs 2015. Synthesis report by the Belgian Reitox National Focal Point Y1 - 2016 A1 - E Plettinckx ED - Jérôme Antoine KW - demand KW - harm reduction KW - illicit substances KW - prevention KW - supply KW - treatment KW - use PB - WIV-ISP CY - Brussels ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015 Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Cloë Ost A1 - Teppers, Eveline A1 - Jean Tafforeau ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015, partie 4 : consommation alimentaire Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline KW - alimentaire KW - consommation KW - Enquête AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

PB - WIV-ISP CY - Bruxelles, Belgique ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015. Rapport 2 : sécurité alimentaire Y1 - 2016 A1 - Thérésa Lebacq A1 - Teppers, Eveline A1 - Sarah Bel A1 - Karin De Ridder A1 - Cloë Ost KW - België KW - food consumption survey KW - Food Safety KW - NUTRITION AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015. Rapport 3 : activité physique et sédentarité. Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Thérésa Lebacq A1 - Teppers, Eveline KW - België KW - food consumption survey KW - Physical activity KW - Sedentary Behavior AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015, rapport 4: consommation alimentaire Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Thérésa Lebacq A1 - Isabelle Moyersoen A1 - Cloë Ost A1 - Teppers, Eveline PB - Institut Scientifique de Santé Publique CY - Bruxelles VL - 4 UR - https://fcs.wiv-isp.be/fr/SitePages/R%C3%A9sultats.aspx ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015. Résumé des résultats Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Cloë Ost A1 - Teppers, Eveline KW - food behavior KW - food consumption survey KW - Food intake KW - NUTRITION KW - nutritional habits KW - Obesity AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

JF - Résumé des résultats 2014-2015 PB - WIV-ISP CY - Brussels, Belgium SN - D/2016/2505/51 ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015. Résumé Rapport 3 : activité physique et sédentarité. Y1 - 2016 A1 - Karin De Ridder KW - België KW - food consumption survey KW - Physical activity KW - Sedentary Behavior AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Enquête de consommation alimentaire 2014-2015. Résumé rapport 4: la consommation alimentaire Y1 - 2016 A1 - Karin De Ridder A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline A1 - Brocatus, Loes KW - België KW - food consumption survey KW - nutrient intake AB -

L’alimentation et les habitudes alimentaires revêtent une importance majeure en termes de santé publique. Celles-ci constituent, en effet, des déterminants importants dans le développement de maladies non transmissibles telles que le diabète, les maladies cardiovasculaires et le cancer. Il est donc nécessaire de disposer d’une image correcte et récente de la consommation et des habitudes alimentaires dans notre pays afin de pouvoir orienter les politiques nutritionnelles en fonction des besoins de la population. La dernière enquête de consommation alimentaire menée en Belgique datait de 2004. Les habitudes alimentaires évoluant au cours du temps, il était nécessaire d’actualiser ces données. Une deuxième enquête a par conséquent été initiée en 2014 par la Ministre des Affaires Sociales et de la Santé publique et le Service Public Fédéral (SPF) Santé publique, Sécurité de la chaîne alimentaire et Environnement. Cette étude a été organisée, cofinancée et mise en oeuvre par l’Institut Scientifique de Santé Publique (WIV-ISP). L’enquête de consommation alimentaire 2014-2015 a pour objectif général de décrire la consommation et les habitudes alimentaires, ainsi que l’activité physique de la population de 3 à 64 ans résidant en Belgique. Cette enquête a pour atout de fournir, pour la première fois en Belgique, des résultats pour les enfants (3 à 9 ans) et adolescents (10 à 17 ans). Ceci est essentiel afin de soutenir le développement de mesures de prévention adaptées à ce groupe d’âge particulièrement vulnérable.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - JOUR T1 - General practice patients treated for substance use problems: a cross-national observational study in Belgium. JF - BMC Public Health Y1 - 2016 A1 - Nicole Boffin A1 - Jérôme Antoine A1 - S Moreels A1 - Simeon Wanyama A1 - Karin De Ridder A1 - Peremans, Lieve A1 - Vanmeerbeek, Marc A1 - Viviane Van Casteren KW - Adult KW - Belgium KW - Female KW - General practice KW - general practitioners KW - Humans KW - Male KW - Methadone KW - middle aged KW - Prescription Drugs KW - Substance-Related Disorders AB -

BACKGROUND: General Practitioners (GPs) are well placed to care for patients with (chronic) substance use problems. This pilot was carried out to study the feasibility and usefulness of a continuous surveillance of substance use problems among general practice patients. The objectives were (i) to describe variables with missing values exceeding 1% and whether patients were reported without substance-related problems; (ii) the profile and the magnitude of the patient population that is treated for substance use problems.

METHODS: Observational study by the Belgian Network of Sentinel General Practices (SGP) in 2013. Baseline (at the first encounter) and 7-month follow-up data were reported of all patients treated for substance use problems. Two main measurements were type of substance use and patient status at follow-up. Multiple logistic regression analysis was used to examine patient status at follow-up.

RESULTS: Of 479 patients, 47.2% had problems with alcohol alone, 20.3% with prescription drugs, 16.7% with illicit drugs other than heroin or methadone and 15.9% with heroin or methadone. Problems with alcohol alone were more prevalent in Flanders (53.0%; 95% confidence interval (CI) 46.8-59.1%) than in Wallonia-Brussels (39.8%; 95% CI 33.1-46.8%), while problems with heroin or methadone were more prevalent in Wallonia-Brussels (27.0%; 95% CI 21.1-33.5%) than in Flanders (7.1%; 95% CI 4.3-10.9%). At follow-up, 32.8% of the patients had dropped out, 29.0% had discontinued GP treatment and 38.2% had continued GP treatment. Overall, 32.4% of 479 patients had continued GP treatment for substance use problems during the study period. In Wallonia-Brussels, this proportion was higher (42.7%; 95% CI 35.9-49.6%) than in Flanders (24.3%; 95% CI 19.2-29.8%).

CONCLUSIONS: A continuous surveillance of the general practice population treated for substance use problems seems to be feasible and useful. The latter is suggested by the specific profile and the relative magnitude of the population. Inter-regional health system differences should be taken into account to estimate the epidemiology of substance use problems among general practice patients.

VL - 16 CP - 1 U1 - http://www.ncbi.nlm.nih.gov/pubmed/27927240?dopt=Abstract M3 - 10.1186/s12889-016-3885-0 ER - TY - Generic T1 - Misreporting of energy intake in the belgian food consumption surveys (2004-2014) Y1 - 2016 A1 - Sarah Bel A1 - Karin De Ridder A1 - Jean Tafforeau KW - bias KW - BMI KW - Diet KW - energy KW - exposure KW - food consumption survey KW - Food intake KW - intake KW - methods KW - NUTRITION KW - Obesity KW - Recall AB -

Background

Dietary assessment based on self-reported or proxy-reported data is often prone to misreporting, including both under- and over-reporting. Evaluation of this bias is crucial for correct interpretation of dietary exposure.

Methods

The prevalence and characteristics of misreporting of energy intake was investigated among 3096 participants (3-64 years old) in the Belgian National Food Consumption Survey 2014 (FCS2014). Information on food intake was collected with two non-consecutive 24-hour dietary recalls (GloboDiet®). Objective measures were obtained for anthropometric parameters. Misreporting was assessed using the Goldberg method. Additionally, the prevalence and size of underreporting was compared with FCS2004 for participants aged 15-64.

Results

Overall in 2014, 24.3% of participants underreported, 75.2% were plausible reporter and 0.5% overreported. Females underreported more often than males (OR 1.37; 95% CI 1.16-1.63). Under-reporting was less common in children (3-9 years) where parents reported dietary intake, than in adolescents (10-17 years) (OR 0.17; CI 0.12-0.26) and adults (18-64 years) (OR 0.49; CI 0.26-0.95) who self-reported. Obese participants underreported more often than overweight (OR 1.92; CI 1.45-2.55), normal weight (OR 3.71; CI 2.84-4.84) or underweight participants (OR 5.57; CI 3.37-9.21). Low educational level (OR 1.44; CI 1.21-1.71) and energy-restricted diet (OR 3.81; CI 2.40-6.03) increased the odds of under-reporting. The prevalence of underreporting was higher in 2014 (34%) than in 2004 (28%), but excluding under-reporters resulted in both FCS in an increase of the mean habitual energy intake of 300 kcal/day at population level. Further comparison with FCS2004 will be presented.

Conclusions

Underreporting of energy intake was associated with individual characteristics such as sex, age, BMI, educational level and diet. Proxy-reporting by parents resulted in less underreporting than self-reporting in adolescents and adults.

JF - European Public Health Conference CY - Vienna ER - TY - JOUR T1 - Physical activity and sedentary behavior in Belgium (BNFSC2014): design, methods and expected outcomes JF - Arch Public Health Y1 - 2016 A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Sarah Bel A1 - Brocatus, Loes A1 - Teppers, Eveline A1 - Koenraad Cuypers A1 - Jean Tafforeau A1 - Karin De Ridder VL - 74 CP - 44 ER - TY - RPRT T1 - Résumé des résultats Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline KW - food consumption survey KW - NUTRITION PB - WIV-ISP CY - Brussels, Belgium ER - TY - JOUR T1 - Treatment for substance use disorders: the Belgian Treatment Demand Indicator registration protocol. JF - Arch Public Health Y1 - 2016 A1 - Jérôme Antoine A1 - Karin De Ridder A1 - E Plettinckx A1 - Peter Blanckaert A1 - L. Gremeaux AB -

BACKGROUND: Registration of patients with substance use disorders is of key importance to get insights and to study trends in patients characteristics and substance use patterns. The Treatment Demand Indicator (TDI) is gathering this information at European level since 2000. In Belgium, this registration started at national level in 2011 and an increasing number of facilities of different types are participating in this data collection since then.

METHODS/DESIGN: This surveillance register collects information on every treatment episode started by patients for their substance use disorder. Information is collected on socio-demographic characteristics of the patient, treatment history and substance use patterns. Patients are identified uniquely using their national identification number in order identify multiple episodes followed by a same person. A large range of treatment facilities have the possibility to participate in this registration to allow a wide coverage of the population.

DISCUSSION: The objective of the paper is to facilitate the use of data by authorities or researchers by correctly describing all aspects of the indicator. The case definition, the variables collected and the way data should be reported are of key importance to use and interpret the data correctly. An overview of the data registered in 2014 gives also an idea of the content of the database. The article also pictures the strengths and limitations of the register and foresees some future improvements.

VL - 74 M3 - 10.1186/s13690-016-0139-7 ER - TY - RPRT T1 - Voedselconsumptie 2014-2015: Samenvatting van de resultaten Y1 - 2016 A1 - Karin De Ridder A1 - Sarah Bel A1 - Brocatus, Loes A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline KW - Belgian KW - food consumption survey AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

JF - Samenvatting van de resultaten PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Voedselconsumptiepeiling 2014-2015. Rapport 2: Voedselveiligheid Y1 - 2016 A1 - Thérésa Lebacq A1 - Teppers, Eveline A1 - Sarah Bel A1 - Karin De Ridder A1 - Cloë Ost KW - België KW - food consumption survey KW - Food Safety KW - NUTRITION AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Voedselconsumptiepeiling 2014-2015. Rapport 3: lichaamsbeweging en sedentair gedrag. Y1 - 2016 A1 - Thérésa Lebacq A1 - Teppers, Eveline A1 - Karin De Ridder A1 - Sarah Bel KW - België KW - food consumption survey KW - Physical activity KW - Sedentary Behavior AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Voedselconsumptiepeiling 2014-2015. Rapport 4: de consumptie van voedingsmiddelen en de inname van voedingstoffen Y1 - 2016 A1 - Sarah Bel A1 - Jean Tafforeau A1 - Karin De Ridder A1 - Brocatus, Loes A1 - Koenraad Cuypers A1 - Thérésa Lebacq A1 - Isabelle Moyersoen A1 - Cloë Ost A1 - Teppers, Eveline KW - België KW - CONSUMPTION KW - food consumption survey KW - nutrient intake KW - NUTRITION AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Voedselconsumptiepeiling 2014-2015. Samenvatting rapport 3: lichaamsbeweging en sedentair gedrag. Y1 - 2016 A1 - Karin De Ridder KW - België KW - food consumption survey KW - Physical activity KW - Sedentary Behavior AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Voedselconsumptiepeiling 2014-2015. Samenvatting rapport 4: de consumptie van voedingsmiddelen en de inname van voedingstoffen Y1 - 2016 A1 - Karin De Ridder A1 - Thérésa Lebacq A1 - Cloë Ost A1 - Teppers, Eveline A1 - Brocatus, Loes KW - België KW - food consumption survey KW - nutrient intake KW - NUTRITION AB -

Voeding en eetgewoonten zijn van groot belang voor de volksgezondheid. Ze zijn namelijk belangrijke factoren voor de ontwikkeling van niet-overdraagbare aandoeningen, zoals diabetes, hart- en vaatziekten en kanker. Om een voedingsbeleid te kunnen opstellen aangepast aan de behoeften van de Belgische bevolking is het dus noodzakelijk om een correct en recent beeld te hebben van de voedingsconsumptie en eetgewoonten in België. De laatste Voedselconsumptiepeiling uitgevoerd in België dateert van 2004. Aangezien eetgewoonten evolueren doorheen de jaren, was het nodig om deze gegevens te actualiseren. Daarom werd er op initiatief van de Minister van Sociale Zaken en Volksgezondheid en de Federale Overheidsdienst (FOD) Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu een tweede Voedselconsumptiepeiling opgestart in 2014. Deze studie werd georganiseerd, gecofinancierd en uitgevoerd door het Wetenschappelijk Instituut Volksgezondheid (WIV-ISP). De Voedselconsumptiepeiling 2014-2015 heeft als algemene doelstelling om de voedingsconsumptie, de eetgewoonten en de lichaamsbeweging van de Belgische bevolking tussen de 3 en 64 jaar te beschrijven. Dit onderzoek heeft als voordeel dat, voor het eerst in België, er gegevens zijn verzameld bij kinderen (3-9 jaar) en adolescenten (10-17 jaar). Deze gegevens zijn cruciaal voor het uitwerken van preventieve maatregelen aangepast aan deze kwetsbare leeftijdsgroepen.

PB - WIV-ISP CY - Brussels, Belgium ER - TY - RPRT T1 - Belgian national report on drugs 2014. New Development, Trends and in-depth information on selected issues., Y1 - 2015 A1 - E Plettinckx ED - Jérôme Antoine KW - demand KW - harm reduction KW - illicit substances KW - prveention KW - supply KW - treatment KW - use PB - wiv-isp CY - Brussels ER - TY - Generic T1 - Comparison between non-general practice patients and general practice patients treated for substance use problems Y1 - 2015 A1 - Jérôme Antoine A1 - Nicole Boffin A1 - Karin De Ridder A1 - L. Gremeaux A1 - Viviane Van Casteren KW - addiction KW - Belgium KW - Comparison KW - conference KW - drug addiction KW - general KW - General practice KW - General-practice KW - Patient KW - patients KW - Practice KW - problems KW - Substance use KW - use JF - Addictions Conference CY - Lisbon CP - ? U1 - 37604 U2 - 01/07/2015 ER - TY - Generic T1 - Health care trajectories and medication consumption of substance users in treatment: linking TDI and IMA databases (Belgium) Y1 - 2015 A1 - Karin De Ridder A1 - Jérôme Antoine A1 - L. Gremeaux A1 - E Plettinckx A1 - Peter Blanckaert A1 - Jean Tafforeau KW - Belgium KW - care KW - conference KW - CONSUMPTION KW - Database KW - Databases KW - drug addiction KW - epidemiology KW - health KW - health care KW - HEALTH-CARE KW - medical drugs KW - method KW - methods KW - TDI KW - treatment KW - Users JF - Methods in Epidemiology Conference CY - Leuven CP - ? U1 - 37974 U2 - 2015 ER - TY - Generic T1 - Trends in dispensing of strong opiods to the working population of Belgium and Norway (2008-2013) Y1 - 2015 A1 - Karin De Ridder A1 - Kaspersen,S. A1 - Johan Van der Heyden KW - 2008 KW - a KW - addiction KW - additional KW - adjustment KW - age KW - AGE GROUP KW - Age-group KW - Aged KW - an KW - Analgesics KW - Analyses KW - AS KW - ATC KW - Belgian KW - Belgium KW - Buprenorphine KW - care KW - Change KW - chronic KW - chronic pain KW - CI KW - conference KW - CONSUMPTION KW - data KW - Database KW - differences KW - DRUG KW - drug addiction KW - European KW - factors KW - future KW - Group KW - health KW - health care KW - health insurance KW - HEALTH-CARE KW - Impact KW - Increase KW - Increases KW - Institute KW - insurance KW - IS KW - MEN KW - method KW - methods KW - middle age KW - Middle-age KW - Morphine KW - Norway KW - norwegian KW - ON KW - organisation KW - organization KW - pain KW - Palliative Care KW - Patient KW - patients KW - pattern KW - Pharmacies KW - Pharmacy KW - POPULATION KW - population based KW - population-based KW - Prescription KW - public KW - public health KW - Public-health KW - questions KW - random KW - Random sample KW - registration KW - regulation KW - Research KW - result KW - results KW - Sample KW - SELECTED KW - study KW - System KW - Systems KW - trend KW - trends KW - WOMEN KW - working population KW - world AB - The consumption of opioid analgesics has significantly increased in the western world. Belgium and Norway have quite similar regulations concerning the prescription of opioids, but health care is organized in a different way. The aim of this study was to describe the trends (2008-2013) in pharmacy dispensing of strong opioid analgesics to the working population aged 20 to 64 years. JF - European Public Health Conference CY - Milan CP - ? U1 - 37968 U2 - 18/06/2015 ER -