Les apports en lipides d’origine animale de la population française : résultats de l’étude INCA2

Using food intake data recorded by 2,624 adults (18-79 yo) and 1,455 children (3-17 yo), crossed with the nutritional food composition table (CIQUAL), animal origin fat intake was estimated. Mean total fat intake varies between 69 g/d in girls and 100 g/d in men. Animal origin fat represents, on average, between 62% in women and 66% in men of total fat intake. Animal origin fats are provided by milk and milk products for more than 60% and by meat for less than a third. Animal- and mixed origin fat decreased by 14% between INCA1 and INCA2. During the same period animal origin products (meat, milk, cheeses, etc.) consumption decreased in both children and adults. However a part of these evolutions can result from methodological differences as the best identification of added fat used for cooking or the improvements in the food identification and in the food composition table

[Insurability and history of cancer].

International audienceAt the instigation of the Aeras convention -Insuring and borrowing with an aggravated health risk - and the 2014- 2019 Cancer Plan, the Law of 26 January 2016 introduces the « right to be forgotten » for people with cancer. Thus, people wishing to take out an insurance policy for a mortgage or consumer credit do not have to declare their cancer 10 years after the end of the therapeutic protocol, in the absence of relapse. This period is reduced to 5 years for cancers occurring before the age of 18 years. Associated with this right, the « reference grid » identifies situations for which insurance will be granted without surcharge or exclusion of guarantee, or under conditions that are close to standard conditions. This concerns both cancer -breast, thyroid, prostate cancers ...- and noncancer diseases -HIV, hepatitis C, cystic fibrosis ...-. Through his relationship with his patient, the doctor plays a key role in providing the best insight and helping him in his efforts

[Incidence, mortality and prevalence of cancers in metropolitan France].

International audienceIncidence, mortality and prevalence of cancers in metropolitan France. About 400,000 new people are diagnosed with cancer every year in metropolitan France, including 53.5% men and 46.5% women. Cancer is also the cause of almost 150,000 annual deaths of which 56% occur in men and 44% in women. Nearly 3.8 million people (1.8 million men and 2.0 million women) aged 15 and over have had cancer during their lifetime and are alive in 2017, or 7.0 % of the population aged 15 and over

School meals in French secondary state schools: do national recommendations lead to healthier nutrition on offer?

International audienceTo improve the dietary offering in schools, the French authorities published recommendations on nutrition in 1999, which were thenrevised in 2007. The aim of the present study was to assess the nutritional offering in secondary school meals and the extent to whichthe recommendations promote balanced nutritional offerings. In 2005, a national survey was conducted on a representative sample of secondaryschools, either administrated by the Ministry of Education (ES) or the Ministry of Agriculture (AS). Information on school-cateringorganisation and twenty consecutive meals was collected from each of the 707 secondary schools surveyed. Nutritional composition wasestimated according to the French food composition database. Univariate and multivariate analyses were used to investigate the impact offood-group frequency guidelines (FFG) on nutritional offering. It was found that 15 and 26% of ES and AS schools, respectively, had highcompliance with the FFG, at lunch. Macronutrient content was unbalanced in ES school lunches in which 42·8% lipids, 21·5% proteins and35·7% carbohydrates contributed to the energy. Nevertheless, proper offerings in Fe, Ca and vitamin C content were observed. In addition,a lower offering in lipids and a higher offering in proteins, Ca, vitamin C and Fe were found when the FFG were applied (P,0·001). Similarresults were found for AS schools. This paper confirms the effectiveness of FFG in providing nutritionally balanced school meals. However,others measures such as nutrition promotion and actions to improve children’s food habits have to be introduced to make the recommendationsmore effective and easier to understand

School meals in French secondary state schools with regard to the national recommendations

International audienceIn 2001, a circular addressing both the composition of school meals and food safety issues was introduced in France to improve the nutrient compositionof school meals and provided food-frequency guidelines to guarantee dietary balanced meals. The present study assesses the extent towhich secondary state schools are familiar with and implement this circular. In 2005, a nationally representative sample of 1440 secondarystate schools received a questionnaire on their catering service and the implementation of the circular’s recommendations, and were requestedto enclose all menus (lunches and dinners) served over 1 month. Menu analysis shows that progress is still required to achieve a meal compositionin accordance with the food-group frequency guidelines appended to the circular. Some recommendations are followed by most of the schools,such as limiting high-fat products and providing plenty of raw fruits and vegetables, cooked vegetables and starchy foods. Other guidelinesshould be implemented further, especially with regard to the nutritional quality of main courses and dairy products, which are met by lessthan a third and a half of schools, respectively. Specific efforts are necessary for evening meals to ensure that the nutritional requirements of boardersare covered. Some recommendations, such as the food purchasing manager being trained in nutrition (38% of schools) and the involvement ofdietetic expertise when designing meals (6 %), seem to be linked to better dietary balance of meals. Implementation of the circular must thereforebe promoted in schools and may require stronger regulatory nutrition standards and better cooperation between schools

Socio-economic and demographic variations in school lunch participation of French children aged 3-17 years

Objective: To assess school canteen attendance in a French nationally representative sample of children and to analyse its association with the socioeconomic and demographic characteristics of the children and their families.Design: Data from the second French national cross-sectional food consumption survey (INCA2), performed in 2006&ndash;2007, were used. Information on usual weekly school canteen attendance was collected through a self-reported questionnaire, and demographic and socio-economic variables through a face-to-face questionnaire. The associations between school canteen attendance and the socio-economic and demographic variables were investigated by multivariate logistic regression analyses.Setting: The INCA2 sample was representative of the children aged 3&ndash;17 years in France.Subject: Analysis was performed on 1413 schoolchildren who completed the school canteen attendance questions.Results: Some 65?6% of schoolchildren aged 3&ndash;17 years had school lunch at least once weekly. This rate of attendance was positively correlated with age. Whatever the school level, school canteen attendance was positively associated with the educational level of the caregiver/parent. In pre- and elementary-school children, enrolment at the school canteen was also higher when the caregiver/parent worked, or in single-parent families. In secondary-school children, school lunch participation decreased with children living in more densely populated areas and increased with the level of the household&rsquo;s living standards.Conclusions: School canteen attendance was positively associated with children&rsquo;s socio-economic background. This could reduce the effectiveness of the forthcoming school meal composition regulations designed to improve the diet of children from deprived backgrounds, who are more likely to have unhealthy food habits.<br /