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Because of low intake, the nutrient density of the diet may need to be higher during this period to support increasing milk yields.
Other studies reported similar findings of low intake rate of the free folic acid [ 45, 50].
Evidence of low intake of selenium is reported in São Paulo, an area considered to have a selenium-deficient soil [ 14, 15].
Hence, the present study provides a more uniform analysis, covering all age groups, and uses set lower cut-offs as the major determinant of low intake for each of the micronutrients reported.
A healthy food score was calculated based on frequency intake of healthy food items like dark bread, low fat milk and vegetables, and of low intake of unhealthy food items like sugar sweetened sodas, sweets and chocolate.
The crude RRRs for the comparison of low intake with medium and high intake are presented in Figure 1a, partially adjusted RRRs in Figure 1b and fully adjusted RRRs in Figure 1c.
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One study found adverse effects of high intakes, but not of low intakes of ruminant trans fatty acids [12].
For vitamin E, the prevalence of low intakes was low, with only Belgium reporting high proportions below the LRNI.
A high proportion of low intakes is less serious for Spain, for example, than for the Nordic countries.
The main rationale for the present study was to compare the prevalence of low intakes in different European countries.
Taking into account dietary supplements increased the mean value, but did not modify the proportion of low intakes substantially.
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