In 2011, the French National Nutrition and Health Program (PNNS) called for the renewal of the National Nutrition and Health Study (ENNS 2006) in order to provide reliable data on nutritional surveillance trends. It was in this context that Santé publique France set up the Étude de SanTé sur l’Environnement, la Biosurveillance, l’Activité physique et la Nutrition (Esteban study) to meet the objectives of biomonitoring, chronic disease surveillance and nutritional surveillance (diet, physical activity and markers of nutritional status). Esen (Equipe de Surveillance et d’Epidémiologie Nutritionnelle) was tasked with analyzing the Nutrition component of this study and putting it into perspective with the results of the ENNS study.
Esteban was carried out on a sample of children aged 6 to 17 and adults aged 18 to 74 living in mainland France. Subjects were randomly selected according to a 3-stage sampling plan, and included from April 2014 to March 2016, to take into account the seasonal nature of their diet and possible exposures. Data collection included sociodemographic, behavioral and environmental questionnaires, dietary collections and a health examination with anthropometric measurements and biological sampling. The dietary survey was carried out on 1,281 children and 2,835 adults. The health examination was carried out on 1,104 children and 2,503 adults.