Hautvast J L, van der Heijden L J, Luneta A K, van Staveren W A, Tolboom J J, van Gastel S M
Department of Paediatrics, University Hospital Nijmegen St Radboud, The Netherlands.
Eur J Clin Nutr. 1999 Jan;53(1):50-9. doi: 10.1038/sj.ejcn.1600676.
The aim of this study was to assess the quality of diet of rural Zambian pre-school children, and to compare the dietary intake of stunted and non-stunted children.
Cross-sectional study, in which dietary intake was assessed with a 24-h recall method. Height and weight were measured according to standard procedures.
Twelve villages in Samfya District, Zambia.
Children aged 6-9 months ('infants') and 14-20 months ('toddlers'), attending Mother-and-Child Health Clinics, were eligible for study. Excluded were: 12 wasted, and 18 for other reasons. In total 106 infants and 99 toddlers were included.
In infants and toddlers, total daily intake of energy, calcium, iron, and vitamin A was insufficient compared to recommended daily intakes. Only infants had insufficient protein intake. Compared to intake from weaning foods, breast milk was the main source of energy and most nutrients for infants. For toddlers, weaning foods were more important. Stunted infants and toddlers tended to have lower intakes of energy compared to non-stunted age-mates. Daily energy intake per kg bodyweight showed no difference between stunted and non-stunted children.
Overall quality of weaning foods was inadequate. Stunted infants and toddlers showed a tendency of lower energy intakes compared to non-stunted age-mates.
本研究旨在评估赞比亚农村学龄前儿童的饮食质量,并比较发育迟缓儿童与非发育迟缓儿童的饮食摄入量。
横断面研究,采用24小时回顾法评估饮食摄入量。按照标准程序测量身高和体重。
赞比亚萨姆菲亚区的12个村庄。
符合条件的儿童为在母婴健康诊所就诊的6至9个月大的“婴儿”和14至20个月大的“幼儿”。排除对象为:12名消瘦儿童以及18名因其他原因被排除的儿童。总共纳入了106名婴儿和99名幼儿。
与推荐的每日摄入量相比,婴儿和幼儿的每日能量、钙、铁和维生素A总摄入量不足。只有婴儿的蛋白质摄入量不足。与断奶食品的摄入量相比,母乳是婴儿能量和大多数营养素的主要来源。对于幼儿来说,断奶食品更为重要。与非发育迟缓的同龄人相比,发育迟缓的婴儿和幼儿往往能量摄入量较低。发育迟缓儿童与非发育迟缓儿童每千克体重的每日能量摄入量没有差异。
断奶食品的总体质量不足。与非发育迟缓的同龄人相比,发育迟缓的婴儿和幼儿能量摄入量有较低的趋势。