Lagström H, Seppänen R, Jokinen E, Niinikoski H, Rönnemaa T, Viikari J, Simell O
Department of Pediatrics, University of Turku, Finland.
Am J Clin Nutr. 1999 Mar;69(3):516-23. doi: 10.1093/ajcn/69.3.516.
Excessive decreases in fat intake in young children have been linked with low intakes of energy and nutrients and possible growth failure.
We evaluated nutrient intakes and growth of healthy children with different fat intakes during the first 5 y of life.
In the Special Turku Coronary Risk Factor Intervention Project (STRIP), 7-mo-old children were randomly assigned to an intervention aimed at reduced consumption of saturated fat and cholesterol (n = 540) or to a control group (n = 522). This analysis comprises data for children for whom > or = 6 of 8 possible 3-4-d food records were available (n = 730; 353 females). Children were divided according to fat intake pattern (percentage of energy) between the ages of 13 mo and 5 y into groups with continuously high fat intake (5% of children), increasing fat intake (5%), continuously low fat intake (5%), decreasing fat intake (5%), and average fat intake (80%). Children's energy and nutrient intakes and growth were then compared by analysis of variance.
Fat intake at 13 mo of age was particularly low (21% of energy) in the increasing fat intake group and in the continuously low fat intake group (22% of energy at 13 mo; 26% of energy at 5 y). Growth of children in all 5 fat intake groups, however, was not significantly different throughout the study period. Intakes of vitamins and minerals, except of vitamin D, met recommended dietary allowances in all fat intake groups.
Nutrient intakes and growth were not significantly different in children whose fat intake patterns differed between 13 mo and 5 y of age.
幼儿脂肪摄入量过度减少与能量和营养素摄入不足以及可能的生长发育迟缓有关。
我们评估了健康儿童在生命最初5年中不同脂肪摄入量情况下的营养素摄入和生长情况。
在图尔库特殊冠心病危险因素干预项目（STRIP）中，7个月大的儿童被随机分为两组，一组接受旨在减少饱和脂肪和胆固醇摄入量的干预措施（n = 540），另一组为对照组（n = 522）。本分析纳入了有8份可能的3 - 4天食物记录中≥6份记录的儿童数据（n = 730；353名女性）。根据13个月至5岁期间的脂肪摄入模式（能量百分比），将儿童分为持续高脂肪摄入组（5%的儿童）、脂肪摄入量增加组（5%）、持续低脂肪摄入组（5%）、脂肪摄入量减少组（5%）和平均脂肪摄入组（80%）。然后通过方差分析比较儿童的能量和营养素摄入量及生长情况。
脂肪摄入量增加组和持续低脂肪摄入组在13个月大时的脂肪摄入量特别低（占能量的21%）（13个月时占能量的22%；5岁时占能量的26%）。然而，在整个研究期间，所有5个脂肪摄入组儿童的生长情况没有显著差异。除维生素D外，所有脂肪摄入组的维生素和矿物质摄入量均达到推荐膳食摄入量。
13个月至5岁期间脂肪摄入模式不同的儿童，其营养素摄入量和生长情况没有显著差异。
