Butte N F
US Department of Agriculture, Agricultural Research Service, Children's Nutrition Research Center, the Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Am J Clin Nutr. 2000 Nov;72(5 Suppl):1246S-1252S. doi: 10.1093/ajcn/72.5.1246s.
The optimal fat intake for children is discussed in light of their energy requirements. Total energy requirements were estimated from doubly labeled water studies of total energy expenditure (TEE) and the energy cost of growth. Basal metabolic rates (BMRs) were calculated from weight by using the equations of Schofield et al or by indirect calorimetry. Activity energy expenditure and physical activity levels were calculated as TEE - BMR and TEE/BMR, respectively. Weight-specific energy requirements for maintenance and growth changed inversely to the increased energy needed for physical activity in healthy, active children. The total energy requirements of infants increased from 1.4 MJ/d at 1 mo to 4.0 MJ/d at 24 mo. The energy cost of growth decreased sharply from 37-38% to 2% of the total requirement during the first 24 mo of life. Energy requirements increased from 4 MJ/d at 2 y to 11 MJ/d at 18 y in girls and from 5 to 15 MJ/d in boys. The energy cost of growth varied between 1% and 4% of total energy requirements in childhood and adolescence. The current recommendation of 30% of energy from dietary fat for children aged >2 y is sufficient for adequate growth. Lower fat intakes may be associated with inadequate vitamin and mineral intakes and increased risk of poor growth. Diets higher in fat may lead to higher energy intakes and higher body fat, although available data for children are conflicting. Beyond infancy, children can meet their energy needs for maintenance, physical activity, and growth from a diet providing 30% of energy from fat.
根据儿童的能量需求,讨论了其最佳脂肪摄入量。总能量需求是根据双标水法对总能量消耗(TEE)和生长能量成本的研究估算得出的。基础代谢率(BMR)通过使用Schofield等人的方程或间接量热法,根据体重计算得出。活动能量消耗和身体活动水平分别计算为TEE - BMR和TEE/BMR。在健康、活跃的儿童中,维持和生长的体重特异性能量需求与身体活动所需增加能量呈反比变化。婴儿的总能量需求从1个月时的1.4 MJ/天增加到24个月时的4.0 MJ/天。在生命的前24个月,生长的能量成本从总需求的37 - 38%急剧下降到2%。女孩的能量需求从2岁时的4 MJ/天增加到18岁时的11 MJ/天,男孩从5 MJ/天增加到15 MJ/天。在儿童期和青春期,生长的能量成本在总能量需求的1%至4%之间变化。目前对于2岁以上儿童膳食脂肪提供30%能量的建议足以满足其充分生长的需求。较低的脂肪摄入量可能与维生素和矿物质摄入不足以及生长不良风险增加有关。高脂肪饮食可能导致更高的能量摄入和更高的体脂,尽管关于儿童的现有数据存在矛盾。除婴儿期外,儿童可以通过脂肪提供30%能量的饮食满足其维持、身体活动和生长的能量需求。