Barquera Simón, Rivera Juan A, Safdie Margarita, Flores Mario, Campos-Nonato Ismael, Campirano Fabricio
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655, colonia Santa María Ahuacatitlán, 62508 Cuernavaca, Morelos, México.
Salud Publica Mex. 2003;45 Suppl 4:S540-50. doi: 10.1590/s0036-36342003001000010.
To estimate energy and nutrient intake and adequacy in preschool and school age Mexican children, using the National Nutrition Survey 1999 (NNS-1999).
Twenty four-h dietary recalls from pre-school (n = 1,309) and school (n = 2,611) children obtained from a representative sub-sample of the NNS-1999 were analyzed. Intakes and adequacies were estimated and compared across four regions, socio-economic strata, and between urban and rural areas, and indigenous vs. non-indigenous children.
Median energy intake in pre-school children was 949 kcal and in school children 1,377 kcal, with adequacies < 70% for both groups. Protein adequacy was > 150% in both age groups. The North and Mexico City regions had the highest fat intake and the lowest fiber intake. Children in the South region, indigenous children, and those in the lowest socio-economic stratum had higher fiber and carbohydrate intakes and the lowest fat intake. These children also showed the highest risks of inadequacies for vitamin A, vitamin C, folate, iron, zinc and calcium.
Mexico is experiencing a nutrition transition with internal inequalities across regions and socio-economic strata. Food policy must account for these differences in order to optimize resources directed at social programs. The English version of this paper is available too at: http://www.insp.mx/salud/index.html.
利用1999年全国营养调查(NNS - 1999)评估墨西哥学龄前和学龄儿童的能量及营养素摄入量与充足程度。
对从NNS - 1999代表性子样本中获取的学龄前儿童(n = 1309)和学龄儿童(n = 2611)的24小时饮食回忆进行分析。对四个地区、社会经济阶层以及城乡之间、原住民与非原住民儿童的摄入量和充足程度进行评估与比较。
学龄前儿童的能量摄入量中位数为949千卡,学龄儿童为1377千卡,两组的充足程度均<70%。两个年龄组的蛋白质充足率均>150%。北部和墨西哥城地区的脂肪摄入量最高,纤维摄入量最低。南部地区的儿童、原住民儿童以及社会经济阶层最低的儿童的纤维和碳水化合物摄入量较高,脂肪摄入量最低。这些儿童维生素A、维生素C、叶酸、铁、锌和钙摄入不足的风险也最高。
墨西哥正在经历营养转型,各地区和社会经济阶层存在内部不平等。粮食政策必须考虑到这些差异,以便优化针对社会项目的资源配置。本文的英文版本也可在以下网址获取:http://www.insp.mx/salud/index.html 。