Fantino M, Gourmet E
Faculté de médecine, université de Bourgogne, 7 boulevard Jeanne-d'Arc, Dijon cedex, France.
Arch Pediatr. 2008 Apr;15(4):446-55. doi: 10.1016/j.arcped.2008.03.002. Epub 2008 Apr 14.
Knowledge of the nutritional consumption of very young children is of main interest, but little is known about the dietary status of French infants and toddlers.
To assess energy and nutrient intake and the adequacy of diet of French infants and toddlers.
A national cross-sectional survey was conducted in France from January to March 2005, using proportionate quota sampling based on the age of the children, the occupation of the mother, and the family socioeconomic category.
Seven-hundred and six children were allocated to 11 age subgroups ranging from one to three months to 31-36 months. Totally or partially breastfed infants were excluded. ANALYSES PERFORMED: Individual consecutive 3-day weight food records were converted into energy intake and intake of 24 nutrients according to food composition databases recently updated for 1260 standard foods and all the formulae and specific baby foods manufactured and marketed in France in 2005.
Mean daily energy intake in 2005 was above the estimated average requirement up to seven months of age, but was lower after one year. Protein, fat, and carbohydrate intakes were adequate, while calcium, magnesium, phosphorus and B group vitamins were above the recommended dietary allowances for all 11 subgroups. However, for toddlers over 12 months of age, some may have had an inadequate intake of alpha-linolenic acid, vitamin E, vitamin C, iron and zinc, whereas mean sodium intake was above the adequate intake for all age subgroups.
The diet of French infants was adequate for a large proportion of children and satisfied most of their nutritional requirements. However, the intake of iron and alpha-linolenic acid in particular needs to be improved for some French toddlers.
婴幼儿的营养摄入情况备受关注,但法国婴幼儿的饮食状况却鲜为人知。
评估法国婴幼儿的能量和营养素摄入量以及饮食的充足性。
2005年1月至3月在法国进行了一项全国性横断面调查,采用基于儿童年龄、母亲职业和家庭社会经济类别的比例配额抽样。
706名儿童被分为11个年龄亚组,年龄范围从1至3个月到31至36个月。完全或部分母乳喂养的婴儿被排除在外。
根据最近更新的针对1260种标准食物以及2005年在法国生产和销售的所有配方奶粉及特殊婴儿食品的食物成分数据库,将连续3天的个人体重食物记录转换为能量摄入量和24种营养素的摄入量。
2005年,7个月龄以下婴儿的平均每日能量摄入量高于估计平均需求量,但1岁以后则较低。蛋白质、脂肪和碳水化合物的摄入量充足,而所有11个亚组的钙、镁、磷和B族维生素摄入量均高于推荐膳食摄入量。然而,对于12个月以上的幼儿,部分幼儿的α-亚麻酸、维生素E、维生素C、铁和锌摄入量可能不足,而所有年龄亚组的平均钠摄入量均高于适宜摄入量。
法国婴幼儿的饮食对大部分儿童来说是充足的,满足了他们的大部分营养需求。然而,部分法国幼儿的铁和α-亚麻酸摄入量尤其需要改善。