Vásquez Fabián, Andrade Margarita, Rodríguez M del Pilar, Salazar Gabriela
Escuela de Nutrición y Dietética, Facultad de Medicina, Universidad de Chile, Chile.
Arch Latinoam Nutr. 2008 Sep;58(3):241-8.
The objective of this study was to evaluate the change on the energy and macronutrients intake in obese and eutrophic preschoolers, attending National Board of Day Care Centres (JUNJI), in the eastern area of Santiago, as product of an educational intervention in intake, nutrition and physical activity, sustained in the theory of the social cognitive learning and the model of community organization. The sample comprised of thirty five obese children, plus eighty five eutrophic children (4-5 years olds). Energy intake was evaluated, measuring full two days a week plus one weekend day. At the day care centre, all ingested food was weighed, and when back at home, child food-intake was recalled. During the stay at the day care centres, the intervention produced a reduction in: energy, proteins, lipids and carbohydrates in obese girls (p<0.05), energy and carbohydrate in obese boys (p<0.01), lipids and carbohydrates, in eutrophic girls and boys (p<0.05). When at home, intake reduced in: energy and lipids in the obese girls and eutrophic boys (p<0.05), lipids in eutrophic girls (p<0.05). During the weekend, obese boys, reduced the intake of calories (p<0.05) and lipids (p<0.05). In obese girls the reduction was in calories (p<0.05) and carbohydrates (p<0.05). In eutrophic girls and boys, lipid intake was reduced as well as, protein intake was increased (p<0.01). In conclusion, this intervention demonstrated to be effective in early modulation of preschool children dietary intake, one of the important risk factors for obesity and chronic diseases.
本研究的目的是评估圣地亚哥东部地区参加国家日托中心委员会(JUNJI)的肥胖和营养正常的学龄前儿童在接受有关饮食、营养和体育活动的教育干预后,其能量和常量营养素摄入量的变化情况。该干预基于社会认知学习理论和社区组织模式。样本包括35名肥胖儿童和85名营养正常的儿童(4至5岁)。通过每周测量两天外加一个周末日的全天饮食来评估能量摄入量。在日托中心,所有摄入的食物都进行称重,回到家后则通过回忆孩子的食物摄入量来评估。在日托中心期间,干预使肥胖女孩的能量、蛋白质、脂质和碳水化合物摄入量减少(p<0.05),肥胖男孩的能量和碳水化合物摄入量减少(p<0.01),营养正常的女孩和男孩的脂质和碳水化合物摄入量减少(p<0.05)。在家时,肥胖女孩和营养正常男孩的能量和脂质摄入量减少(p<0.05),营养正常女孩的脂质摄入量减少(p<0.05)。在周末,肥胖男孩的卡路里摄入量(p<0.05)和脂质摄入量(p<0.05)减少。肥胖女孩的卡路里摄入量(p<0.05)和碳水化合物摄入量(p<0.05)减少。营养正常的女孩和男孩的脂质摄入量减少,蛋白质摄入量增加(p<0.01)。总之,该干预在早期调节学龄前儿童的饮食摄入量方面显示出有效性,而饮食摄入量是肥胖和慢性病的重要风险因素之一。