Telethon Institute for Child Health Research, The University of Western Australia, Perth, Western Australia 6008, Australia.
Nutrients. 2014 Jan 14;6(1):342-54. doi: 10.3390/nu6010342.
Low micronutrient intakes in adolescents are frequently reported. We assessed micronutrient intakes in adolescents to determine whether supplement use optimises intakes.
Dietary intake was assessed using a food frequency questionnaire in 17 year old participating in the Western Australian Pregnancy Cohort (Raine) Study (n=991). We calculated median daily micronutrient intakes in supplement users and non-users (from food sources only and from food and supplements), along with the percentage of adolescents meeting the Estimated Average Requirements (EAR) or Adequate Intake (AI) where appropriate.
Intakes of calcium, magnesium, folate and vitamins D and E from food only were low. Although supplements significantly increased micronutrient intakes in supplement users, more than half of supplement users failed to meet the EAR or AI for some key micronutrients. Compared with non-users, supplement users had higher micronutrient intakes from food sources with the exception of vitamins D and B12 and were more likely to achieve the EAR or AI for many micronutrients from food only.
Intakes of some key micronutrients were low in this population, even among supplement users. Those facing the greatest risk of micronutrient deficiencies were less likely to use supplements.
青少年普遍存在微量营养素摄入不足的情况。本研究评估了青少年的微量营养素摄入情况,以确定补充剂的使用是否能优化其摄入量。
在西澳大利亚妊娠队列研究(Raine 研究)中,对 17 岁的参与者(n=991)使用食物频率问卷评估膳食摄入量。我们计算了补充剂使用者和非使用者(仅来源于食物和同时来源于食物和补充剂)的每日中值微量营养素摄入量,以及在适当情况下,符合估计平均需求量(EAR)或适宜摄入量(AI)的青少年比例。
仅从食物中摄入的钙、镁、叶酸以及维生素 D 和 E 含量较低。尽管补充剂显著增加了补充剂使用者的微量营养素摄入量,但仍有一半以上的补充剂使用者未能达到某些关键微量营养素的 EAR 或 AI。与非使用者相比,补充剂使用者从食物来源中获取的微量营养素含量更高,除了维生素 D 和 B12 以外,且仅从食物中就更有可能达到许多微量营养素的 EAR 或 AI。
即使在补充剂使用者中,该人群的一些关键微量营养素摄入也较低。面临最大微量营养素缺乏风险的人群使用补充剂的可能性更小。