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社会人口统计学变量和乳制品摄入对0.5至12岁印度尼西亚儿童必需常量和微量营养素摄入量的影响。

The effect of socio-demographic variables and dairy use on the intake of essential macro- and micronutrients in 0.5-12-year-old Indonesian children.

作者信息

Widodo Yekti, Sandjaja Sandjaja, Sumedi Edith, Khouw Ilse, Deurenberg Paul

机构信息

SEANUTS Indonesian Team, PERSAGI, Kebayoran Baru, Jakarta, Indonesia.

Center of Public Health Intervention Technology, NIHRD, MoH, Indonesia.

出版信息

Asia Pac J Clin Nutr. 2016;25(2):356-67. doi: 10.6133/apjcn.2016.25.2.09.

Abstract

BACKGROUND AND OBJECTIVES

To study the associations between nutrient intake, dairy intake and socioeconomic variables.

METHODS AND STUDY DESIGN

Food consumption data using 24 h recall were collected in 3600 children, aged 0.5 to 12 years old in addition to frequency of dairy use and anthropometric and sociodemographic variables.

RESULTS

Overall height for age Z-score (HAZ) and body mass index for age Z-score (BAZ) values (mean±SE) were -1.40±0.03 and -0.48±0.03 respectively, associated with a high prevalence of stunting and thinness in the population. The overall percentage of children not using any dairy products was 71%, and this percentage increased steadily with age. The overall energy intake from dairy was 99±3 kcal/capita/day and the overall energy intake from dairy in dairy users was 291±7 kcal/day. Dairy use did not differ between boys and girls, but was higher in urban areas, higher if the education of the mother was higher and higher if the mother had a permanent job and if the wealth status of the family was in the upper levels. Nutrient intake after the age of 3 years was inadequate for energy and all nutrients except for protein. The achievement of Recommended Dietary Allowances (RDA) for all nutrients was higher in dairy users compared to non-dairy users, also after correcting for the confounding effect of the higher energy intake (from dairy) and socio-demographic variables. The contribution increased with increasing frequency of dairy use.

CONCLUSION

Adequate dairy intake can substantially add to the achievement of RDA in Indonesian children.

摘要

背景与目的

研究营养摄入、乳制品摄入与社会经济变量之间的关联。

方法与研究设计

采用24小时回忆法收集了3600名0.5至12岁儿童的食物消费数据,此外还收集了乳制品使用频率、人体测量和社会人口统计学变量。

结果

年龄别身高Z评分(HAZ)和年龄别体重指数Z评分(BAZ)值(均值±标准误)分别为-1.40±0.03和-0.48±0.03,这与该人群中发育迟缓及消瘦的高患病率相关。未食用任何乳制品的儿童总体比例为71%,且该比例随年龄稳步上升。来自乳制品的总体能量摄入量为99±3千卡/人均/天,乳制品使用者中来自乳制品的总体能量摄入量为291±7千卡/天。乳制品的使用在男孩和女孩之间没有差异,但在城市地区更高,母亲受教育程度越高、母亲有固定工作以及家庭财富状况处于较高水平时,乳制品的使用量也越高。3岁以后的营养摄入在能量及除蛋白质外的所有营养素方面均不足。与非乳制品使用者相比,乳制品使用者在所有营养素方面达到推荐膳食摄入量(RDA)的比例更高,在校正了(来自乳制品的)较高能量摄入和社会人口统计学变量的混杂效应后也是如此。随着乳制品使用频率的增加,这种贡献也增加。

结论

充足的乳制品摄入可大幅提高印度尼西亚儿童达到RDA的水平。

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