Widodo Yekti, Sandjaja Sandjaja, Sumedi Edith, Khouw Ilse, Deurenberg Paul
SEANUTS Indonesian Team, PERSAGI, Kebayoran Baru, Jakarta, Indonesia.
Center of Public Health Intervention Technology, NIHRD, MoH, Indonesia.
Asia Pac J Clin Nutr. 2016;25(2):356-67. doi: 10.6133/apjcn.2016.25.2.09.
To study the associations between nutrient intake, dairy intake and socioeconomic variables.
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.
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.
Adequate dairy intake can substantially add to the achievement of RDA in Indonesian children.
研究营养摄入、乳制品摄入与社会经济变量之间的关联。
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。
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。
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。