Li H Z, Jia H X, Liang D, Deng T T, Niu L T, Han J H
Standard Research Center, China National Center for Food Safety Risk Assessment, Beijing 100022, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Jan 6;51(1):65-69. doi: 10.3760/cma.j.issn.0253-9624.2017.01.013.
To determine the contribution of follow-up formula (FUF) to the nutrient intake of 7-24-month-old infants and young children. The cluster random sampling method and the convenience sampling method were used in combination, and geographic and economic factors were taken into consideration. Four areas of China (Beijing, Hebei, Guangxi, Guangdong) were selected, with 120 infants chosen from each of these areas (half of which were 7-12 months old, and half were 13-24 months old). A dietary survey was completed by a continuous 24-hour weighing method over two days. Questionnaires were completed by their caregivers which included weighing the FUF and supplementary food given to the infant, and recording the frequency of breast feeding and any supplementary nutrients. A total of 518 questionnaires were distributed, and 472 questionnaires qualified for inclusion. Nutrient intake was calculated using the China food composition, infant formula food nutrient content and infant nutrition supplement brand-label information databases, and then the nutrient intake proportion (the percentage of estimated energy requirement (EER%), recommended nutrient intake (RNI%) or adequate intake (AI%)), and the contribution rate of FUF were analyzed. A total of 472 infants were investigated (227 infants aged 7-12 months old, 245 infants aged 13-24 months old). The findings revealed that the median energy intake of 7- 12-month-old and 13- 24-month-old infants were 2 530.08 kJ and 3 445.48 kJ, respectively, which accounted for 85.18% and 94.14% of EER, respectively; and the median intake of protein reached 91.50% and 105.88% of their RNI/AI, respectively. For micronutrients, the median intake of vitamin B, vitamin B, niacin, vitamin E, potassium, zinc and manganese in 7- 12-month-old infants and vitamin B, vitamin E, potassium, magnesium, iron and manganese in 13-24-month-old children accounted for 82.00% and 114.29% of RNI/AI (RNI%/AI%), respectively. The intake of vitamin B, iron and selenium in 7-12-month-old infants and vitamin B, vitamin B, vitamin C, calcium and selenium in 13-24-month-old children was less than 80% RNI/AI. Furthermore, some nutrients showed higher intake levels, such as vitamin A, calcium, phosphorus and magnesium in 7-12-month-old infants and vitamin A and phosphorus in 13-24-month-old children, which were higher than 130% RNI/AI. In total, 40.53% (92) of infants aged 7-12 months and 52.65% (129) of children aged 13- 24 months were fed FUF as part of their diet, and its contribution rate to macronutrients was 29.69% for carbohydrates and 51.77% for fats, and to micronutrients was 2.04% for manganese and 74.24% for vitamin C. FUF contributes to the nutrient intake of infants and young children aged from 7-24 months old at different rates depending on the macronutrient or micronutrient analyzed.
确定后续配方奶粉(FUF)对7至24月龄婴幼儿营养摄入的贡献。采用整群随机抽样法与方便抽样法相结合,并考虑地理和经济因素。选取中国4个地区(北京、河北、广西、广东),每个地区选取120名婴幼儿(其中一半为7至12月龄,另一半为13至24月龄)。通过连续24小时称重法在两天内完成膳食调查。由其照料者填写问卷,内容包括称量给予婴幼儿的FUF和辅食,并记录母乳喂养频率及任何补充营养素的情况。共发放518份问卷,472份问卷符合纳入标准。利用中国食物成分表、婴幼儿配方食品营养成分及婴幼儿营养补充剂品牌标签信息数据库计算营养摄入量,然后分析营养摄入比例(估计能量需求百分比(EER%)、推荐营养素摄入量百分比(RNI%)或适宜摄入量百分比(AI%))以及FUF的贡献率。共调查472名婴幼儿(227名7至12月龄婴幼儿,245名13至24月龄婴幼儿)。结果显示,7至12月龄和13至24月龄婴幼儿的能量摄入中位数分别为2530.08千焦和3445.48千焦,分别占EER的85.18%和94.14%;蛋白质摄入量中位数分别达到其RNI/AI的91.50%和105.88%。对于微量营养素,7至12月龄婴幼儿的维生素B、维生素B、烟酸、维生素E、钾、锌和锰以及13至24月龄儿童的维生素B、维生素E、钾、镁、铁和锰的摄入量分别占RNI/AI(RNI%/AI%)的82.00%和114.29%。7至12月龄婴幼儿的维生素B、铁和硒以及13至24月龄儿童的维生素B、维生素B、维生素C、钙和硒的摄入量低于RNI/AI的80%。此外,一些营养素的摄入量较高,如7至12月龄婴幼儿的维生素A、钙、磷和镁以及13至24月龄儿童的维生素A和磷,高于RNI/AI的130%。总体而言,7至12月龄的婴幼儿中有40.53%(92名)、13至24月龄的儿童中有52.65%(129名)的饮食中含有FUF,其对宏量营养素的贡献率为碳水化合物29.69%、脂肪51.77%,对微量营养素的贡献率为锰2.04%、维生素C 74.24%。根据所分析的宏量营养素或微量营养素不同,FUF对7至24月龄婴幼儿营养摄入的贡献率各不相同。