Tweney Ellen M, Emmett Pauline M, Golding Jean, Goodfellow Stephanie, Taylor Caroline M
Centre for Child and Adolescent Health, School of Social and Community Medicine, Oakfield House, Oakfield Grove, University of Bristol, Bristol BS8 2BN, UK.
Castletown, Isle of Man.
Nutrients. 2017 Jul 8;9(7):724. doi: 10.3390/nu9070724.
There is concern regarding the amount of fruit and vegetables consumed and high sugar intakes in children's diets. Regional dietary differences in the British Isles could underlie variations in health outcomes, but little is known about these differences. Our aim was to compare diets of children enrolled in observational birth cohort studies in the Isle of Man (IoM-ELSPAC) and in south-west England (ALSPAC). Dietary intakes were assessed by 3-day food records in IoM and ALSPAC at an age of 7 years. Comparisons of mean daily nutrient, and food and food group intakes were made between the studies and with UK national dietary guidelines. Diets in both regions were adequate for most nutrients except dietary fibre, but in both groups intake of free sugars was three times higher than the UK recommended maximum. There were differences between the two regions, particularly higher energy, protein, and carbohydrate intakes in IoM. IoM children consumed greater amounts of red meat, bread, full-fat milk, and sugar-sweetened drinks. IoM children had higher intakes of energy and some nutrients and food groups than ALSPAC children, and similar low intakes of fruits and vegetables. Children's diets in both regions could be improved, particularly considering the increasing prevalence of childhood obesity and the UK recommendation to lower the intake of free sugars.
人们对儿童饮食中水果和蔬菜的摄入量以及高糖摄入情况表示担忧。不列颠群岛的地区饮食差异可能是健康结果差异的潜在原因，但对这些差异知之甚少。我们的目的是比较马恩岛（IoM - ELSPAC）和英格兰西南部（ALSPAC）参与观察性出生队列研究的儿童的饮食。在IoM和ALSPAC中，通过7岁儿童的3天食物记录来评估饮食摄入量。对两项研究之间以及与英国国家饮食指南的平均每日营养素、食物和食物组摄入量进行了比较。除膳食纤维外，两个地区的饮食对大多数营养素来说都是充足的，但两组中游离糖的摄入量都比英国建议的最大值高出三倍。两个地区之间存在差异，特别是IoM地区的能量、蛋白质和碳水化合物摄入量更高。IoM地区的儿童食用了更多的红肉、面包、全脂牛奶和含糖饮料。IoM地区的儿童比ALSPAC地区的儿童摄入了更多的能量和一些营养素及食物组，而水果和蔬菜的摄入量同样较低。考虑到儿童肥胖症患病率的上升以及英国降低游离糖摄入量的建议，两个地区儿童的饮食都有待改善。
