Alsubaie Ali Saad R
Imam Abdulrahman Bin Faisal University, Department of Public Health, College of Public Health, Dammam, Saudi Arabia.
Int J Adolesc Med Health. 2018 May 9;33(1):/j/ijamh.ahead-of-print/ijamh-2018-0051/ijamh-2018-0051.xml. doi: 10.1515/ijamh-2018-0051.
Healthy dietary behaviors have a significant impact on children's health and development. Diets high in fruit and vegetables demonstrate a strong and consistent pattern for decreasing the risk of and providing benefits against cardiovascular disease, diabetes, obesity and many cancers. Yet, little is known about the pattern of fruit, vegetables and dairy products consumption among children in Saudi Arabia.
The aim of this study was to investigate the consumption of fruit, vegetables and milk products and their dietary correlates among school boys in Saudi Arabia.
A multistage stratified cluster cross-sectional survey, using a pre-tested questionnaire was conducted among school-children. The study sample comprised of 725 school students from ten randomly selected schools in Saudi Arabia.
All surveyed schools (100%) neither provide nor sell fruit, fresh juices or vegetables on their premises. During regular weekdays, the majority of the children did not consume fruit (69%) and vegetables (71.4%) on daily basis. More than one third (32.4%) of the children did not consume dairy products daily. The daily consumption of fruit and dairy products were associated with young age [odds ratio (OR) = 1.5, confidence interval (CI): 1.1-2.2, p = 0.040] and (OR = 2.4, CI: 1.6-3.7, p = 0.001), respectively. Daily consumption of fruit was positively associated with daily consumption of vegetables (OR = 6.6, CI: 4.5-9.5, p = 0.001). Also, daily consumption of vegetables was positively associated with daily consumption of dairy products (OR = 1.5, CI: 1.1-2.2, p = 0.040) and inversely correlated with daily consumption of sweets (OR = 0.6, C.I: 0.4-0.9, p = 0.012). Moreover, the daily consumption of dairy products was associated with consuming high fat food daily (OR = 1.7, CI: 1.2-2.4, p = 0.002).
The findings indicated that a high percentage of children in Saudi Arabia had an unhealthy low consumption of fruit, vegetables and milk products. Thus, an intervention program to promote healthy dietary patterns is highly recommended. Improving school environments and establishing school-based nutrition programs are extremely needed to promote healthy dietary behaviors among this age group.
健康的饮食行为对儿童的健康和发育有着重大影响。富含水果和蔬菜的饮食在降低心血管疾病、糖尿病、肥胖症和多种癌症的风险及带来益处方面呈现出强烈且一致的模式。然而,对于沙特阿拉伯儿童的水果、蔬菜和乳制品消费模式却知之甚少。
本研究旨在调查沙特阿拉伯男学生的水果、蔬菜和奶制品消费情况及其饮食相关因素。
采用预先测试的问卷,对学童进行了多阶段分层整群横断面调查。研究样本包括来自沙特阿拉伯十所随机选取学校的725名学生。
所有接受调查的学校(100%)在其校园内既不提供也不出售水果、新鲜果汁或蔬菜。在正常工作日,大多数儿童每天不吃水果(69%)和蔬菜(71.4%)。超过三分之一(32.4%)的儿童每天不吃奶制品。水果和奶制品的每日消费分别与年龄较小有关[比值比(OR)=1.5,置信区间(CI):1.1 - 2.2,p = 0.040]和(OR = 2.4,CI:1.6 - 3.7,p = 0.001)。水果的每日消费与蔬菜的每日消费呈正相关(OR = 6.6,CI:4.5 - 9.5,p = 0.001)。此外,蔬菜的每日消费与奶制品的每日消费呈正相关(OR = 1.5,CI:1.1 - 2.2,p = 0.040),与甜食的每日消费呈负相关(OR = 0.6,C.I:0.4 - 0.9,p = 0.012)。而且,奶制品的每日消费与每天食用高脂肪食物有关(OR = 1.7,CI:1.2 - 2.4,p = 0.002)。
研究结果表明,沙特阿拉伯很大比例的儿童水果、蔬菜和奶制品消费量低且不健康。因此,强烈建议实施一项促进健康饮食模式的干预计划。极需改善学校环境并建立校本营养计划,以促进该年龄组的健康饮食行为。