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澳大利亚学龄前儿童铁摄入量的充足性及与铁摄入量相关的社会人口学因素。

Adequacy of iron intakes and socio-demographic factors associated with iron intakes of Australian pre-schoolers.

机构信息

Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.

出版信息

Eur J Nutr. 2020 Feb;59(1):175-184. doi: 10.1007/s00394-019-01897-7. Epub 2019 Feb 1.

Abstract

PURPOSE

To estimate the prevalence of inadequate iron intakes and identify socio-demographic factors associated with iron intakes of Australian children aged 2-5 years.

METHODS

Data from the 2011-2012 National Nutrition and Physical Activity Survey component of the Australian Health Survey were analysed (n = 783, 2-5 years old). Dietary intake was assessed via two non-consecutive 24-h recalls. Prevalence of inadequate iron intake was estimated using the full probability approach after estimating the distribution of usual intakes with PC-SIDE. Associations between potential socio-demographic factors and energy-adjusted iron intakes were assessed via linear regression accounting for the complex survey design.

RESULTS

Mean (SD) iron intakes for pre-schoolers were 7.9 (1.9) mg/day and the prevalence of inadequate iron intake was 10.1% (95% CI 7.9%, 12.1%). Male sex (mean difference between boys and girls: - 0.22 (95% CI - 0.03, - 0.41) mg/day; p = 0.022) and age (each additional year was associated with 0.11 (95% CI - 0.22, - 0.00) mg/day lower iron intake; p = 0.048) were negatively associated with pre-schooler iron intakes.

CONCLUSIONS

This study provides current data relating to the iron nutrition of Australian pre-schoolers. Poor iron intakes continue to be a problem for 10% of Australian children beyond the second year of life, with iron intakes being lower for boys compared to girls and declining with age. Future research should examine strategies to improve iron intakes of young children, with a focus on promoting iron-rich food sources.

摘要

目的

评估澳大利亚 2-5 岁儿童铁摄入量不足的流行率,并确定与铁摄入量相关的社会人口学因素。

方法

对澳大利亚健康调查的 2011-2012 年国家营养和身体活动调查部分的数据进行了分析(n=783,2-5 岁)。通过两次非连续 24 小时回顾来评估膳食摄入量。使用 PC-SIDE 估计常用摄入量的分布后,采用全概率法估计铁摄入不足的流行率。通过线性回归,考虑到复杂的调查设计,评估潜在社会人口学因素与能量调整后的铁摄入量之间的关联。

结果

学龄前儿童的平均(SD)铁摄入量为 7.9(1.9)mg/天,铁摄入不足的流行率为 10.1%(95%CI 7.9%,12.1%)。男性(男孩和女孩之间的平均差异:-0.22(95%CI -0.03,-0.41)mg/天;p=0.022)和年龄(每增加一年与 0.11(95%CI -0.22,-0.00)mg/天的铁摄入量较低相关;p=0.048)与学龄前儿童铁摄入量呈负相关。

结论

本研究提供了与澳大利亚学龄前儿童铁营养有关的最新数据。10%的澳大利亚儿童在 2 岁以后仍存在铁摄入不足的问题,男孩的铁摄入量低于女孩,且随年龄增长而下降。未来的研究应研究改善幼儿铁摄入量的策略,重点关注促进富含铁的食物来源。

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