Zhang X F, Li L, Xu J, Xu P P, Pan H, Cao W, Gan Q, Zhang Q
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2019 Feb 10;40(2):175-179. doi: 10.3760/cma.j.issn.0254-6450.2019.02.010.
To investigate the association between milk intake at breakfast and nutritional status of students attending the Nutrition Improvement Program for Rural Compulsory Education Students (NIPRCES) in 2016, and to provide basic data for improving the nutritional status of the poor rural pupils. Using the multi-stage stratified random cluster sampling method, 22 315 students from grade three to nine from primary and junior high schools were randomly selected from the 50 key counties under the monitor programs, in 22 provinces of NNIPRCS. Questionnaire was used. Among all the students, with equal number of genders, morning fasting height and weight were measured by trained investigators. Status of nutrition was classified as malnutrition, normal, overweight/obesity, by age-specific height and BMI. Multivariate linear and logistic regression methods were used to analyze the relationship between milk consumption and the status of nutrition of the students. Only 31.4% of the students that were on the monitoring programs would drink milk at breakfast. Proportions of milk intake at breakfast were higher in students from the western regions, in lower grades and in girls (<0.05). The proportions of malnutrition and overweight/obesity were 11.0% and 10.0% respectively. After controlling factors as gender, age, ethnicity, region of residency and types of parental employment, students who drank milk at breakfast showed an average height of 0.4 cm taller than those who did not drink milk (=0.001). However, no significant relationships were noticed between milk intake at breakfast and weight, malnutrition or overweight/obesity. Milk intake at breakfast seemed associated with the height of the students under study, suggesting that this program can be promoted, especially in students from the poor rural areas.
为探讨2016年农村义务教育学生营养改善计划(NIPRCES)中早餐牛奶摄入量与学生营养状况之间的关联,并为改善农村贫困学生营养状况提供基础数据。采用多阶段分层随机整群抽样方法,从国家农村义务教育学生营养改善计划(NNIPRCS)22个省的50个监测项目重点县的中小学三至九年级学生中随机抽取22315名学生。采用问卷调查。在所有学生中,按性别均衡抽取,由经过培训的调查人员测量早晨空腹身高和体重。根据年龄别身高和BMI将营养状况分为营养不良、正常、超重/肥胖。采用多变量线性和逻辑回归方法分析牛奶摄入量与学生营养状况之间的关系。在接受监测的学生中,只有31.4%的学生会在早餐时喝牛奶。早餐喝牛奶的比例在西部地区学生、低年级学生和女生中较高(<0.05)。营养不良和超重/肥胖的比例分别为11.0%和10.0%。在控制了性别、年龄、民族、居住地区和父母职业类型等因素后,早餐喝牛奶的学生平均身高比不喝牛奶的学生高0.4厘米(P=0.001)。然而,早餐牛奶摄入量与体重、营养不良或超重/肥胖之间未发现显著关系。早餐牛奶摄入量似乎与所研究学生的身高有关,表明该计划可以推广,特别是在农村贫困地区的学生中。