1Faculty of Medical Sciences,University of the West Indies,Errol Waldron Building,Jemmotts Lane,Cave Hill,St Michael,Barbados.
2The Warren Alpert Medical School of Brown University,Providence, RI,USA.
Public Health Nutr. 2019 Aug;22(11):1979-1989. doi: 10.1017/S1368980019000296. Epub 2019 Mar 8.
We describe diet quality by demographic factors and weight status among Barbadian children and examine associations with excess energy intake (EI). A screening tool for the identification of children at risk of excess EI was developed.
In a cross-sectional survey, the Diet Quality Index-International (DQI-I) was used to assess dietary intakes from repeat 24h recalls among 362 children aged 9-10 years. Participants were selected by probability proportional to size. A model to identify excess energy intake from easily measured components of the DQI-I was developed.
Barbados.ParticipantsPrimary-school children in Barbados.
Over one-third of children were overweight/obese, and mean EI for boys (8644 (se 174·5) kJ/d (2066 (se 41·7) kcal/d)) and girls (8912 (se 169·9) kJ/d (2130 (se 40·6) kcal/d)) exceeded the RDA. Children consuming a variety of food groups, more vegetables and fruits, and lower percentage energy contribution from empty-calorie foods showed reduced likelihood of excess EI. Intake of more than 2400 mg Na/d and higher macronutrient and fatty acid ratios were positively related to the consumption of excess energy. A model using five DQI-I components (overall food group variety, variety for protein source, vegetables, fruits and empty calorie intake) had high sensitivity for identification of children at risk of excess EI.
Children's diet quality, despite low intakes of fruit and vegetables, was within acceptable ranges as assessed by the DQI-I and RDA; however, portion size was large and EI high. A practical model for identification of children at risk of excess EI has been developed.
我们描述了巴巴多斯儿童的人口统计学因素和体重状况下的饮食质量，并研究了其与能量摄入过量（EI）的关系。开发了一种用于识别 EI 过量风险儿童的筛查工具。
在一项横断面调查中，使用饮食质量指数-国际（DQI-I）评估了 362 名 9-10 岁儿童重复 24 小时回忆中的饮食摄入量。参与者通过与大小成比例的概率进行选择。开发了一种从 DQI-I 中易于测量的成分中识别过量能量摄入的模型。
巴巴多斯。
巴巴多斯的小学生。
超过三分之一的儿童超重/肥胖，男孩的平均 EI（8644（se 174.5）kJ/d（2066（se 41.7）kcal/d））和女孩（8912（se 169.9）kJ/d（2130（se 40.6）kcal/d））超过了 RDA。摄入多种食物组、更多蔬菜和水果以及较低的空卡路里食物能量贡献百分比的儿童，其 EI 过量的可能性较低。摄入超过 2400mg/d 的 Na 和更高的宏量营养素和脂肪酸比例与过量能量的消耗呈正相关。使用 DQI-I 五个成分（总体食物组多样性、蛋白质来源多样性、蔬菜、水果和空卡路里摄入）的模型对识别 EI 过量风险的儿童具有较高的敏感性。
尽管儿童的水果和蔬菜摄入量较低，但根据 DQI-I 和 RDA 的评估，其饮食质量仍在可接受范围内；然而，份量较大，EI 较高。已经开发出一种用于识别 EI 过量风险儿童的实用模型。
