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加拿大居民饮食中能量、钠、糖和饱和脂肪的主要来源:来自 2015 年加拿大社区健康调查的新发现。

Top dietary sources of energy, sodium, sugars, and saturated fats among Canadians: insights from the 2015 Canadian Community Health Survey.

机构信息

a School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.

b BODE, Department of Public Health, University of Otago, Wellington 6242, New Zealand.

出版信息

Appl Physiol Nutr Metab. 2019 Jun;44(6):650-658. doi: 10.1139/apnm-2018-0532. Epub 2019 Apr 5.

Abstract

Dietary factors are major contributors to morbidity and mortality, and significant attention is being paid to interventions to support healthy eating, including through the creation of a healthier food supply. The objective of this study was to inform interventions to support healthy eating by examining the top dietary sources of calories, sodium, sugars, and saturated fats among Canadians in relation to sex, age, and income. We drew upon data from the 2015 Canadian Community Health Survey, which collected interviewer-administered 24-h dietary recalls from Canadians who were 1 year of age and older ( = 20 176), residing in the 10 provinces. Foods and beverages were grouped into 91 mutually exclusive categories (e.g., 100% fruit juice, fruit drinks). On the basis of the average proportion contributed, the top 20 sources of each dietary component were identified for all individuals and by sex-age and income groups. The mean amount of each dietary component contributed by each category (per capita and per consumer) and the proportions of persons consuming items in each category were also examined. Top sources included commonly consumed items (e.g., breads and flatbreads as sources of sodium), as well as those high in a given dietary component (e.g., soda as a source of sugars). Several food and beverage categories were top contributors to more than one dietary component examined, suggesting possible priorities for intervention and future analyses. The identification of major sources of calories and nutrients of concern can inform population health efforts, such as reformulation, to improve the health of Canadians.

摘要

饮食因素是发病率和死亡率的主要原因,人们非常关注支持健康饮食的干预措施,包括通过创造更健康的食品供应来实现。本研究的目的是通过检查加拿大男性、女性、不同年龄段和不同收入群体的饮食中卡路里、钠、糖和饱和脂肪的主要来源,为支持健康饮食的干预措施提供信息。我们利用了 2015 年加拿大社区健康调查的数据,该调查从加拿大年龄在 1 岁及以上(n = 20176)、居住在 10 个省的人群中收集了由调查员进行的 24 小时饮食回忆。食物和饮料被分为 91 个互斥的类别(例如,100%纯果汁、果汁饮料)。基于平均比例,确定了所有个体以及按性别-年龄和收入群体划分的每种饮食成分的前 20 个来源。还检查了每个类别对每种饮食成分的平均贡献量(人均和每消费者)以及每个类别中消费者的比例。主要来源包括常见的消费项目(例如,面包和扁平面包是钠的来源),以及某些特定饮食成分含量高的项目(例如,苏打水是糖的来源)。一些食品和饮料类别是所研究的多种饮食成分的主要来源,这表明可能需要采取干预措施和未来分析的重点。确定卡路里和有问题营养素的主要来源可以为人口健康工作提供信息,例如配方改革,以改善加拿大人的健康。

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