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中国居家老年人膳食微量营养素摄入状况:来自 CNNHS2010-2012 的数据。

Dietary Micronutrients Intake Status among Chinese Elderly People Living at Home: Data from CNNHS 2010-2012.

机构信息

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, China.

出版信息

Nutrients. 2019 Aug 2;11(8):1787. doi: 10.3390/nu11081787.

Abstract

The aim of this study was to examine the status of usual dietary micronutrient intakes among Chinese elderly living at home. The data was based on China National Nutrition and Health Survey (CNNHS) 2010-2012. We analyzed data from the participants aged 60-year-old and more ( = 16,612) living at home, who provided dietary data on three days 24 h dietary survey combining with the household weighing method. The means and distribution percentiles for usual intakes of dietary micronutrients were estimated using the Multiple Source Method (MSM). The prevalence of inadequacy for the selected micronutrients was expressed using the proportion of individuals with usual intakes below the Estimated Average Requirement (EAR). For vitamin E, sodium and potassium, the means and the distribution of intakes were compared to the Adequate Intake (AI) level. Usual dietary intakes of most micronutrients were inadequate in the participants, especially folate, calcium, vitamin B and vitamin B, with the prevalence of inadequacy more than 90%. However, dietary sodium intake was extremely high with an average usual intake of 4702 mg/day. The usual dietary intakes of all selected micronutrients in old males were higher than females, and the prevalence of inadequacy of most micronutrients was higher in old women ( < 0.01). The subjects aged 60-74 years tended to have higher usual dietary micronutrient intakes and lower prevalence of inadequate micronutrients than those aged 75 years and over ( < 0.01). Higher usual dietary intakes and lower prevalence of inadequacy of most micronutrients were found in the elderly living in the southern region ( < 0.01). The average usual intakes of most micronutrients declined with socioeconomic status. The prevalence of inadequate vitamin A, B, C, calcium and selenium below EAR increased with socioeconomic status ( < 0.01, for trend < 0.01). Thus, essential micronutrients insufficient intake is a public health concern among Chinese community-dwelling old population, especially the females, older people, the elderly in undeveloped areas or living in northern regions. Nutrition education and appropriate approach should be undertaken to address these problems.

摘要

本研究旨在探讨居家中国老年人的常用膳食微量营养素摄入量状况。该数据基于 2010-2012 年中国营养与健康状况调查(CNNHS)。我们分析了年龄在 60 岁及以上(n=16612)且居家的参与者的数据,这些参与者提供了 3 天 24 小时膳食调查的膳食数据,结合家庭称重法。使用多源法(MSM)估计常用膳食微量营养素摄入量的平均值和分布百分位数。采用个体通常摄入量低于估计平均需求量(EAR)的比例表示所选微量营养素不足的发生率。对于维生素 E、钠和钾,摄入量的平均值和分布与适宜摄入量(AI)水平进行了比较。参与者的大多数微量营养素通常摄入量不足,尤其是叶酸、钙、维生素 B 和维生素 B,不足率超过 90%。然而,膳食钠摄入量极高,平均日常摄入量为 4702mg/天。老年男性的所有选定微量营养素的日常摄入量均高于女性,大多数微量营养素不足的发生率在老年女性中更高(<0.01)。60-74 岁的受试者比 75 岁及以上的受试者更倾向于具有更高的日常膳食微量营养素摄入量和更低的微量营养素不足发生率(<0.01)。在南部地区居住的老年人中,发现日常饮食中摄入的大多数微量营养素更高,微量营养素不足的发生率更低(<0.01)。随着社会经济地位的提高,大多数微量营养素的平均日常摄入量均下降。维生素 A、B、C、钙和硒的 EAR 以下不足率随着社会经济地位的提高而增加(<0.01,趋势检验<0.01)。因此,在中国社区居住的老年人群体中,微量营养素摄入不足是一个公共卫生问题,尤其是女性、老年人、欠发达地区或北方地区的老年人。应该采取营养教育和适当的措施来解决这些问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b920/6722721/6ef53bdcbfa3/nutrients-11-01787-g001.jpg

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