Nestlé Research, Route du Jorat 57, 1000 Lausanne, Switzerland.
Food and Nutrition Research Institute-Department of Science and Technology, Taguig City 1631, Philippines.
Nutrients. 2020 Feb 1;12(2):392. doi: 10.3390/nu12020392.
Malnutrition is a major public health concern in the Philippines. Milk and dairy products are important sources of energy, protein, and micronutrients for normal growth and development in children. This study aims to assess the contribution of different types of milk to nutrient intakes and nutrient adequacy among young and preschool children in the Philippines. Filipino children aged one to four years ( = 2992) were analysed while using dietary intake data from the 8th National Nutrition Survey 2013. Children were stratified by age (one to two years and three to four years) and by milk beverage consumption type: young children milk (YCM) and preschool children milk (PCM), other milks (mostly powdered milk with different degrees of fortification of micronutrients), and non-dairy consumers (no milks or dairy products). The mean nutrient intakes and the odds of meeting nutrient adequacy by consumer groups were compared, percentage of children with inadequate intakes were calculated. Half (51%) of Filipino children (all ages) did not consume any dairy on a given day, 15% consumed YCM or PCM, and 34% consumed other milks. Among children one to two years, those who consumed YCM had higher mean intakes of iron, magnesium, potassium, zinc, B vitamins, folate, and vitamins C, D, and E (all < 0.001) when compared to other milk consumers. Non-dairy consumers had mean intakes of energy, total fat, fibre, calcium, phosphorus, iron, potassium, zinc, folate, and vitamins D and E that were far below the recommendations. Children who consumed YCM or PCM had the highest odds in meeting adequacy of iron, zinc, thiamin, vitamin B6, folate, and vitamins C, D, and E as compared to other milks or non-dairy consumers, after adjusting for covariates. This study supports the hypothesis that dairy consumers had higher intakes of micronutrients and higher nutrient adequacy than children who consumed no milk or dairy products. Secondly, YCM or PCM have demonstrated to be good dairy options to achieve nutrient adequacy in Filipino children.
菲律宾存在严重的营养不良问题。奶类及其制品是儿童正常生长发育的能量、蛋白质和微量营养素的重要来源。本研究旨在评估不同类型的奶类对菲律宾幼儿营养素摄入量和营养素充足程度的贡献。使用 2013 年第八次全国营养调查的膳食摄入数据,分析了 1 至 4 岁的菲律宾儿童(=2992)。儿童按年龄(1 至 2 岁和 3 至 4 岁)和奶类饮料消费类型分层:幼儿奶(YCM)和学龄前儿童奶(PCM)、其他奶类(主要是不同程度强化微量营养素的粉状奶)和非奶类消费者(不食用奶类或奶制品)。比较了不同消费群体的平均营养素摄入量和达到营养素充足程度的几率,并计算了摄入不足的儿童比例。一半(51%)的菲律宾儿童(所有年龄)在某一天不食用任何奶制品,15%食用 YCM 或 PCM,34%食用其他奶类。在 1 至 2 岁的儿童中,与其他奶类消费者相比,食用 YCM 的儿童铁、镁、钾、锌、B 族维生素、叶酸和维生素 C、D、E 的平均摄入量更高(均<0.001)。非奶类消费者的能量、总脂肪、纤维、钙、磷、铁、钾、锌、叶酸和维生素 D、E 的平均摄入量远低于建议量。与其他奶类或非奶类消费者相比,食用 YCM 或 PCM 的儿童在满足铁、锌、硫胺素、维生素 B6、叶酸和维生素 C、D、E 充足程度方面的几率最高,在调整了协变量后也是如此。本研究支持以下假设:与不食用奶类或奶制品的儿童相比,奶类消费者的微量营养素摄入量更高,营养素充足程度更高。其次,YCM 或 PCM 是实现菲律宾儿童营养素充足的良好奶类选择。