Department of Nutritional Sciences, University of Toronto, Toronto, Canada.
Joannah and Brian Lawson Center for Child Nutrition, University of Toronto, Toronto, Canada.
Am J Clin Nutr. 2021 Sep 1;114(3):1131-1140. doi: 10.1093/ajcn/nqab143.
Accurate estimates of the usual intake of nutrients are important for monitoring nutritional adequacy and diet quality of populations. In Canada, comprehensive, nationally representative nutrient estimates have not been available since the Canadian Community Health Survey (CCHS)-Nutrition 2004 survey.
The objective of this research was to assess nutrient intakes, distributions, and adequacy of the intakes of Canadian adults.
Participants' first 24-h dietary recall, and the second-day recall from a subset of participants from the recently released CCHS 2015 Public Use Microdata File (PUMF) were used to estimate usual intakes of macronutrients, vitamins, and minerals in adults [≥19 y, excluding lactating females and those with invalid energy intake (EI)]. Usual intakes by DRI age-sex groups were estimated using the National Cancer Institute method, adjusted for age, sex, misreporting status, weekend/weekday, and sequence of recall analyzed (first/second) with outliers removed (final sample, n = 11,992). Usual intakes from food were assessed for prevalence of inadequacy in relation to DRI recommendations.
Canadian macronutrient intakes were within the recommended acceptable macronutrient distribution ranges. EI was 2154 kcal/d for males (19+) and 1626 kcal/d for females (19+). A high prevalence of inadequate intakes was seen for vitamin A (>47%), vitamin D (>94%), vitamin C (>29% for nonsmokers and >59% for smokers), magnesium (>45%), and calcium (>44%), whereas <25% and <40% of adults (19+) had intakes above the adequate intake for fiber and potassium, respectively. Canadians continue to consume sodium in excess of recommendations (74.8% of males and 47.6% of females).
A significant number of Canadian adults may not be meeting recommendations for several essential nutrients, contributing to nutrient inadequacies. These results highlight the nutrients of concern by specific age-sex groups that may be important for public health interventions aimed at improving diet quality and nutrient adequacy for Canadian adults.
准确估计营养素的通常摄入量对于监测人群的营养充足性和饮食质量非常重要。在加拿大,自 2004 年加拿大社区健康调查(CCHS-营养)调查以来,一直没有全面的、具有全国代表性的营养素估计数据。
本研究旨在评估加拿大成年人的营养素摄入量、分布和充足程度。
使用最近发布的 CCHS 2015 公共使用微观数据文件(PUMF)中参与者的首次 24 小时膳食回忆和亚组参与者的第二天回忆来估计成年人(≥19 岁,不包括哺乳期女性和能量摄入无效者(EI))的常量营养素、维生素和矿物质的通常摄入量。使用国家癌症研究所方法,根据年龄、性别、报告错误状态、周末/工作日以及分析中回忆的顺序(第一次/第二次)对 DRI 年龄性别组的通常摄入量进行估计,并去除异常值(最终样本,n=11992)。从食物中评估通常的摄入量,以确定与 DRI 建议相关的不足发生率。
加拿大的宏量营养素摄入量在推荐的可接受的宏量营养素分布范围内。男性(19 岁及以上)的 EI 为 2154 千卡/天,女性(19 岁及以上)的 EI 为 1626 千卡/天。维生素 A(>47%)、维生素 D(>94%)、维生素 C(非吸烟者>29%,吸烟者>59%)、镁(>45%)和钙(>44%)的摄入量不足率很高,而膳食纤维和钾的适宜摄入量分别只有<25%和<40%的成年人(19 岁及以上)达到。加拿大人继续摄入过量的钠(74.8%的男性和 47.6%的女性)。
相当数量的加拿大成年人可能无法满足一些必需营养素的建议,导致营养素不足。这些结果突出了特定年龄性别组关注的营养素,这些营养素可能对旨在改善加拿大成年人饮食质量和营养素充足性的公共卫生干预措施很重要。