Kersting Mathilde, Kalhoff Hermann, Sinningen Kathrin, Lücke Thomas
Research Department of Child Nutrition, St. Josef-Hospital, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, Bochum, Germany.
Pediatric Clinic Dortmund, Dortmund, Germany.
Front Nutr. 2022 Sep 6;9:981587. doi: 10.3389/fnut.2022.981587. eCollection 2022.
To show by the example of the Optimized Mixed Diet (OMD) for children and adolescents in Germany, how the different food and nutrient profiles of the traditional daily meals complement each other to achieve daily nutrient intakes that meet the Dietary References V.
The 7-day menu plan of the OMD with the usual 5 daily meals in Germany was used. The total nutrient intake from all meals was compared with the nutrient references. Then the composition of the meals was optimized.
Although the cooked meal (lunch) provides only 25% of the daily energy intake, it is relatively rich (>25% of the daily intake) in most vitamins and minerals, which distinguishes it from the other meals. The cold main meals (breakfast, dinner) are rich in calcium and vitamin B2, due to the preferential use of milk in these meals. The two snacks each provide 12.5% of the daily energy intake.
People eat foods but not nutrients and they eat foods as meals; this holds especially true for children and adolescents. A well-calculated menu plan can assure the nutrient adequacy of an OMD where the different food and nutrient profiles of the meals complement each other in a modular system. Guidelines for meals could facilitate flexible coordination of family meals and meals in childcare centers and schools. Different meal types set varied stimulus patterns at different levels (neurocognition, emotion, digestion), which may open up long-term health benefits.
以德国儿童和青少年的优化混合饮食(OMD)为例,展示传统日常膳食中不同的食物和营养成分如何相互补充,以实现符合膳食参考值V的每日营养摄入量。
采用德国OMD通常的一日五餐的7天菜单计划。将所有餐食的总营养摄入量与营养参考值进行比较。然后对餐食的组成进行优化。
尽管熟食(午餐)仅提供每日能量摄入量的25%,但它在大多数维生素和矿物质方面相对丰富(>每日摄入量的25%),这使其与其他餐食有所区别。冷餐主餐(早餐、晚餐)由于这些餐食中优先使用牛奶,富含钙和维生素B2。两份零食各提供每日能量摄入量的12.5%。
人们吃的是食物而非营养素,并且是以餐食的形式摄入食物;这对儿童和青少年尤其如此。精心计算的菜单计划可以确保OMD的营养充足,其中餐食的不同食物和营养成分在一个模块化系统中相互补充。膳食指南可以促进家庭膳食以及儿童保育中心和学校膳食的灵活协调。不同类型的餐食在不同层面(神经认知、情绪、消化)设置了不同的刺激模式,这可能带来长期的健康益处。