Department of Food & Nutrition, Sungshin Women's University, Seoul 01133, Republic of Korea.
Healthcare Data Science Center, Bio-Medical Informatics, College of Medicine, Konyang University, Daejeon 35365, Republic of Korea.
Int J Environ Res Public Health. 2023 Aug 31;20(17):6695. doi: 10.3390/ijerph20176695.
To research the health and nutritional status in Korean children and adolescents belonging to food insecure households (FI), the preregistered secondary data of 18 items from the Food Security Evaluation in the Korea National Health and Nutrition Examination Survey (KNHANES; 2012-2019) were used. Comparative analyses (food security group [FS], ( = 3150) vs. FI, ( = 405) of household characteristics, health status (anthropometrics, clinics, mentality), and nutritional status (nutrient intake, diet-quality, and pattern) were performed in children (boys: 1871, girls: 1684) aged 10-18 years. The FI comprised higher proportions of participants from low-income families, basic livelihood-security recipients, and vulnerability (characteristics: female household heads, aged ≥50, single, unemployed, with low education and unmet healthcare needs). Compared to FS, boys had higher abdominal obesity and alcohol use, whereas girls had lower high-density-lipoprotein cholesterol (HDLc) and mental vulnerability (self-perceived obesity despite FS-similar anthropometry) in FI. Inadequate protein intake among boys and girls, and high carbohydrate and inadequate fat intake among girls were especially found in the FI status. From the results of a nutrition quality test, Vit-A in boys, and protein, niacin, and iron intakes in girls were insufficient, respectively. Health-nutritional policies to improve children's lifestyles should reinforce FI-based intake of deficient nutrients.
为了研究属于食物不安全家庭（FI）的韩国儿童和青少年的健康和营养状况，使用了韩国国民健康和营养检查调查（KNHANES；2012-2019 年）中食品安全评估的 18 项预先注册的二级数据。对 10-18 岁的儿童（男孩：1871 人，女孩：1684 人）进行了家庭特征、健康状况（人体测量学、临床、心理）和营养状况（营养素摄入、饮食质量和模式）的比较分析（食物安全组 [FS]，（n = 3150）与 FI 组（n = 405）。FI 组中更多的参与者来自低收入家庭、基本生计保障接受者和弱势群体（特征：女性户主、年龄≥50 岁、单身、失业、受教育程度低、未满足医疗保健需求）。与 FS 相比，FI 组男孩的腹部肥胖和饮酒率较高，而女孩的高密度脂蛋白胆固醇（HDLc）和心理脆弱性（尽管身体质量指数相似，但自我感知肥胖）较低。FI 组中男孩的蛋白质摄入不足，女孩的碳水化合物摄入较高且脂肪摄入不足，尤其明显。从营养质量测试的结果来看，男孩的维生素 A，女孩的蛋白质、烟酸和铁摄入不足。为了改善儿童的生活方式，应加强基于 FI 的营养摄入，以改善健康和营养政策。
