Li Shujuan, Yu Dongmei, Zhao Liyun, Ju Lahong, Guo Qiya, Xu Xiaoli, Fang Hongyun, Piao Wei, Cheng Xue, Cai Shuya
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wei Sheng Yan Jiu. 2023 Sep;52(5):698-709. doi: 10.19813/j.cnki.weishengyanjiu.2023.05.002.
To analyze the intake of energy and macronutrients in the elderly aged 75 years and above in China.
The data was sourced from the China National Chronic Non-communicable Disease and Nutrition Surveillance, which adopted a multi-stage stratified clustered random sampling method and selected 298 monitoring points from 31 provinces across the country to carry out chronic non-communicable disease and nutrition surveillance of Chinese adults. The condiments weighting method and 3-day 24-hour dietary review method were used to collect dietary data for residents. Based on the dietary survey result of 3368 elderly people aged 75 years and above in the surveillance, the intake of energy and macro nutrients of elderly people was analyzed.
Among the elderly aged 75 years and above included in the analysis, there were 1727 males and 1641 females, 1511 people in urban areas and 1857 people in rural areas, 1956 people aged 75-79, 1412 people aged ≥ 80. The average energy intake of the elderly aged 75 years and above in China was(1601.0±473.4)kcal, and the average intakes of carbohydrate, protein and fat were(219.6±76.6)g, (48.2±18.6)g and(60.2±31.5)g, respectively. The energy supply ratios of carbohydrate, protein and fat were 54.9%, 12.0% and 33.1% respectively. The carbohydrate intake and its energy supply ratio of the urban elderly((200.0±74.0)g and 51.8%) were significantly lower than those of the rural elderly((235.5±75.0) and 57.4%), while the protein intake and its energy supply ratio((50.2±18.9)g and 13.0%), fat intake and its energy supply ratio((61.2±30.2)g and 35.2%)of the urban elderly were significantly higher than those of the rural elderly((46.5±18.2)g and 11.2% for protein, and(59.4±32.5)g and 31.4% for fat). According to Chinese dietary reference intake standard, only 28.1% of the elderly aged 75 and above reached the recommended value of energy, 71.9% of the elderly did not take enough energy, the proportion of insufficient protein intake was 72.2%, 68.5% in urban areas and 75.2% in rural areas, the proportion of people with fat to energy ratio more than 30% was 58.5%, 65.3% in urban areas and 52.9% in rural areas.
The energy intake of the elderly aged 75 years and above in China was insufficient, the protein intake was low, the fat to energy ratio was too high, and the dietary structure was unreasonable.
分析我国75岁及以上老年人的能量和宏量营养素摄入情况。
数据来源于中国国家慢性病与营养监测,该监测采用多阶段分层整群随机抽样方法,从全国31个省选取298个监测点,对中国成年人开展慢性病与营养监测。采用调味品称重法和3天24小时膳食回顾法收集居民膳食数据。基于监测中3368名75岁及以上老年人的膳食调查结果,分析老年人的能量和宏量营养素摄入情况。
纳入分析的75岁及以上老年人中,男性1727人,女性1641人;城市地区1511人,农村地区1857人;75 - 79岁1956人,80岁及以上1412人。我国75岁及以上老年人平均能量摄入量为(1601.0±473.4)千卡,碳水化合物、蛋白质和脂肪的平均摄入量分别为(219.6±76.6)克、(48.2±18.6)克和(60.2±31.5)克。碳水化合物、蛋白质和脂肪的能量供应比例分别为54.9%、12.0%和33.1%。城市老年人的碳水化合物摄入量及其能量供应比例((200.0±74.0)克和51.8%)显著低于农村老年人((235.5±75.0)克和57.4%),而城市老年人的蛋白质摄入量及其能量供应比例((50.2±18.9)克和13.0%)、脂肪摄入量及其能量供应比例((61.2±30.2)克和35.2%)显著高于农村老年人(蛋白质分别为(46.5±18.2)克和11.2%,脂肪分别为(59.4±32.5)克和31.4%)。按照中国膳食营养素参考摄入量标准,75岁及以上老年人中仅28.1%达到能量推荐值,71.9%的老年人能量摄入不足,蛋白质摄入不足的比例为七十二点二%,城市地区为68.5%,农村地区为75.2%,脂肪能量比超过30%的人群比例为58.5%,城市地区为65.3%,农村地区为52.9%。
我国75岁及以上老年人能量摄入不足,蛋白质摄入量低,脂肪能量比过高,膳食结构不合理。