Belgardt Aziza J, Kersting Mathilde, Sinningen Kathrin, Schmidt-Choudhury Anjona, Jochum Frank, Claßen Martin, Lücke Thomas
Forschungsdepartment Kinderernährung (FKE), Universitätsklinik für Kinder- und Jugendmedizin, St. Josef-Hospital, Ruhr-Universität Bochum, Bochum, Deutschland.
Abteilung für pädiatrische Gastroenterologie und Hepatologie, Universitätsklinik für Kinder- und Jugendmedizin, St. Josef-Hospital, Ruhr-Universität Bochum, Bochum, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Feb;68(2):160-166. doi: 10.1007/s00103-024-04001-5. Epub 2025 Jan 14.
Families in Germany who live in poverty receive citizens' benefits (Bürgergeld) within the context of welfare legislation. Basic rates for children and adolescents are included in these benefits and staggered into three groups according to age. The need for nutrition is the largest category of the basic rate. The Optimized Mixed Diet (OMD) is a practical concept of a healthy diet for children and adolescents aged 1-18 years. Traditional and home-cooked meals are preferred. The aim of this project was to calculate the food costs of the OMD based on the underlying 7‑day meal plan.
The lowest shelf prices of 87 different foods from the OMD were recorded during market inspections in different food retailers (1 supermarket, 1 discounter; November 2022, Bochum, Germany). The nutrition basic rate was compared to the total food costs per month in accordance with the age groups of the welfare legislation as well as of the German Nutrition Society (DGE) reference values. Furthermore, the contributions of the food groups were determined based on total costs and total energy intake of the OMD.
The food costs of the OMD are covered 101-109% by the standard nutritional rate of the citizens' benefits for every age group of the welfare legislation. The costs for the more narrowly defined DGE age groups are covered as well with a few exceptions. The main cost drivers of the OMD were vegetables/raw foods, and the main energy sources were bread/cereal products.
The current citizens' benefits can cover the nutritional requirement of children and adolescents, provided that meals are self-cooked and low-priced foods are used. The question remains to what extent the social needs for participation can be fulfilled as well.
德国生活贫困的家庭可根据福利立法领取公民福利( Bürgergeld )。这些福利包括儿童和青少年的基本费率,并根据年龄分为三组。营养需求是基本费率中最大的类别。优化混合饮食(OMD)是一种针对1至18岁儿童和青少年的健康饮食实用概念。传统家常菜是首选。本项目的目的是根据基础的7天饮食计划计算OMD的食品成本。
在不同食品零售商(1家超市、1家折扣店;2022年11月,德国波鸿)进行市场调研时,记录了OMD中87种不同食品的最低货架价格。根据福利立法的年龄组以及德国营养学会(DGE)的参考值,将营养基本费率与每月的食品总成本进行比较。此外,根据OMD的总成本和总能量摄入量确定食品组的贡献。
对于福利立法中每个年龄组,公民福利的标准营养费率可覆盖OMD食品成本的101%-109%。对于定义更窄的DGE年龄组的成本,除少数例外情况也能覆盖。OMD的主要成本驱动因素是蔬菜/生食,主要能量来源是面包/谷物产品。
如果自行烹饪膳食并使用低价食品,当前的公民福利可以满足儿童和青少年的营养需求。社会参与需求在多大程度上也能得到满足仍是个问题。