Windus Janelle L, Duncanson Kerith, Burrows Tracy L, Collins Clare E, Rollo Megan E
School of Health Sciences, College of Health, Medicine & Wellbeing, University of Newcastle, Callaghan, NSW, Australia.
School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.
J Nutr Sci. 2025 May 28;14:e37. doi: 10.1017/jns.2025.10011. eCollection 2025.
Women and children are priority populations in Cambodia, however no dietary intake information exists on breastfeeding women for informing nutritional intervention. The aim was to assess nutritional adequacy of dietary intakes of Cambodian women, by breastfeeding status and locality. A cross-sectional assessment of dietary intake was conducted with non-pregnant women ≥18 years of age with at least one child under 5 years in rural, semi-rural and urban locations in Siem Reap province, Cambodia. Women used a bespoke smartphone application to capture three-day image-voice records on two occasions. Data were analysed using a semi-automated web platform incorporating a tailored Cambodian food composition database. Estimated Average Requirements were used to assess adequacy of nutrient intakes. Of 119 women included in the analysis, 58% were breastfeeding, and 63% were rural or semi-rural. Protein, carbohydrate, vitamin B, iron, and sodium were adequate for over 65% of women. Less than 10% of women had adequate vitamin A, vitamin C, thiamine, calcium, and zinc intakes, in contrast to low deficiency rates reported for Cambodian women. Despite breastfeeding women recording higher dietary intakes, adequate intakes of protein, carbohydrate, vitamin A, thiamine, and zinc were lower than non-breastfeeding women due to higher requirements. Rural women generally had higher nutrient intakes, and urban women had inadequate folate intake. This study indicates dietary intakes of Cambodian women in Siem Reap province, particularly breastfeeding women, are not nutritionally adequate. Data collected using image-voice dietary assessment could inform nutrition interventions and policies in Cambodia to improve dietary intakes and nutrition-related health outcomes.
妇女和儿童是柬埔寨的重点人群，然而目前尚无关于哺乳期妇女饮食摄入的信息来为营养干预提供参考。本研究旨在按哺乳状况和地区评估柬埔寨妇女饮食摄入的营养充足情况。在柬埔寨暹粒省的农村、半农村和城市地区，对年龄≥18岁且至少有一个5岁以下子女的非孕妇进行了饮食摄入的横断面评估。妇女们使用一款定制的智能手机应用程序，分两次记录三天的图像语音数据。使用一个整合了定制柬埔寨食物成分数据库的半自动网络平台对数据进行分析。采用估计平均需求量来评估营养素摄入的充足程度。纳入分析的119名妇女中，58%为哺乳期妇女，63%来自农村或半农村地区。超过65%的妇女蛋白质、碳水化合物、维生素B、铁和钠的摄入量充足。与柬埔寨妇女报告的低缺乏率相比，不到10%的妇女维生素A、维生素C、硫胺素、钙和锌的摄入量充足。尽管哺乳期妇女记录的饮食摄入量较高，但由于需求量较大，蛋白质、碳水化合物、维生素A、硫胺素和锌的充足摄入量低于非哺乳期妇女。农村妇女的营养素摄入量普遍较高，而城市妇女的叶酸摄入量不足。本研究表明，柬埔寨暹粒省妇女的饮食摄入，尤其是哺乳期妇女的饮食摄入，营养并不充足。通过图像语音饮食评估收集的数据可为柬埔寨的营养干预和政策提供参考，以改善饮食摄入和与营养相关的健康状况。
