Milligan R A, Burke V, Beilin L J, Dunbar D L, Spencer M J, Balde E, Gracey M P
University Department of Medicine, Royal Perth Hospital, Western Australia.
Aust N Z J Public Health. 1998 Jun;22(4):485-93. doi: 10.1111/j.1467-842x.1998.tb01419.x.
This study used two-day diet records to examine dietary behaviours in 504 Australian 18 year-olds in relation to gender, socio-economic status (SES) and national dietary guidelines. Fat intake exceeded 30% of energy in about 80% of subjects and was greater than 40% in about one-quarter. Saturated fat provided more than 10% of dietary energy in more than 90% of participants; less than 1% achieved a polyunsaturated to saturated fat ratio of at least one. The major food groups contributing to fat intake were convenience foods (32% in men, 28% in women) and meat (27% in men, 25% in women). Fibre intake was less than 30 g/day in 93% of women and 77% of men. Intakes of calcium, magnesium, potassium, and vitamins C and A, as a ratio of energy consumption, were greater in women than men, while sodium intake was significantly higher in men. Convenience foods were the greatest contributors to sodium intake (27% in men, 22% in women) followed by meat, bread, and soups and sauces. Greater consumption of cereals, fruit, vegetables and low-fat foods in young women of higher SES was reflected in their nutrient profile with higher intake of fibre and vitamin C and lower intake of fat. Men ate more cereals, meat and sugary foods and less fruit, vegetables and low-fat foods. Only 2.5% of men and 4.1% of women conformed with the health promotion message, widely publicised locally, to eat two fruits and five vegetables daily. Not eating breakfast was associated with lower calcium intake in men and women, and lower iron and fibre in take in women. Achieving behavioural changes in young adults must take into account differences in dietary behaviour related to gender and SES.
本研究采用两日饮食记录,以调查504名澳大利亚18岁青少年的饮食行为与性别、社会经济地位(SES)及国家饮食指南之间的关系。约80%的受试者脂肪摄入量超过能量的30%,约四分之一的受试者脂肪摄入量超过40%。超过90%的参与者饱和脂肪提供的膳食能量超过10%;不到1%的人实现了多不饱和脂肪与饱和脂肪的比例至少为1。导致脂肪摄入的主要食物类别是方便食品(男性占32%,女性占28%)和肉类(男性占27%,女性占25%)。93%的女性和77%的男性纤维摄入量低于30克/天。以能量消耗比例计算,女性钙、镁、钾以及维生素C和A的摄入量高于男性,而男性钠摄入量显著更高。方便食品是钠摄入的最大贡献者(男性占27%,女性占22%),其次是肉类、面包以及汤和酱料。社会经济地位较高的年轻女性更多地食用谷物、水果、蔬菜和低脂食品,这反映在她们的营养状况上,即纤维和维生素C摄入量较高,脂肪摄入量较低。男性食用更多的谷物、肉类和含糖食品,而食用水果、蔬菜和低脂食品较少。只有2.5%的男性和4.1%的女性符合当地广泛宣传的健康促进信息,即每天食用两份水果和五份蔬菜。不吃早餐与男性和女性较低的钙摄入量以及女性较低的铁和纤维摄入量有关。要实现年轻人的行为改变,必须考虑到与性别和社会经济地位相关的饮食行为差异。