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The effect of socio-demographic variables and dairy use on the intake of essential macro- and micronutrients in 0.5-12-year-old Indonesian children

社会人口学因素和乳制品摄入对0.5-12岁印度尼西亚儿童必须宏量和微量营养素摄入的影响

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摘要


背景与目的:研究营养素摄入、奶制品摄入和社会经济因素之间的关系。方法与研究设计:采用24小时膳食回顾法收集3600名年龄为0.5-12岁儿童的膳食摄入量,并收集其乳制品的使用频率、人体测量指标和社会人口学指标。结果:总的年龄别身高Z分数和年龄别体质指数Z分数(均数±标准误)分别为-1.40±0.03和-0.48±0.03,其与人群中发育迟缓和消瘦的高发生率相关。不使用任何乳制品的儿童占总人数的71%,并且这一比例随着年龄的增长而稳步增长。乳制品来源的总能量摄入平均为99±3千卡/人/天,乳制品使用者来自总乳制品的能量为291±7千卡/人/天。乳制品的使用没有性别差异,但城市地区高于农村地区。另外,如果母亲受教育程度越高、母亲有一份稳定的工作、或者家庭的收入状况处于偏上水平的儿童,其奶制品的使用频率也较高。3岁之后,除了蛋白质,能量和所有营养素的摄入是不足的。校正乳制品来源的更高能量摄入和社会人口因素之后,与非乳制品使用者相比,乳制品使用者所有营养素达到推荐膳食摄入量的比例更高,随着乳制品使用频率的增加贡献也增加。结论:摄入充足的乳制品将大大促进印度尼西亚儿童达到推荐膳食摄入量。

並列摘要


Background and Objectives: To study the associations between nutrient intake, dairy intake and socioeconomic variables. Methods and Study Design: Food consumption data using 24 h recall were collected in 3600 children, aged 0.5 to 12 years old in addition to frequency of dairy use and anthropometric and sociodemographic variables. Results: Overall height for age Z-score (HAZ) and body mass index for age Z-score (BAZ) values (mean±SE) were -1.40±0.03 and -0.48±0.03 respectively, associated with a high prevalence of stunting and thinness in the population. The overall percentage of children not using any dairy products was 71%, and this percentage increased steadily with age. The overall energy intake from dairy was 99±3 kcal/capita/day and the overall energy intake from dairy in dairy users was 291±7 kcal/day. Dairy use did not differ between boys and girls, but was higher in urban areas, higher if the education of the mother was higher and higher if the mother had a permanent job and if the wealth status of the family was in the upper levels. Nutrient intake after the age of 3 years was inadequate for energy and all nutrients except for protein. The achievement of Recommended Dietary Allowances (RDA) for all nutrients was higher in dairy users compared to non-dairy users, also after correcting for the confounding effect of the higher energy intake (from dairy) and socio-demographic variables. The contribution increased with increasing frequency of dairy use. Conclusion: Adequate dairy intake can substantially add to the achievement of RDA in Indonesian children.

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