学龄期儿童膳食多样化与微量营养素摄入量的关联性分析

doi:10.11852/zgetbjzz2019-0258

中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (2): 183-186.DOI: 10.11852/zgetbjzz2019-0258

学龄期儿童膳食多样化与微量营养素摄入量的关联性分析

戴一鸣, 郭剑秋, 张济明, 肖洪喜, 邬春华, 周志俊

复旦大学公共卫生学院/教育部公共卫生安全重点实验室,上海 200032

收稿日期:2019-05-02 发布日期:2020-02-10 出版日期:2020-02-10
通讯作者: 周志俊,E-mail:zjzhou@fudan.edu.cn
作者简介:戴一鸣(1997-),男,本科在读,研究方向为环境因素与健康。
基金资助:
上海市第四轮三年行动计划项目(GWIV-27.3);复旦大学本科生“卿枫项目”

Associations between dietary diversity and micronutrients intakes in school-age children

DAI Yi-ming, GUO Jian-qiu, ZHANG Ji-ming, XIAO Hong-xi, WU Chun-hua, ZHOU Zhi-jun

School of Public Health/Key Laboratory of Public Health Safety of Ministry of Education,Fudan University,Shanghai,200032,China

Received:2019-05-02 Online:2020-02-10 Published:2020-02-10
Contact: ZHOU Zhi-jun,E-mail:zjzhou@fudan.edu.cn

摘要/Abstract

摘要： 目的探究学龄期儿童膳食多样化与微量营养素摄入量的关系,为指导儿童科学饮食促进儿童健康提供科学依据。方法课题组于2009年在江苏省射阳县建立关于儿童生长发育研究的出生队列,选取随访的442名6~7岁儿童作为研究对象。采用24 h膳食回顾调查评估儿童膳食状况,根据《中国食物成分表》估算微量营养素的摄入量并计算儿童膳食多样化评分(DDS和DDS₁₀)和食物多样性评分(FVS);同时评估儿童体格发育指标,应用多变量回归模型分析膳食多样化和微量营养素摄入量与儿童肥胖的关系。结果研究地区儿童膳食微量营养素摄入量低于该年龄组的中国居民膳食营养素参考摄入量。三种儿童膳食多样化评分均值低于国内其他研究(DDS:6.69±1.59; DDS₁₀:4.94±1.51;FVS:16.79±7.53)。儿童膳食多样化评分与大部分微量营养素摄入状况均呈显著性正相关 (DDS:β=0.14~1.28; DDS₁₀:β=0.17~1.58 ; FVS:β=0.04~0.25,P<0.05),但膳食多样化评分与儿童肥胖无显著相关性(P>0.05)。结论膳食多样化评分能从一定程度反映儿童微量营养素摄入的状况。倡导饮食多样化的膳食模式对促进儿童健康成长具有重要意义。

关键词: 学龄期儿童, 微量营养素, 膳食多样化, 肥胖

Abstract: Objective To explore the relations between dietary diversity and micronutrient intakes in school-age children in a rural area of China,in order to provide scientific basis for guiding children′s scientific diet to promote children′s health. Methods Totally 442 children aged 6-7 years in Sheyang Mini Birth Cohort Study were enrolled.24 h dietary recall survey was conducted to evaluate nutritional status.Micronutrient intakes and dietary diversity were calculated according to Chinese Food Composition Tables (CFCT) 2004 and 2009.Weight and height of children were measured and obesity was defined based on sex- and age-standardized body mass index.Multivariable regression models were preformed to examine associations of dietary diversity with micronutrient intakes and childhood obesity. Results The intakes of micronutrients was lower than age-specific Chinese Dietary Reference Intakes (DRIs) (2013 edition).Mean values of three Dietary Diversity Scores were lower than those in several studies (DDS:6.69±1.59; DDS₁₀:4.94±1.51; FVS:16.79±7.53) in China.Dietary Diversity Score was significantly positively associated with micronutrients intake (DDS:β=0.14-1.28; DDS₁₀:β=0.17-1.58; FVS:β=0.04-0.25,P<0.05).No significant association was observed between dietary diversity and childhood obesity. Conclusions The findings suggest that Dietary Diversity Score could act as an effective indicator for micronutrient intake in children.

Key words: dietary diversity, micronutrient, dietary diversity, obesity

中图分类号:

R153.2

戴一鸣, 郭剑秋, 张济明, 肖洪喜, 邬春华, 周志俊. 学龄期儿童膳食多样化与微量营养素摄入量的关联性分析[J]. 中国儿童保健杂志, 2020, 28(2): 183-186.

DAI Yi-ming, GUO Jian-qiu, ZHANG Ji-ming, XIAO Hong-xi, WU Chun-hua, ZHOU Zhi-jun. Associations between dietary diversity and micronutrients intakes in school-age children[J]. journal1, 2020, 28(2): 183-186.

参考文献

[1] Yakoob MY,Lo CW.Nutrition (micronutrients) in child gro wth and development:a systematic review on current evidence,recommendations and opportunities for further research[J].J Dev Behav Pediatr,2017,38(8):665-679.
[2] 向伟.微量营养素与儿童的认知发展[J].中国儿童保健杂志,2012,20(2):100-102.
[3] 张会丰,王卫平.微量营养素与儿童健康[J].中国儿童保健杂志,2011,19(8):686-688.
[4] Wang H,Wang D,Ouyang Y,et al.Do Chinese children get enough micronutrients?[J].Nutrients,2017,9(4):397.
[5] Perkins JM,Jayatissa R,Subramanian SV.Dietary diversity and anthropometric status and failure among infants and young children in Sri Lanka[J].Nutrition,2018,55-56:76-83.
[6] Azadbakht L,Mirmiran P,Esmaillzadeh A,et al.Dietary diversity score and cardiovascular risk factors in Tehranian adults[J].Public Health Nutr,2006,9(6):728-736
[7] Danquah I,Galbete C,Meeks K,et al.Food variety,dietary diversity,and type 2 diabetes in a multi-center cross-sectional study among Ghanaian migrants in Europe and their compatriots in Ghana:the RODAM study[J].Eur J Nutr,2018,57(8):2723-2733.
[8] Yin Z,Fei Z,Qiu C,et al.Dietary diversity and cognitive fun ction among elderly people:a population-based study[J].J Nutr Health Aging,2017,21(10):1089-1094.
[9] 中国营养学会.中国居民膳食指南 2016[M].北京:人民卫生出版社.
[10] Zhao W,Yu K,Tan S,et al.Dietary diversity scores:an indicator of micronutrient inadequacy instead of obesity for Chinese children[J].BMC Public Health,2017,17(1):440.
[11] Geng S,Ma J,Liu S,et al.Lack of dietary diversity contributes to the gaps in micronutrient status and physical development between urban and rural infants[J].Iran J Public Health,2018,47(7):958-966.
[12] Kennedy GL,Peo MR,Seghieri C,et al.Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children[J].J Nutr,2007,137(2):472-477.
[13] Meng L,Wang Y,Li T,et al.Dietary diversity and food variety in Chinese children aged 3-17 years:are they negatively associated with dietary micronutrient inadequacy?[J].Nutrients,2018,10(11):1674.
[14] 齐小娟.宫内铅、镉及拟除虫菊酯类杀虫剂暴露对婴幼儿生长发育的影响[D].上海:复旦大学,2011.
[15] Jiang H,Zhao A,Zhao W,et al.Do Chinese preschool children eat a sufficiently diverse diet? A cross-sectional study in China[J].Nutrients,2018,10(6):794.
[16] 张强,万青青,余思洋,等.云南省贫困地区2~6岁儿童膳食多样化与生长发育的相关性研究[J].中国儿童保健杂志,2015,23(7):759-761.
[17] 牟劲松,罗家有,李艳萍,等.中国农村留守儿童营养状况及影响因素研究[J].中华流行病学杂志,2009,30(5),439-443.
[18] Xue Y,Zhao A,Cai L,et al.Growth and development in Chinese pre-schoolers with picky eating behaviour:a cross-sectional study[J].PLoS One,2015,10(4):e123664.
[19] Azadbakht L,Esmaillzadeh A.Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth[J].Public Health Nutr.,2011,14(1):62-69.
[20] Li Y,Wedick NM,Lai J,et al.Lack of dietary diversity and dyslipidaemia among stunted overweight children:the 2002 China National Nutrition and Health Survey[J].Public Health Nutr,2011,14(5):896-903.
[21] Salehi-Abargouei A,Akbari F,Bellissimo N,et al.Dietary diversity score and obesity:a systematic review and meta-analysis of observational studies[J].Eur J Clin Nutr,2016,70(1):1-9.

学龄期儿童膳食多样化与微量营养素摄入量的关联性分析

Associations between dietary diversity and micronutrients intakes in school-age children

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	刘浩东, 李成, 赵敏, 席波. 儿童期腹型肥胖及其腹型肥胖前期与高尿酸血症的关联研究[J]. 中国儿童保健杂志, 2023, 31(7): 707-712.
[2]	霍言言, 刘钟泠, 马玲, 吴丹, 汪秀莲, 仇晓艳, 窦家莹, 任玉倩, 李亦诚, 洪霞, 陈津津. 真实世界2岁以下儿童不同体型匀称度现况及风险因素[J]. 中国儿童保健杂志, 2023, 31(7): 718-723.
[3]	李茗竹, 王静, 谢多双. 小于胎龄儿过快追赶生长与儿童期肥胖关系的研究[J]. 中国儿童保健杂志, 2023, 31(7): 751-755.
[4]	张容, 吴襄仪, 朱一民, 朱文丽, 《儿童肥胖预防与控制指南》修订委员会. 就餐地点与儿童肥胖的定性循证研究[J]. 中国儿童保健杂志, 2023, 31(7): 775-780.
[5]	王小丽, 董青, 孙丰燕, 陈丽萍, 姚国, 史宝海. 泰安地区2021年小学生超重和肥胖的流行病学调查[J]. 中国儿童保健杂志, 2023, 31(7): 799-803.
[6]	曹亚船, 豆吉娟, 马亚萍, 任金冬, 陈新颜. 肥胖儿童脂质代谢与左心室肥厚及左心室重构的相关性[J]. 中国儿童保健杂志, 2023, 31(7): 809-812.
[7]	马冰洁, 卢少敏, 邢艳菲, 梁晶晶. 超重肥胖儿童智力水平及执行功能的表现特征[J]. 中国儿童保健杂志, 2023, 31(6): 601-605.
[8]	吴淑堃, 孙晓宇, 梁瑞华, 左群. 体质量指数对视屏行为与学龄儿童运动乐趣关系的中介作用[J]. 中国儿童保健杂志, 2023, 31(5): 470-474.
[9]	牛婉侠, 梁爽, 王一彪. 儿童肥胖相关心肌病的分子机制[J]. 中国儿童保健杂志, 2023, 31(5): 507-511.
[10]	姚丽娟, 胡晓, 姜伟伟. 2015—2022年龙口市中小学生超重肥胖变化趋势的8年追踪研究[J]. 中国儿童保健杂志, 2023, 31(5): 546-550.
[11]	董正航, 李洋洋, 黄芳, 高亚楠. 南阳市学龄期儿童营养及运动素质状况调查及其对体格发育的影响[J]. 中国儿童保健杂志, 2023, 31(5): 551-554.
[12]	廖晶, 朱琳. 人体测量学指标预测13~16岁肥胖青少年血脂异常风险的列线图模型[J]. 中国儿童保健杂志, 2023, 31(4): 379-384.
[13]	刘维韦, 娄海琴, 付路, 代倩倩. 学龄前超重肥胖儿童生存质量现状及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(4): 385-389.
[14]	刘芮卓, 陈立. 儿童注意缺陷多动障碍与肥胖的相关性研究[J]. 中国儿童保健杂志, 2023, 31(4): 412-415.
[15]	蔡文萍, 郭妮娅. 乌鲁木齐市中小学生膳食模式与超重肥胖的相关性研究[J]. 中国儿童保健杂志, 2023, 31(4): 433-437.