[Dietary micronutrient intake of children aged 2-5 years in China in 2019-2021].

Linxiao Guo, Xuehong Pang, Yifan Duan, Qian Zhang, Yuying Wang, Shuo Wang, Ruili Li, Pengyu Fu, Lu Zhao, Yuzhu Chen, Shuling Guo, Zhenyu Yang, Wenhua Zhao
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引用次数: 1

Abstract

Objective: To describe dietary intake of calcium, iron, zinc, selenium, vitamin A, vitamin B_1, vitamin B_2 and vitamin C and compare the intake between urban and rural areas among preschool children aged 2-5 years based on the data from the National Nutrition and Health Systematic Survey for Children 0-17 Years of Age in China.

Methods: Children from 14 provinces were selected by multi-stage stratified random cluster sampling, and the dietary data of preschool children aged 2-5 years were recorded using the 3 day 24-hour weighted food records method. SAS 9.4 was used to calculate dietary intake of these micronutrients based on the Chinese Food Composition Table and to compare the intake between urban and rural areas. The risk of insufficient or excessive intake of micronutrients among Chinese children aged 2-5 years was assessed according to the Chinese Dietary Reference Intakes(DRIs) 2013 edition.

Results: A total of 820 children aged 2 to 5 years were selected. The median daily dietary calcium intake of children aged 2-5 years in China was 433.7, 338.9, 356.4 and 347.4 mg, respectively. The median daily dietary intake of vitamin B_1 of children aged 2-5 years was 0.5 mg for all age groups. The median daily dietary vitamin B_2 intake of children aged 2-5 years was 0.7, 0.6, 0.6 and 0.6 mg, respectively. The median daily dietary intake of vitamin C of children aged 2-5 years was 37.9, 37.4, 44.0 and 40.0 mg, respectively. The median daily dietary selenium intake of children aged 2-5 years was 17.1, 20.5, 22.7 and 22.3 μg, respectively. Dietary calcium intake for aged 2-5 years, dietary vitamin B_2 intake for aged 2-4 years, dietary iron, selenium, zinc and vitamin B_1 intake for aged 2-3 years was significantly greater in urban children than rural children. Among all nutrients, the proportion of dietary calcium intakes below the estimated average requirement(EAR) was the highest in aged 2-5 years(61.4%, 76.4%, 91.4% and 91.5%, respectively). The proportions of dietary vitamin B_1, vitamin C and selenium intake lower than EAR of children aged 2-5 years in China were 52.4%-63.2%, 42.8%-50.2% and 46.6%-58.7%, respectively.

Couclusion: The dietary calcium intake of children aged 2-5 years in China remains insufficient for these children, especially for rural children. Dietary vitamin B_1, vitamin C and selenium intake should be improved.

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[2019-2021年中国2-5岁儿童膳食微量营养素摄入量分析]。
目的:根据全国0 ~ 17岁儿童营养与健康系统调查数据,了解2 ~ 5岁学龄前儿童膳食中钙、铁、锌、硒、维生素A、维生素B_1、维生素B_2和维生素C的摄取量,并比较城乡儿童的摄取量。方法:采用多阶段分层随机整群抽样的方法,选取14个省份的2 ~ 5岁学龄前儿童,采用3天24小时加权饮食记录法记录饮食数据。基于中国食品成分表,采用SAS 9.4计算这些微量营养素的膳食摄入量,并比较城乡地区的摄入量。根据中国膳食参考摄入量(DRIs) 2013版,对中国2-5岁儿童微量营养素摄入不足或过量的风险进行了评估。结果:共入选2 ~ 5岁儿童820例。中国2-5岁儿童每日膳食钙摄入量中位数分别为433.7、338.9、356.4和347.4 mg。2-5岁儿童维生素B_1的日膳食摄入量中位数为0.5 mg。2 ~ 5岁儿童每日膳食维生素B_2摄入量中位数分别为0.7、0.6、0.6和0.6 mg。2-5岁儿童每日膳食维生素C摄入量中位数分别为37.9、37.4、44.0和40.0 mg。2-5岁儿童每日硒摄入量中位数分别为17.1、20.5、22.7和22.3 μg。城市儿童2 ~ 5岁膳食钙摄入量、2 ~ 4岁膳食维生素B_2摄入量、2 ~ 3岁膳食铁、硒、锌和维生素B_1摄入量均显著高于农村儿童。在所有营养素中,2 ~ 5岁儿童日粮钙摄入量低于估计平均需氧量(EAR)的比例最高,分别为61.4%、76.4%、91.4%和91.5%。中国2 ~ 5岁儿童膳食维生素B_1、维生素C和硒摄入量低于EAR的比例分别为52.4% ~ 63.2%、42.8% ~ 50.2%和46.6% ~ 58.7%。结论:中国2-5岁儿童,特别是农村儿童的膳食钙摄入量仍然不足。应提高饲粮中维生素B_1、维生素C和硒的摄入量。
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