Assessment of Milk and Beverage Intake Trends During Preschool Age and Modeling the Nutritional Impact of Replacing Nondairy Caloric Beverages with Milk

IF 3.8 Q2 NUTRITION & DIETETICS Current Developments in Nutrition Pub Date : 2024-09-01 DOI:10.1016/j.cdnut.2024.104436
Kristin Ricklefs-Johnson , Matthew A Pikosky , Christopher J Cifelli , Kristin Fulgoni , Victor L Fulgoni III , Sanjiv Agarwal
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Abstract

Background

Milk provides essential crucial public health nutrients, including 3–4 nutrients of public health concern, yet dairy consumption has declined over time, leading most Americans to fall short of meeting Dietary Guidelines recommendations.

Objectives

To investigate milk and beverage consumption trends in preschool-age children, along with nutrient intakes from beverages, and to analyze the potential impact of replacing nondairy beverages with milk through isocaloric substitution.

Methods

Data from the National Health and Nutrition Examination Survey 2001–2018 for children aged 1–5 y (n = 4696) were used, and milk and other beverages intakes were estimated from the first 24-h in-person dietary recall. Nutrient intakes were determined using the United States Department of Agriculture’s food and nutrient database for dietary studies. Changes in nutrient intakes of children aged 2–5 y were modeled assuming isocaloric substitution with milk of all nondairy beverages consumed during lunch and dinner combined. Sample-weighted analyses were performed using SAS 9.4, and significance was set at P < 0.01.

Results

With the increasing age of children, the intake of milk decreased, whereas the intake of energy, caloric beverages excluding milk, and sugar-sweetened beverages increased. Daily intakes of energy, protein, fat, saturated fatty acids (SFA), calcium, magnesium, potassium, sodium, vitamin A, folate, vitamin B-12, and vitamin D from caloric beverages including milk decreased with age, whereas the daily intake of fiber and added sugar increased with age. With the isocaloric replacement of nondairy caloric beverages with milk at lunch and dinner among children aged 2–5 y, intake of protein, fat, SFAs, calcium, magnesium, potassium, sodium, vitamin A, folate, vitamin B-12, and vitamin D increased, whereas for intake of carbohydrate, fiber, total sugar, and added sugar decreased.

Conclusions

The current findings indicate that increased efforts are needed to reverse the decrease in milk intake over time and as preschool children age and provide additional evidence to support specific dietary recommendations for milk.

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学龄前儿童牛奶和饮料摄入趋势评估以及用牛奶替代非乳热量饮料的营养影响建模
背景牛奶提供了公众健康所必需的重要营养素,其中包括 3-4 种公众健康关注的营养素,但随着时间的推移,乳制品的消费量却在下降,导致大多数美国人无法达到膳食指南的建议。方法 采用2001-2018年全国健康与营养状况调查中1-5岁儿童的数据(n = 4696),并通过首次24小时亲自膳食回顾估算牛奶和其他饮料的摄入量。营养素摄入量是通过美国农业部的膳食研究食品和营养素数据库确定的。2-5 岁儿童营养素摄入量的变化是假定用牛奶等热量替代午餐和晚餐期间饮用的所有非乳制品饮料而模拟得出的。结果随着儿童年龄的增长,牛奶的摄入量减少,而能量、除牛奶以外的热量饮料和含糖饮料的摄入量增加。每天从包括牛奶在内的热量饮料中摄入的能量、蛋白质、脂肪、饱和脂肪酸、钙、镁、钾、钠、维生素 A、叶酸、维生素 B-12 和维生素 D 随年龄增长而减少,而每天摄入的纤维和添加糖则随年龄增长而增加。在 2-5 岁儿童的午餐和晚餐中用牛奶等热量替代非乳热饮后,蛋白质、脂肪、SFAs、钙、镁、钾、钠、维生素 A、叶酸、维生素 B-12 和维生素 D 的摄入量增加,而碳水化合物、纤维、总糖和添加糖的摄入量减少。
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来源期刊
Current Developments in Nutrition
Current Developments in Nutrition NUTRITION & DIETETICS-
CiteScore
5.30
自引率
4.20%
发文量
1327
审稿时长
8 weeks
期刊最新文献
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