[Dietary diversity and micronutrients adequacy among women of reproductive age in China in 2015-2017].

Peng Gao, Zhenyu Yang, Liyun Zhao, Yuying Wang
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Abstract

Objective: To describe the dietary diversity and micronutrients adequacy among women of reproductive age during 2015-2017 in China.

Methods: Data was from the China Nutrition and Health Surveillance in 2015-2017. Stratified multistage cluster sampling method was used, and 17622 women aged 15-49 years from 31 provinces(autonomous regions and municipalities) were involved. We analyzed the minimum dietary diversity and micronutrient adequacy among women of reproductive age with Food and Agriculture Organization(FAO) recommended indicator and the dietary reference intake for China(2023). Chi-square test was used for statistical difference.

Results: There were 7078(40.2%) women aged 15-49 years meeting minimum dietary diversity for women(MDD-W) in 2015-2017, and it was 3817(52.1%)and 3261(31.7%)in urban and rural areas respectively, there was significant difference(χ~2=739.09, P<0.01). Women of reproductive age often consume grains, roots and tubes(99.8%), other vegetables(84.6%) and flesh food(76.5%), and the percentage of nuts and seeds(7.9%) and dairy products(10%) consumption was lower. Nutrient adequacy ratio for iron(0.98), zinc(0.95) and niacin(0.91) was above 0.9, and nutrient adequacy ratio for vitamin B_1(0.69), vitamin C(0.68), vitamin B_2(0.63), vitamin A(0.63) and calcium(0.46) were lower than 0.7. Adjusted by energy intake, residence, age and area, women who achieved the MDD-W reported higher adequacy ratios for micronutrients, and the difference was significant(P<0.01).

Conclusion: The proportions of women meeting MDD-W was at a lower level in China. Calcium and B vitamins were relatively inadequate.

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[2015-2017年中国育龄妇女膳食多样性及微量营养素充足度分析]。
目的:了解2015-2017年中国育龄妇女膳食多样性及微量营养素充足性。方法:数据来源于2015-2017年中国营养与健康监测。采用分层多阶段整群抽样方法,对31个省(区、市)15 ~ 49岁的17622名女性进行调查。我们根据联合国粮农组织(FAO)推荐指标和中国(2023)膳食参考摄入量,分析了育龄妇女的最低膳食多样性和微量营养素充足性。统计学差异采用卡方检验。结果:2015-2017年15-49岁女性符合最低膳食多样性标准(MDD-W)的有7078人(40.2%),其中城市为3817人(52.1%),农村为3261人(31.7%),差异有统计学意义(χ~2=739.09, P<0.01)。育龄妇女经常食用谷物、根茎类食品(99.8%)、其他蔬菜(84.6%)和肉类食品(76.5%),坚果和种子类食品(7.9%)和乳制品(10%)的消费比例较低。铁(0.98)、锌(0.95)和烟酸(0.91)的营养充足率均在0.9以上,维生素B_1(0.69)、维生素C(0.68)、维生素B_2(0.63)、维生素A(0.63)和钙(0.46)的营养充足率均低于0.7。经能量摄入、居住地、年龄和地区调整后,达到MDD-W的女性报告的微量营养素充足率较高,差异有统计学意义(P<0.01)。结论:中国女性患MDD-W的比例处于较低水平。钙和B族维生素相对不足。
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