文章摘要
王志宏,张兵,王惠君,张继国,杜文雯,苏畅,张伋,姜红如,翟凤英.中国9省(区)1991——2009年6~17岁儿童青少年蔬菜水果摄人变化趋势 及其社会经济因素的影响[J].中华流行病学杂志,2013,34(9):863-868
中国9省(区)1991——2009年6~17岁儿童青少年蔬菜水果摄人变化趋势 及其社会经济因素的影响
Trend in vegetable and fruit intake among Chinese children and adolescents aged 6 to 17 years from 1991 to 2009 and related socio-demographic factors
收稿日期:2013-03-27  出版日期:2014-09-03
DOI:
中文关键词: 营养调查|蔬菜和水果|儿童青少年|人口和社会经济因素
英文关键词: Nutrition survey|Vegetables and fruit|Children and adolescents|Demographic and socio-economic factors
基金项目:美国国立卫生研究院科研项目(R01一HD30880,DK056350,R01一HD38700)
作者单位E-mail
王志宏 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
张兵 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室 zzhangb327@yahoo.com.cn 
王惠君 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
张继国 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
杜文雯 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
苏畅 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
张伋 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
姜红如 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
翟凤英 100050 北京, 中国疾病预防控制中心营养与食品安全所公共营养与政策标准室  
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中文摘要:
      目的 分析1991-2009年中国9省(区)6~17岁儿童青少年蔬菜水果摄人的变化及其受社会经济因素的影响。方法 以1991-2009年“中国健康与营养调查(CHNS)”项目中12596名6~17岁儿童青少年为研究对象,应用SAS 9.2统计软件分析连续3天24小时膳食回顾调查及人口经济因素等数据。结果 调查人群蔬菜水果消费率均呈增加趋势。其中浅色蔬菜消费率从94.4%增加至96.9%(χ2=11.6,P<0.0001),深色蔬菜消费率从1991年的58.3%增加至82.4%(χ2=213.2,P<0.01),水果消费率从12.6%增加至45.4%(χ2=571.2,P<0.0001)。蔬菜总摄入量中位数从1991年的250.0g/d下降至2009年的225.8 g/d(χ2=72.4,P<0.0001),其中浅色蔬菜下降36.6 g/d,深色蔬菜下降约40.0 g/d(χ2=92.8,P<0.0001),而水果摄入量增加50.0/d(χ2= 104.2,P<0.01)。达到中国居民膳食指南蔬菜最低推荐摄人量(300g/d)的儿童比例从1991年的 38.9%下降至2009年的26.8%,而满足该指南水果推荐量(200g/d)的比例从2.0%增加到13.9%;2009年深色蔬菜摄入占蔬菜总摄入量一半以上儿童的比例约为25.1%。母亲受教育程度和家庭经济收入水平是影响水果消费的重要因素。结论 1991-2009年中国儿童青少年蔬菜水果消费率呈增加趋势,但深色和浅色蔬菜摄入量有所下降,存在明显摄入不足。建议采用有效的综合干预措施增加蔬菜和新鲜水果的摄人量,改善儿童营养状况。
英文摘要:
      Objective To analyze the long-term shifts in fruit and vegetable intakes in Chinese children and adolescents between 1991 and 2009 and related impact from socio-economic factors on such dynamics.Methods Data was from the seven waves of the China Health and Nutrition Survey.12 596 children and adolescents aged 6 to l 7 years with full data of 3-day-24-hour dietary recall.together with related demographic and socioeconomic factors were chosen as the study subjects.Results The consumption rates of fruits and vegetables showed an significant increasing trend,from 58.3% in 1991 to 82.4%,on dark-color vegetables(χ2=213.2,P<0.01),from 94.4%to 96.9%onlight.colorvegetable(χ2=11.6,P<0.0001) and from 12.6%to 45.4%for fruits(χ2=571.2, P<0.0001) in 2009.The median intake of total vegetables decreased from 250.0 g/d in 1991 to 225.8 g/d in 2009(χ2=72.4,P<0.0001)and the light-color vegetable decreased by 36.6 g/d. However,among the corresponding consumers,me fruit intake increased about 50.0 g/d(χ2=104.2,P<0.01)and the dark.color vegetable intake decreased about 40.0 g/d(χ2=92.8,P<0.0001).The proportion of children who reached the minimum intake of vegetable(300 g/d)recommended by Dietary Guidelines for Chinese 2007 decreased from 38.9%in 1991 to 26.8% in 2011 and the proportion of children who had met the minimum intake(200 g/d)increased from 2.0% to 13.9%. 25.1% of the children consumed dark.color vegetables more than half of the total vegetable intake. Schooling of the mother and family income had important impact on fruit consumption of the children.Conclusion Rates on fruit and vegetable consumption showed an increasing trend among Chinese children and adolescents over the past 20 years.However.the vegetable intake significantly decreased and the fruit intake increased slightly.Chinese Children posed a greater risk on insufficient intake onboth vegetables and fruits.Comprehensive and effective programs should be taken to increase vegetable and fruit intakes in order to improve the nutritional status of children.
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