Usual energy and macronutrient intakes in 2-9-year-old European children
Usual energy and macronutrient intakes in 2-9-year-old European children
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DOI：
10.1038/ijo.2014.142
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发表时间：
2014-09-01
影响因子：
4.9
通讯作者：
Pigeot, I.
中科院分区：
文献类型：
--
作者：
Boernhorst, C.;Huybrechts, I.;Pigeot, I.
目的：对人口摄入量的有效估计对于监测趋势和营养干预至关重要，但幼儿的此类数据很少。特别是，饮食数据中的误报问题通常没有得到考虑。因此，本研究旨在提供准确的估计摄入量分布在欧洲children.Design：横断面设置为基础的多中心研究subjects：共9560名2-9岁的儿童从8个欧洲国家至少有一个24小时饮食回忆（24-HDR）。根据年龄和性别特异性Goldberg截止值，将24-HDR分为三个报告组（少报、合理报告、多报）。在最终分析中仅考虑合理报告（N = 8611例儿童）。美国国家癌症研究所（NCI）的方法被应用于估计人口分布的日常摄入量校正方差膨胀在短期的饮食data.RESULTS：低报的患病率（9.5%）高于高报（3.4%）。排除误报导致能量和绝对常量营养素摄入量分布向右移动，并进一步导致排除极端值，即平均值和较低的热量增加，而较高的热量减少。排除误报后，相对常量营养素摄入量（脂肪/碳水化合物/蛋白质的能量摄入百分比）的分布几乎保持不变。与基于单一24-HDR的估计相比，NCI方法的应用导致摄入量分布明显变窄。来自脂肪、碳水化合物和蛋白质的日常能量摄入的平均百分比分别为32.2%、52.1%和15.7%，这表明大多数欧洲儿童都遵守了常见的常量营养素摄入建议。相比之下，总的水摄入量（平均值：1216.7毫升，每天）低于建议值>90%的children.CONCLUSION：这项研究提供了最近的估计摄入量分布的欧洲儿童纠正误报以及饮食数据的每日变化。这些数据可能有助于评估欧洲幼儿饮食的充足性。
OBJECTIVE: Valid estimates of population intakes are essential for monitoring trends as well as for nutritional interventions, but such data are rare in young children. In particular, the problem of misreporting in dietary data is usually not accounted for. Therefore, this study aims to provide accurate estimates of intake distributions in European children.DESIGN: Cross-sectional setting-based multi-centre study.SUBJECTS: A total of 9560 children aged 2-9 years from eight European countries with at least one 24-h dietary recall (24-HDR).METHODS: The 24-HDRs were classified in three reporting groups based on age-and sex-specific Goldberg cutoffs (underreports, plausible reports, overreports). Only plausible reports were considered in the final analysis (N = 8611 children). The National Cancer Institute (NCI)-Method was applied to estimate population distributions of usual intakes correcting for the variance inflation in short-term dietary data.RESULTS: The prevalence of underreporting (9.5%) was higher compared with overreporting (3.4%). Exclusion of misreports resulted in a shift of the energy and absolute macronutrient intake distributions to the right, and further led to the exclusion of extreme values, that is, mean values and lower percentiles increased, whereas upper percentiles decreased. The distributions of relative macronutrient intakes (% energy intake from fat/carbohydrates/proteins) remained almost unchanged when excluding misreports. Application of the NCI-Method resulted in markedly narrower intake distributions compared with estimates based on single 24-HDRs. Mean percentages of usual energy intake from fat, carbohydrates and proteins were 32.2, 52.1 and 15.7%, respectively, suggesting the majority of European children are complying with common macronutrient intake recommendations. In contrast, total water intake (mean: 1216.7 ml per day) lay below the recommended value for >90% of the children.CONCLUSION: This study provides recent estimates of intake distributions of European children correcting for misreporting as well as for the daily variation in dietary data. These data may help to assess the adequacy of young children's diets in Europe.