Dietary Intake among Adolescents in a Middle-Income Country: An Outcome from the Malaysian Health and Adolescents Longitudinal Research Team Study (the MyHeARTs Study).
Dietary Intake among Adolescents in a Middle-Income Country: An Outcome from the Malaysian Health and Adolescents Longitudinal Research Team Study (the MyHeARTs Study).
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DOI：
10.1371/journal.pone.0155447
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Abdul Mohsein NA
中科院分区：
文献类型：
--
作者：
Abdul Majid H;Ramli L;Ying SP;Su TT;Jalaludin MY;Abdul Mohsein NA
最佳营养对青春期的健康成长至关重要。本研究旨在调查马来西亚青少年按性别、体重指数和居住地（城市和农村）划分的基线营养摄入量。对马来西亚半岛中部（吉隆坡和雪兰莪）和北部（霹雳州）15所公立中学的794名青少年（13岁）进行了一项队列研究。合格的营养师对习惯性食物摄入进行了为期7天的历史评估。在挂图和家庭测量工具的帮助下，记录了食物份量和食物含量的详细信息。还使用Nutritionist Pro™饮食分析软件分析饮食记录。青少年平均年龄12.86±0.33岁；平均能量摄入为1659.0±329.6 kcal/d。男性的能量摄入显著高于女性（1774.0±369.8 vs 1595.2±320.6 kcal/d） （P < 0.001）；农村学校青少年的能量和胆固醇消耗高于城市学校青少年（分别为1706.1±377.7 kcal/d和244.1±100.2 mg/d） （P < 0.001）。农村学校肥胖青少年的能量和糖消耗分别为1987.6±374.0 kcal/d和48.9±23.0 g/d （p值<0.001）。正常体重青少年与肥胖青少年的饮食摄入量因学校所在地而异。因此，建议实施结构化和量身定制的干预措施，以帮助最大限度地减少这种营养不平等。
Optimal nutrition is essential for healthy growth during adolescence. This study aims to investigate the baseline nutritional intake of Malaysian adolescents by gender, body mass index, and places of residence, both urban and rural. A cohort study was conducted consisting of 794 adolescents (aged 13-years) attending 15 public secondary schools from the Central (Kuala Lumpur and Selangor) and Northern (Perak) Regions of Peninsular Malaysia. Qualified dietitians conducted a 7-day historical assessment of habitual food intakes. Facilitated by flipcharts and household measurement tools, detailed information on portion sizes and meal contents were recorded. Nutritionist Pro™ Diet Analysis software was also used to analyze the dietary records.The mean age of the adolescents was 12.86 ± 0.33 y; the mean energy intake was 1659.0 ± 329.6 kcal/d. Males had significantly (P < .001) higher energy intake than females (1774.0 ± 369.8 vs 1595.2 ± 320.6 kcal/d); adolescents in rural schools consumed more energy and cholesterol (P < .001) compared to adolescents in urban schools (1706.1 ± 377.7 kcal/d and 244.1 ± 100.2 mg/d, respectively). Obese adolescents in rural schools consumed more energy and sugar (1987.6 ± 374.0 kcal/d and 48.9 ± 23.0 g/d) (p-value <0.001).The dietary intake of normal weight versus obese adolescents differs by the location of their school. Thus, the implementation of a structured and tailored intervention is recommended to help minimize this nutritional inequality.