Usual Nutrient Intakes from the Diets of US Children by WIC Participation and Income: Findings from the Feeding Infants and Toddlers Study (FITS) 2016.

Usual Nutrient Intakes from the Diets of US Children by WIC Participation and Income: Findings from the Feeding Infants and Toddlers Study (FITS) 2016.
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按 WIC 参与情况和收入划分的美国儿童饮食中的通常营养摄入量:2016 年喂养婴幼儿研究 (FITS) 的结果。

DOI:
10.1093/jn/nxy059
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发表时间:
2018-09-01
期刊:
The Journal of nutrition
影响因子:
--
通讯作者:
Bailey RL
Bailey RL
中科院分区:
其他
文献类型:
--
作者:
Jun S;Catellier DJ;Eldridge AL;Dwyer JT;Eicher-Miller HA;Bailey RL

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美国国家科学、工程和医学院(NASEM)最近的一份报告概述了参与妇女、婴儿和儿童特别补充营养计划(WIC)的婴儿和儿童的优先营养素。本研究的目的是评估美国4岁以下儿童通过WIC参与状况从食物和饮料(非补充剂)中摄取的营养素。一个全国性的4岁以下儿童随机抽样2016年喂养婴儿和幼儿研究(FITS)的3,235例受试者按WIC参与状态分类(参与者、低收入非参与者或高收入非参与者)和年龄(0-5.9个月的小婴儿、6-11.9个月的大婴儿、12-23.9个月的幼儿或24-47.9个月的学龄前儿童)。所有参与者贡献了一个24小时的饮食回忆,第二次回忆从一个代表性的子样本(n = 799)。通过使用国家癌症研究所的方法来估计膳食摄入量和对联邦饮食建议的依从性。WIC参与者与低收入非参与者或高收入非参与者之间的差异使用t检验进行测试。婴儿(年龄<12个月)的饮食一般营养充足。参与WIC的大龄婴儿对铁和维生素D指南的依从性高于两组非参与者,对钙、锌和钾指南的依从性高于高收入非参与者。与高收入的非参与者相比,WIC幼儿有更高的钙摄入不足和钠摄入过量的风险。8%的WIC幼儿超过了添加糖的指导方针,与任何一个非参与者组相比(0.2%)。WIC幼儿和学龄前儿童的维生素D摄入不足的风险低于低收入的非参与者,但在所有亚组中,维生素D摄入不足的风险均>75%。WIC学龄前儿童对饱和脂肪指南的依从性较高,但对钠和添加糖指南的依从性较低。WIC参与者更好地摄入铁(6-23.9个月),锌和钾(6-11.9个月),饱和脂肪(24-47.9个月)和维生素D(所有年龄)。无论WIC参与状况如何,大多数婴儿和儿童都符合钙和锌指南,但大部分婴儿和儿童的铁(6-11.9个月),维生素D,钾,纤维,饱和脂肪和钠的摄入量不符合建议。
A recent report of the National Academies of Sciences, Engineering, and Medicine (NASEM) outlined priority nutrients for infants and children participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The objective of this study was to assess usual nutrient intakes from foods and beverages (not supplements) among US children aged <4 y by WIC participation status. A national random sample of children aged <4 y (n = 3,235) from the Feeding Infants and Toddlers Study (FITS) 2016 was categorized by WIC participation status (participants, lower-income nonparticipants, or higher-income nonparticipants) and age (younger infants aged 0–5.9 mo, older infants aged 6–11.9 mo, toddlers aged 12–23.9 mo, or preschoolers aged 24–47.9 mo). All participants contributed one 24-h dietary recall, with a second recall from a representative subsample (n = 799). Usual intakes and compliance with federal dietary recommendations were estimated by using the National Cancer Institute method. Differences between WIC participants and either lower-income nonparticipants or higher-income nonparticipants were tested using t tests. The diets of infants (aged <12 mo) were nutritionally adequate in general. Older infants participating in WIC had higher compliance with iron and vitamin D guidelines than either group of nonparticipants and greater compliance with calcium, zinc, and potassium guidelines than higher-income nonparticipants. WIC toddlers had a higher risk of inadequate calcium and excessive sodium intakes than higher-income nonparticipants. Eight percent of WIC toddlers exceeded added sugar guidelines compared with either nonparticipant group (∼2%). WIC toddlers and preschoolers had a lower risk of inadequate vitamin D intake than lower-income nonparticipants, but inadequacy was >75% across all subgroups. WIC preschoolers had higher compliance with saturated fat guidelines but lower compliance with sodium and added sugar guidelines than higher-income nonparticipants. WIC participants had better intakes of iron (ages 6–23.9 mo), zinc and potassium (ages 6–11.9 mo), saturated fat (ages 24–47.9 mo), and vitamin D (all ages). Regardless of WIC participation status, most infants and children met the calcium and zinc guidelines, but large proportions had intakes not meeting the recommendations for iron (ages 6–11.9 mo), vitamin D, potassium, fiber, saturated fat, and sodium.
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