Potential population-level nutritional impact of replacing whole and reduced-fat milk with low-fat and skim milk among US children aged 2-19 years.

Potential population-level nutritional impact of replacing whole and reduced-fat milk with low-fat and skim milk among US children aged 2-19 years.
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DOI:
10.1016/j.jneb.2014.11.001
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发表时间:
2015-01
影响因子:
2.6
通讯作者:
Monsivais, Pablo
Monsivais, Pablo
中科院分区:
医学3区
文献类型:
--
作者:
Rehm, Colin D.;Drewnowski, Adam;Monsivais, Pablo

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饮食指南强调纯低脂和脱脂牛奶,而不是全脂、低脂和调味牛奶(适合替代的牛奶[MER])。本研究的目的是评估这种变化对能量,常量营养素和营养素摄入量以及饮食成本的人口水平影响。横断面建模研究。数据来自2001-2002年和2003-2004年全国健康和营养检查调查。2-19岁儿童共计8 112人。用低脂或脱脂牛奶替代MER前后的能量、常量营养素和微量营养素摄入量。调查加权线性回归模型。符合替代标准的牛奶占乳制品供应量的46%。在MER消费者中,用脱脂或低脂牛奶替代将导致预计能量减少113(95%置信区间[CI],107-119)和77(95% CI,73-82)kcal/d,饱和脂肪的能量百分比占总能量的绝对值为2.5%(95% CI,2.4-2.6)和1.4%(95% CI,1.3-1.5)。更换MER不会改变饮食成本或钙和钾的摄入量。替代MER有可能减少能量以及总脂肪和饱和脂肪的摄入量,而对饮食成本或微量营养素密度没有影响。这种替代的可行性尚未得到研究,如果用不富含营养的饮料替代,可能会产生负面影响。
Dietary guidance emphasizes plain low-fat and skim milk over whole, reduced-fat, and flavored milk (milk eligible for replacement [MER]). The objective of this study was to evaluate the population-level impact of such a change on energy, macronutrient and nutrient intakes, and diet cost. Cross-sectional modeling study. Data from the 2001–2002 and 2003–2004 National Health and Nutrition Examination Survey. A total of 8,112 children aged 2–19 years. Energy, macronutrient, and micronutrient intake before and after replacement of MER with low-fat or skim milk. Survey-weighted linear regression models. Milk eligible for replacement accounted for 46% of dairy servings. Among MER consumers, replacement with skim or low-fat milk would lead to a projected reduction in energy of 113 (95% confidence interval [CI], 107–119) and 77 (95% CI, 73–82) kcal/d and percent energy from saturated fat by an absolute value of 2.5% of total energy (95% CI, 2.4–2.6) and 1.4% (95% CI, 1.3–1.5), respectively. Replacement of MER does not change diet costs or calcium and potassium intake. Substitution of MER has the potential to reduce energy and total and saturated fat intake with no impact on diet costs or micronutrient density. The feasibility of such replacement has not been examined and there may be negative consequences if replacement is done with non-nutrient–rich beverages.
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