Babies, soft drinks and snacks: a concern in low- and middle-income countries?

Babies, soft drinks and snacks: a concern in low- and middle-income countries?
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DOI:
10.1111/mcn.12126
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发表时间:
2014-10
影响因子:
3.4
通讯作者:
Dewey KG
Dewey KG
中科院分区:
医学3区
文献类型:
--
作者:
Huffman SL;Piwoz EG;Vosti SA;Dewey KG

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婴儿和幼儿营养不良是一个全球卫生优先事项,而超重则是一个新出现的问题。低收入和中等收入国家的小规模研究表明,幼儿消费含糖和咸味零食和软饮料。我们使用选定的人口与健康调查数据评估了亚洲和非洲18个国家6-23个月龄儿童消费含糖零食的比例,并使用四项生活水平测量研究(LSMS)的数据评估了软饮料和饼干的家庭支出。含糖零食的消费量随着儿童的年龄和家庭财富的增加而增加,城市地区普遍高于农村地区。在三分之一的国家中,超过20%的6-8个月大的婴儿食用含糖零食。高达75%的亚洲儿童和46%的非洲儿童在出生后第二年食用这些食物。食用含糖零食的儿童比例普遍高于食用强化婴儿谷物、鸡蛋或水果的儿童比例。在有生活水平调查数据的三个国家,家庭人均软饮料日支出从0.03美元到0.11美元不等,在两个生活水平调查中,饼干日支出从0.01美元到0.04美元不等。未来的调查应包括婴儿和幼儿购买和消费零食的定量数据,使用一致的定义和方法来识别和分类调查中的零食。研究人员应该评估零食消费与发育迟缓和超重之间的关联,以及与零食消费相关的家庭、母亲和儿童特征。
Undernutrition in infants and young children is a global health priority while overweight is an emerging issue. Small‐scale studies in low‐ and middle‐income countries have demonstrated consumption of sugary and savoury snack foods and soft drinks by young children. We assessed the proportion of children 6–23 months of age consuming sugary snack foods in 18 countries in Asia and Africa using data from selected Demographic and Health Surveys and household expenditures on soft drinks and biscuits using data from four Living Standards Measurement Studies (LSMS). Consumption of sugary snack foods increased with the child's age and household wealth, and was generally higher in urban vs. rural areas. In one‐third of countries, >20% of infants 6–8 months consumed sugary snacks. Up to 75% of Asian children and 46% of African children consumed these foods in the second year of life. The proportion of children consuming sugary snack foods was generally higher than the proportion consuming fortified infant cereals, eggs or fruit. Household per capita daily expenditures on soft drinks ranged from $0.03 to $0.11 in three countries for which LSMS data were available, and from $0.01 to $0.04 on biscuits in two LSMS. Future surveys should include quantitative data on the purchase and consumption of snack foods by infants and young children, using consistent definitions and methods for identifying and categorising snack foods across surveys. Researchers should assess associations between snack food consumption and stunting and overweight, and characterise household, maternal and child characteristics associated with snack food consumption.
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