Clustering of Poor Dietary Habits among Adolescents Aged 12 to 15 Years in 52 Low-Income and Middle-Income Countries.

Clustering of Poor Dietary Habits among Adolescents Aged 12 to 15 Years in 52 Low-Income and Middle-Income Countries.
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DOI:
10.3390/ijerph17186806
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发表时间:
2020-09-18
影响因子:
--
通讯作者:
Zhang X
Zhang X
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fan H;Zhang X

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很少有研究报告不良饮食习惯同时发生的情况。因此,我们的目的是估计低收入和中等收入国家(LMIC)青少年不良饮食习惯的共存情况。数据来自2009年至2017年全球校本学生健康调查(GSHS)。通过问卷调查评估的次优饮食因素包括快餐消费、碳酸软饮料消费以及水果和蔬菜摄入量低。我们计算了相应国家特定的患病率以及次优饮食因素的数量。我们还使用具有随机效应的荟萃分析计算了各国的汇总估计值。我们的研究包括来自 52 个中低收入国家的 145,021 名 12 至 15 岁青少年。快餐消费、碳酸软饮料消费以及水果和蔬菜摄入量较低的比例分别为巴基斯坦的 20.9% 至泰国的 80.0%,基里巴斯的 22.4% 至苏里南的 79.3%,瓦努阿图的 45.9% 至尼泊尔的 90.7%。不同国家暴露于两种或三种次优饮食因素的患病率差异很大,分别为巴基斯坦的 31.8% 和尼泊尔的 53.8%,越南的 8.6% 和苏里南的 36.4%。暴露于两种或三种次优饮食因素的汇总患病率分别为 41.8% 和 20.0%。我们的研究结果表明,不良饮食习惯在中低收入国家的青少年中很常见,并且往往同时发生。需要针对具体国家的政策和计划来解决这些问题。
Very few studies have reported the co-occurrence of poor dietary habits. We thus aimed to estimate the co-occurrence of poor dietary habits in adolescents in low-income and middle-income countries (LMICs). Data were obtained from the Global School-Based Student Health Surveys (GSHS) from 2009 to 2017. The suboptimal dietary factors included fast food consumption, carbonated soft drink consumption, and low fruit and vegetable intake, which were assessed with a questionnaire survey. We calculated the corresponding country-specific prevalence with the number of suboptimal dietary factors. We also calculated pooled estimates across countries using a meta-analysis with random-effects. Our study included 145,021 adolescents between 12 and 15 years of age from 52 LMICs. The prevalence of fast food consumption, carbonated soft drink consumption, and low fruit and vegetable intake ranged from 20.9% in Pakistan to 80.0% in Thailand, from 22.4% in Kiribati to 79.3% in Suriname, and from 45.9% in Vanuatu to 90.7% in Nepal, respectively. The prevalence of exposure to two or three suboptimal dietary factors varied greatly across countries, ranging from 31.8% in Pakistan to 53.8% in Nepal and from 8.6% in Vietnam to 36.4% in Suriname, respectively. The pooled prevalence of exposure to two or three suboptimal dietary factors was 41.8% and 20.0%, respectively. Our findings indicate that poor dietary habits are frequent and tend to co-occur in adolescents in LMICs. Country-specific policies and programs are needed to address these conditions.
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