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不同城乡及地区学龄前儿童水摄入量研究

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目的:分析我国不同城乡及地区3~6岁学龄前儿童水摄入量。方法:采用多阶段随机抽样,于2018年9月—2019年2月在全国范围6大地区13省市的妇幼保健院纳入676名儿童。采用面对面访谈,调查员指导看护人利用iPad填写膳食日记,辅以膳食估量工具"食物图谱"在线记录并评估儿童4d内所有饮料和食物摄入量。基于《中国食物成分表(第6版)》计算每日水摄入量。结果:城市儿童总水摄入量、饮料和食物中水摄入量均显著高于农村(1282 mL/d>1118 mL/d,694 mL/d>613 mL/d,557 mL/d>467 mL/d)(P<0。05)。华北总水摄入量、饮料和食物中水摄入量均最高,东北均最低,地区间差异均有统计学意义(P<0。05)。城市奶及奶制品、菜肴、汤和零食中水摄入量及占比均显著高于农村,白水和主食占比、粥中水摄入量及其占比则相反,城乡差异均有统计学意义(P<0。05)。除其他饮料占比外,地区间不同类型饮料和食物中水摄入量及占比差异均有统计学意义(P<0。05)。仅19。4%儿童达到总水适宜摄入量的推荐值,城市高于农村(23。5%>13。1%);华北最高(45。3%),东北最低(2。2%),城乡及地区间差异均有统计学意义(P<0。05)。结论:我国学龄前儿童饮水状况差,存在城乡及地区差异,修订水适宜摄入量时需综合考虑,并开展针对性儿童饮水宣教,培养正确的饮水行为。
Study on Water Intake of Preschool Children in Different Urban and Rural and Regional Areas
[Objective]To analyze the daily water intake of preschool children in different urban,rural and regional areas in China.[Method]Using a multi-stage random sampling method,from September 2018 to February 2019,totally 676 children were enrolled in maternal and child health care institutions across 6 regions and 13 provinces and cities nationwide. We conducted face-to-face interviews where investigators guided the children's parents to fill out a dietary diary using an iPad. This was supplemented by the online dietary measurement tool 'Food Atlas' to record and assess all intake of beverages and food over 4 days. The daily water intake was calculated based on the 'Chinese Food Composition Table (6th Edition)'.[Result]The total water intake (TWI),as well as the water from beverages and foods,was higher in urban children than in rural areas (1282 mL/d>1118 mL/d,694 mL/d>613 mL/d,557 mL/d>467 mL/d,respectively)(P<0.05). The TWI,water from beverages and foods was highest in North China and lowest in the Northeast China,with significant differences found among regional areas(P<0.05). The water intake and proportion from milk and dairy products,dishes,soups,and snacks in urban areas were significantly higher than those in rural areas. Conversely,the intake and proportion of water from plain water,staple foods,and porridge were significantly lower. Differences between urban and rural areas were significant(P<0.05). With the exception of the proportion of other beverages,there were significant differences in the intake and proportion of water from different types of beverages and foods across different regions(P<0.05). Only 19.4% of children reached the adequate intake of TWI. The proportion was greater in urban than in rural areas (23.5%>13.1%). North China had the highest proportion (45.3%),while Northeast China had the lowest (2.2%). Both differences between urban and rural areas and across different regions were significant(P<0.05).[Conclusion]The water consumption status among preschool children in China is insufficient,with evident disparities between urban and rural and regional areas. When revising adequate water intake,it is necessary to take a comprehensive view and implement targeted education on water consumption for children to cultivate correct water-drinking behavior.

water intakepreschool childrenurban and rural arearegional areawater from beverageswater from foods

谢臻城、丁叶、付铭涵、杨婉仪、欧阳莉珊、李依彤、罗红良、汪之顼

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南京医科大学公共卫生学院,南京 210000

达能开放科研中心,上海 201204

水摄入量 学龄前儿童 城乡 地区 饮料中水 食物中水

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(12)