{"title":"[1991-2015年中国15个省(区、市)6-17岁儿童青少年营养不良双重负担分析]。","authors":"Xiao Hu, Jiguo Zhang, Xiaofang Jia, Hongru Jiang, Liusen Wang, Huijun Wang, Bing Zhang, Zhihong Wang","doi":"10.19813/j.cnki.weishengyanjiu.2023.01.005","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the status and the trends of the double burden of malnutrition among children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) of China in 1991, 2000, 2009 and 2015.</p><p><strong>Methods: </strong>The data of China Health and Nutrition Surveys in 1991, 2000, 2009 and 2015 were used, children and adolescents aged 6-17 years were selected as the research objects. After excluding those with missing demographic, dietary data and physical measurement data, 2464, 2094, 929 and 1555 children and adolescents were included in the study in each year. The subjects were divided into lean, normal, overweight and obese groups. The dietary information was collected by 3-day 24-hour dietary recall, and edible oil and condiment intakes were collected by weighing method. The dietary micronutrient intake of children and adolescents was calculated according to the food composition table. The estimated average requirement(EAR) was used as the cut-offs of dietary micronutrient intake insufficiency to analyze the situation of micronutrient intake deficiency and double burden of malnutrition.</p><p><strong>Results: </strong>The prevalence of underweight of children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) during 1991-2015 showed a downward trend, while the prevalence of overweight and obesity showed an upward trend(all P<0.05). The prevalence of double burden of malnutrition increased from 6.5% in 1991 to 24.6% in 2015. In 1991, 2000, 2009 and 2015, 94.2%, 92.8%, 97.2% and 93.4% of children and adolescents had insufficient dietary micronutrient intake. In 1991 and 2000, 81.6% and 73.7% of children and adolescents had insufficient intake of 3-7 dietary micronutrients at the same time; In 2009 and 2015, 81.8% and 80.7% of children and adolescents had insufficient intake of 3-9 dietary micronutrients at the same time.</p><p><strong>Conclusion: </strong>The prevalence of overweight and obesity of children and adolescents in 15 provinces(autonomous regions and municipalities) of China was on the rise, the prevalence of insufficient intake of dietary micronutrients is higher, and the double burden of malnutrition was serious.</p>","PeriodicalId":23789,"journal":{"name":"Wei sheng yan jiu = Journal of hygiene research","volume":"52 1","pages":"27-32"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Double burden of malnutrition among children and adolescents aged 6-17 years in 15 provinces (autonomous regions, municipalities) of China in 1991-2015].\",\"authors\":\"Xiao Hu, Jiguo Zhang, Xiaofang Jia, Hongru Jiang, Liusen Wang, Huijun Wang, Bing Zhang, Zhihong Wang\",\"doi\":\"10.19813/j.cnki.weishengyanjiu.2023.01.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze the status and the trends of the double burden of malnutrition among children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) of China in 1991, 2000, 2009 and 2015.</p><p><strong>Methods: </strong>The data of China Health and Nutrition Surveys in 1991, 2000, 2009 and 2015 were used, children and adolescents aged 6-17 years were selected as the research objects. After excluding those with missing demographic, dietary data and physical measurement data, 2464, 2094, 929 and 1555 children and adolescents were included in the study in each year. The subjects were divided into lean, normal, overweight and obese groups. The dietary information was collected by 3-day 24-hour dietary recall, and edible oil and condiment intakes were collected by weighing method. The dietary micronutrient intake of children and adolescents was calculated according to the food composition table. The estimated average requirement(EAR) was used as the cut-offs of dietary micronutrient intake insufficiency to analyze the situation of micronutrient intake deficiency and double burden of malnutrition.</p><p><strong>Results: </strong>The prevalence of underweight of children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) during 1991-2015 showed a downward trend, while the prevalence of overweight and obesity showed an upward trend(all P<0.05). The prevalence of double burden of malnutrition increased from 6.5% in 1991 to 24.6% in 2015. In 1991, 2000, 2009 and 2015, 94.2%, 92.8%, 97.2% and 93.4% of children and adolescents had insufficient dietary micronutrient intake. In 1991 and 2000, 81.6% and 73.7% of children and adolescents had insufficient intake of 3-7 dietary micronutrients at the same time; In 2009 and 2015, 81.8% and 80.7% of children and adolescents had insufficient intake of 3-9 dietary micronutrients at the same time.</p><p><strong>Conclusion: </strong>The prevalence of overweight and obesity of children and adolescents in 15 provinces(autonomous regions and municipalities) of China was on the rise, the prevalence of insufficient intake of dietary micronutrients is higher, and the double burden of malnutrition was serious.</p>\",\"PeriodicalId\":23789,\"journal\":{\"name\":\"Wei sheng yan jiu = Journal of hygiene research\",\"volume\":\"52 1\",\"pages\":\"27-32\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wei sheng yan jiu = Journal of hygiene research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19813/j.cnki.weishengyanjiu.2023.01.005\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wei sheng yan jiu = Journal of hygiene research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19813/j.cnki.weishengyanjiu.2023.01.005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:分析1991年、2000年、2009年和2015年中国15个省(区、市)6-17岁儿童青少年营养不良双重负担现状及趋势。方法:采用1991年、2000年、2009年和2015年中国健康与营养调查数据，选取6 ~ 17岁的儿童和青少年作为研究对象。在排除人口统计学、饮食数据和体格测量数据缺失后，每年有2464、2094、929和1555名儿童和青少年纳入研究。研究对象被分为瘦组、正常组、超重组和肥胖组。采用3 d 24小时膳食召回法收集饲粮信息，采用称重法收集食用油和调味品摄入量。根据食物成分表计算儿童和青少年的膳食微量营养素摄入量。以估计平均需取量(EAR)作为膳食微量元素摄入不足的分界点，分析微量元素摄入不足和营养不良双重负担的情况。结果:1991-2015年，全国15个省(区、市)6-17岁儿童青少年体重不足患病率呈下降趋势，超重和肥胖患病率呈上升趋势(p < 0.05)。营养不良双重负担患病率从1991年的6.5%上升到2015年的24.6%。1991年、2000年、2009年和2015年儿童青少年微量营养素摄入不足的比例分别为94.2%、92.8%、97.2%和93.4%。1991年和2000年，81.6%和73.7%的儿童和青少年同时摄入3-7种膳食微量营养素不足;2009年和2015年，81.8%和80.7%的儿童青少年同时存在3-9种膳食微量营养素摄入不足的情况。结论:中国15个省(区、市)儿童青少年超重和肥胖患病率呈上升趋势，膳食微量元素摄入不足患病率较高，营养不良双重负担严重。
[Double burden of malnutrition among children and adolescents aged 6-17 years in 15 provinces (autonomous regions, municipalities) of China in 1991-2015].
Objective: To analyze the status and the trends of the double burden of malnutrition among children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) of China in 1991, 2000, 2009 and 2015.
Methods: The data of China Health and Nutrition Surveys in 1991, 2000, 2009 and 2015 were used, children and adolescents aged 6-17 years were selected as the research objects. After excluding those with missing demographic, dietary data and physical measurement data, 2464, 2094, 929 and 1555 children and adolescents were included in the study in each year. The subjects were divided into lean, normal, overweight and obese groups. The dietary information was collected by 3-day 24-hour dietary recall, and edible oil and condiment intakes were collected by weighing method. The dietary micronutrient intake of children and adolescents was calculated according to the food composition table. The estimated average requirement(EAR) was used as the cut-offs of dietary micronutrient intake insufficiency to analyze the situation of micronutrient intake deficiency and double burden of malnutrition.
Results: The prevalence of underweight of children and adolescents aged 6-17 years in 15 provinces(autonomous regions and municipalities) during 1991-2015 showed a downward trend, while the prevalence of overweight and obesity showed an upward trend(all P<0.05). The prevalence of double burden of malnutrition increased from 6.5% in 1991 to 24.6% in 2015. In 1991, 2000, 2009 and 2015, 94.2%, 92.8%, 97.2% and 93.4% of children and adolescents had insufficient dietary micronutrient intake. In 1991 and 2000, 81.6% and 73.7% of children and adolescents had insufficient intake of 3-7 dietary micronutrients at the same time; In 2009 and 2015, 81.8% and 80.7% of children and adolescents had insufficient intake of 3-9 dietary micronutrients at the same time.
Conclusion: The prevalence of overweight and obesity of children and adolescents in 15 provinces(autonomous regions and municipalities) of China was on the rise, the prevalence of insufficient intake of dietary micronutrients is higher, and the double burden of malnutrition was serious.
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