学龄前儿童素食模式与微量营养素充足性之间的关系:SENDO 项目。

IF 3 3区 医学 Q1 PEDIATRICS
European Journal of Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-10-07 DOI:10.1007/s00431-024-05808-9
Elise Fabios, Itziar Zazpe, Miguel Ángel Martínez-González, Mónica Arias, Esther Ruiz-Chércoles, Nerea Martín-Calvo
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引用次数: 0

摘要

本研究的目的是在 "SENDO 项目 "的儿童群体中研究不同版本的荤食模式与微量营养素充足性之间的关系。研究招募了 4-5 岁的儿童,并通过由其父母填写的自填式在线问卷收集了有关饮食、生活方式和社会人口特征的基线信息。采用先验方法计算了总体、健康和不健康荤食模式(FP)的得分。根据得分将参与者分为三等分。微量营养素充足性采用估计平均需要量(EAR)截断点进行评估。进行了多变量分析,以评估每种营养素FP的三等分与微量营养素摄入不足(未能满足≥3种需求)风险之间的关系。尽管某些微量营养素的摄入量较低,但健康素食者 FP 分数较高的儿童并没有表现出较高的微量营养素摄入不足率。在调整了潜在的混杂因素后,该指数最高三分位数的儿童微量营养素摄入不足≥3的几率比最低三分位数的儿童低0.47倍(95%CI 0.23-0.95)。与此相反,与最低三分位数的儿童相比,不健康荤食FP最高三分位数的儿童微量营养素摄入不足≥3的几率高出20.06倍(95%CI为9.19-43.79):结论:坚持健康的荤食模式与改善学龄前儿童的营养充足性有关,而遵循不健康的荤食模式则不利于微量营养素的充足性。这些结果表明,在健康饮食中适度减少动物性食物的摄入量可能不会影响幼儿微量营养素的充足性。我们需要进一步研究减少动物性食物摄入量对儿童健康的影响:- 出于对健康和可持续发展的考虑,植物性饮食已成为一种明显的趋势。- 研究表明,植物性膳食降低了成人患肥胖症、心血管疾病和癌症的风险:- 一项新的研究采用适度和循序渐进的方法,探讨了不同版本的荤食模式对儿童微量营养素充足性的影响。- 采用健康的荤食模式可提高学龄前儿童的营养充足性,而不健康的荤食模式则会对微量营养素的充足性产生负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between provegetarian food patterns and micronutrient adequacy in preschoolers: the SENDO project.

This study aims to examine the association between different versions of a provegetarian food pattern and micronutrient adequacy in a population of children from the SENDO Project. Children aged 4-5 years old were recruited and baseline information on diet, lifestyle and socio-demographic characteristics was collected through self-administered online questionnaires completed by their parents. Scores were calculated for overall, healthful, and unhealthful provegetarian food patterns (FP) using an a priori approach. Participants were categorized into tertiles according to their scores. Micronutrient adequacy was assessed using the Estimated Average Requirement (EAR) cut-off point. Multivariate analyses were performed to evaluate the relationship between tertiles of each provegetarian FP and the risk of inadequate micronutrient intake (failing to meet ≥ 3 requirements). Despite lower intakes of certain micronutrients, children with higher scores in the healthful provegetarian FP did not exhibit a higher prevalence of inadequacy. Children in the highest tertile of this index had 0.47-fold lower odds (95%CI 0.23-0.95) of having ≥ 3 inadequate micronutrient intakes than their peers in the lowest tertile, after adjusting for potential confounders. In contrast, children in the highest tertile of the unhealthful provegetarian FP had 20.06-fold higher odds (95%CI 9.19-43.79) of having ≥ 3 inadequate micronutrient intakes compared to children in the lowest tertile.

Conclusions: Adherence to a healthful provegetarian food pattern is associated with improved nutritional adequacy in preschoolers, while following an unhealthful pattern is detrimental to micronutrient adequacy. These results suggest that moderate reductions in animal food consumption within a healthy diet may not compromise micronutrient adequacy in young children. Further research is needed to explore the impact of diets reduced in animal food intake on the health of children.

What is known: • There's a notable trend towards plant-based diets due to health and sustainability concerns. • Research links plant-based diets in adults with lower risks of obesity, cardiovascular disease, and cancer.

What is new: • A new study examines how different versions of a provegetarian food pattern affect micronutrient adequacy in children, using a moderate and stepwise approach. • Following a healthful provegetarian food pattern enhances nutritional adequacy in preschoolers, whereas an unhealthful pattern negatively impacts micronutrient adequacy.

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来源期刊
CiteScore
5.90
自引率
2.80%
发文量
367
审稿时长
3-6 weeks
期刊介绍: The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.
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