1-3岁儿童的选定微量营养素需求

Q1 Medicine
Nestle Nutrition Institute workshop series Pub Date : 2020-01-01 Epub Date: 2020-11-04 DOI:10.1159/000511507
Steven A Abrams
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引用次数: 0

摘要

建立幼儿微量营养素的膳食建议是困难的。用于评估营养摄入和生物利用度的技术很难适用于这一年龄组。此外,儿童早期生长速度、饮食模式和营养损失的巨大差异使得确定饮食需求变得困难。最近的大多数研究都利用稳定同位素来测定铁、锌、钙和镁的矿物吸收。维生素D的需取量是根据维持假定的足够的血清25-羟基维生素D浓度所需的膳食摄入量确定的。利用包括吸收测定和通常人群摄入量的析因方法确定的营养素需要量的比较对于确定与摄入不足或过量有关的营养素是重要的。一般来说,在美国,钙和镁的摄入量足以满足大多数幼儿饮食的要求,包括牛奶来源或矿物质强化牛奶替代品。世界上有相当比例的幼儿,特别是那些很少吃肉的幼儿,锌和铁的摄入量可能低于需求。膳食维生素D通常低于膳食推荐值,但血清25-羟基维生素D明显缺乏的情况较少见,常规维生素D补充或强化饮食的全球作用仍不确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Selected Micronutrient Needs of Children 1-3 Years of Age.

Establishing dietary recommendations for micronutrients in young children is difficult. Techniques used to evaluate nutrient intake and bioavailability are hard to apply in this age group. Additionally, large variations in growth rates, dietary patterns, and nutrient losses in early childhood make determinations of dietary requirements difficult. Most recent studies have utilized stable isotopes to determine mineral absorption for iron, zinc, calcium, and magnesium. Vitamin D requirements have been established based on the dietary intake required to maintain a presumed adequate serum 25-hydroxyvitamin D concentration. Comparisons of nutrient requirements established using factorial methods involving absorption determinations and usual population intake are important to identify nutrients of concern related to deficient or excess intakes. Generally, in the USA, the intakes of calcium and magnesium are adequate to meet requirements in most toddler diets which include a milk source or a mineral-fortified milk alternative. Zinc and iron intakes can be below requirements in a substantial proportion of toddlers throughout the world, especially those with minimal meat consumption. Dietary vitamin D is generally below dietary recommendations, but clearly deficient serum 25-hydroxyvitamin D concentrations are less common, and the global role for routine vitamin D supplementation or fortification of the diet remains uncertain.

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来源期刊
Nestle Nutrition Institute workshop series
Nestle Nutrition Institute workshop series Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.30
自引率
0.00%
发文量
22
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