Рост распространенности избыточной масса тела и ожирения является актуальной проблемой не только у взрослых, но и у детей как в развитых, так и в развивающихся странах. Цель настоящего исследования -анализ распространения избыточной массы тела и ожирения и других форм нарушения пищевого статуса у детей. Материал и методы. Пищевой статус 17 329 детей в возрасте 2-18 лет оценивали по антропометрическим данным, полученным Росстатом в ходе Выборочного наблюдения рационов питания населения в 2018 г. Распространенность различных форм нарушений состояния питания оценивали по категориям Z-скоров, определенных по стандартам Всемирной организации здравоохранения. Результаты. Популяционные средние и медианные величины Z-скоров во всех половозрастных группах не превышают ±0,5 по отношению к стандартам Всемирной организации здравоохранения, что свидетельствует о применимости стандартов к оценке пищевого статуса детей российской популяции. Высокая масса тела [масса тела для возраста (WAZ>2)] встречается у 7,6% детей, дефицит массы тела -у 2,6%. Частота низкорослости у мальчиков 1 Федеральное государственное бюджетное учреждение науки Федеральный исследовательский центр питания, биотехнологии и безопасности пищи, 109240, г. Москва, Российская Федерация 2 Федеральная служба государственной статистики (Росстат), 107450, г. Москва, Российская Федерация
We analyzed the consumption of dairy products and association with the nutritional status of adults based on “Russian Longitudinal Monitoring Survey, RLMS‐HSE” 1994‐2012. Dietary intake (24h recall) and anthropometric data were collected by trained interviewers in >135,000 subjects during observational period. Per capita consumption (PCC) of drinking milk (including milk from prepared meals like porridges, milk soups, etc.) was varying from year to year but did not change critically during the period. PCC of fermented dairies increased by 3 times, while curd/curd products and hard cheeses increased by 2 times and 1.4 time, respectively. Among fermented dairies, kefir increased from 10.9 to 25.6 g/day and yogurt increased from 0.9g to 8.6 g/day. Yogurt consumption decreased with age in adults of both genders with the minimum values in older adults (蠅 60 yo). Higher kefir consumption, on the contrary, was observed in this latter population. In general, yogurt, kefir or the sum of fermented dairies was associated with higher intake of calcium, vitamin B2 and protein. Anthropometric data showed that adult yogurt consumers had lower mean values of BMI (T‐test P<0,001) and lower prevalence of overweight/obesity (OR 0.76, 95% CI 0.68‐0.85, P<0,001) compared to non‐consumers. This was not observed in the group of kefir consumers.Our study showed that fermented dairies consumption is associated with higher nutrients intake. Results further suggested that yogurt consumption is associated with lower prevalence of overweight/obesity among adults.
Objectives Milk and dairy foods are typically the biggest contributors to calcium in the diets of children who consume them. Our objective was to explore consumption patterns of milk and dairy foods from children in three countries (Australia, Russia and the US) and to evaluate the nutritional impact of milk and dairy foods in these diverse geographies. Methods National survey data were used to evaluate milk and dairy consumption among 4–12 y old children. Data sources included the 2011–12 Australian National Nutrition and Physical Activity Survey (NNPAS) (n = 1576), the 2013 Russian National Nutrition Survey (n = 22,410), and the 2013–2016 US National Health and Nutrition Examination Survey (NHANES) (n = 3343). Food groups were created for Milk, Fermented Dairy (including yogurt and kefir), Cheese and Total Dairy. Serving sizes were standardized so comparisons could be made. Percent consuming and amounts per capita and per consumer were calculated. Usual nutrient intakes were estimated for children receiving ≥ 2 servings/d, compared to 1 to <2 servings, 0 to <1 serving and none for each of the dairy groups. Results Dairy consumption was high in Australia (83.2%), Russia (91.5%) and the US (81.6%). Milk consumption ranged from 69.5% (US) to 70.7% (Australia) and 82.5% (Russia). Fermented dairy was consumed by 10.1%, 17.7% and 29.6%, and cheese by 35.8%, 36.5% and 40.0% of children in US, Australia and Russia, respectively. While Russia reported the highest prevalence, per capita consumption (g) was highest and energy intake (kcal) was lowest in the US. Local recommendations differ, but only about 24% of children consumed ≥2 servings of dairy/d, with 14% (Australia), 6% (Russia) and 15% (US) reaching 2 servings/d from milk alone. Dairy foods provided approximately 11% of total daily energy (milk alone, 8%), but among those consuming ≥2 servings/d, dairy foods contributed 23% of total daily energy (milk alone, 20%). Nutrient intakes were consistently higher for children in the higher dairy consumption categories, especially for calcium, phosphorus, and vitamins A and D where milk is fortified. Conclusions Milk and dairy foods make important contributions to daily nutrient intakes in 4–12 y old children. Dairy consumption should be encouraged, as few children actually consume dairy foods according to local recommendations. Funding Sources Analysis of the national survey data used in this abstract was sponsored by Nestlé Research, Vers-chez-les-Blanc, Lausanne, Switzerland.
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