PDF(Pubmed)
Abstract：
Compliance to UK dietary recommendations was assessed in school-aged children from a population-based cohort: the Avon Longitudinal Study of Parents and Children (ALSPAC). A Children\'s Eatwell Guide (C-EWG) score was developed to assess socio-demographic predictors of meeting dietary recommendations. ALSPAC children with plausible diet diary data at 7 years (n 5373), 10 years (n 4450) and 13 years (n 2223) were included in the study. Their dietary intakes (recorded between 1998 and 2006) were compared with dietary guidelines for total and saturated fats, free sugars, salt, fibre, protein, carbohydrates, fruit and vegetables, non-oily and oily fish and red/processed meat. The C-EWG score (0-9 points) indicated the number of recommendations met at each age. Cross-sectional associations between socio-demographic characteristics and C-EWG scores were assessed using multivariable regression. The lowest adherence to guidelines at 7 years was for sugar (0·1 % meeting recommendations), followed by fibre (7·7 %), oily fish (9·5 %), saturated fat (9·7 %) and fruit and vegetables (15·2 %). Highest adherence was for limiting red/processed meat (67·3 %) and meeting carbohydrate recommendations (77·3 %). At 7 years, 12·1 % of participants failed to meet any of the nine recommendations, 26·9 % met one and 28·2 % met two. Similar patterns were seen at 10 and 13 years. A lower social class and maternal educational attainment and higher maternal BMI were associated with meeting fewer recommendations. Most school-aged children in this cohort did not meet UK dietary recommendations, particularly children from lower socio-economic backgrounds. Additional public health initiatives are needed to improve the quality of UK children\'s diets, particularly targeting lower socio-economic groups.
摘要：
在基于人群的队列中评估了学龄儿童对英国饮食建议的依从性：Avon父母和儿童纵向研究（ALSPAC）。制定了儿童伊特韦尔指南（C-EWG）评分，以评估满足饮食建议的社会人口统计学预测因素。ALSPAC儿童在7岁时有合理的饮食日记数据（n5373），研究包括10年（n4450）和13年（n2223）。他们的膳食摄入量（记录在1998年至2006年之间）与总脂肪和饱和脂肪的膳食指南进行了比较，免费糖,盐,纤维，蛋白质，碳水化合物,水果和蔬菜,非油性和油性鱼和红色/加工肉。C-EWG评分（0-9分）表示在每个年龄段满足的建议数量。使用多变量回归评估社会人口统计学特征与C-EWG评分之间的横断面关联。7年时对指南的依从性最低的是糖(0.1%满足建议)，其次是纤维（7·7%），油性鱼（9·5%），饱和脂肪（9·7%）和水果和蔬菜（15·2%）。依从性最高的是限制红色/加工肉（67·3％）和满足碳水化合物建议（77·3％）。在7年,12%的参与者没有达到九项建议中的任何一项，26·9%满足一个，28·2%满足两个。在10年和13年也看到了类似的模式。较低的社会阶层和母亲受教育程度以及较高的母亲BMI与较少的建议有关。该队列中的大多数学龄儿童不符合英国的饮食建议，特别是社会经济背景较低的儿童。需要采取其他公共卫生措施来提高英国儿童的饮食质量，特别是针对较低的社会经济群体。
