Skip to main content
Top
Published in: BMC Nutrition 1/2015

Open Access 01-12-2015 | Research article

Nutrient intakes of infants and toddlers from maternal and child care centres in urban areas of China, based on one 24-hour dietary recall

Authors: Cheng Chen, Liya Denney, Yingdong Zheng, Gerard Vinyes-Pares, Kathleen Reidy, Huan Wang, Peiyu Wang, Yumei Zhang

Published in: BMC Nutrition | Issue 1/2015

Login to get access

Abstract

Background

An understanding of the diet of young children from infancy to early childhood in China is limited. The objective of this study is to evaluate nutrient intakes of young children from urban areas in China.

Methods

Mothers, infants and children were recruited from maternal and child care centres as part of a cross-sectional survey of Maternal Infant Nutrition Growth (MING). One 24-h dietary recall was completed for a sample of infants and toddlers aged 6 to 35 months (n = 1409) via face-to-face interviews with the primary caregiver. Nutrient intakes were estimated using data from Chinese Food Composition tables and compared with the Adequate Intakes (AI) or Estimated Average Requirement (EAR) from China.

Results

Mean intakes of most nutrients met or exceeded AIs. Mean fat intakes (% energy) in all subgroups fell below the AIs (32 % vs. 40 % among infants; 31 % and 32 % vs. 35 % among younger and older toddlers). Mean intakes of vitamin B6, folate and selenium were below the AIs among infants (0.3 vs. 0.4 mg/d, 93 vs. 100 μg/d and 15.2 vs. 20 μg/d, respectively). A risk of inadequate iron intake was also observed in infants. Mean vitamin A intake exceeded the recommendations in all subgroups. Mean sodium intakes among toddlers significantly exceeded the AI.

Conclusions

Based on one day dietary intake, the diets of the infants and toddlers appear to be adequate in mean intakes of most nutrients, with a few exceptions including risk of inadequate intakes of fat, vitamin B6, folate, iron and selenium among infants and risk of inadequate intake of fat, vitamin B6 and folate as well as excessive intakes of vitamin A and sodium among toddlers.
Literature
1.
go back to reference Mikkila V, Rasanen L, Raitakari OT, Pietinen P, Viikari J. Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr. 2005;93(6):923–31.CrossRefPubMed Mikkila V, Rasanen L, Raitakari OT, Pietinen P, Viikari J. Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr. 2005;93(6):923–31.CrossRefPubMed
2.
go back to reference Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, et al. Early life risk factors for obesity in childhood: cohort study. BMJ. 2005;330(7504):1357.CrossRefPubMedPubMedCentral Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, et al. Early life risk factors for obesity in childhood: cohort study. BMJ. 2005;330(7504):1357.CrossRefPubMedPubMedCentral
3.
go back to reference Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2008;46(1):99–110.CrossRefPubMed Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2008;46(1):99–110.CrossRefPubMed
4.
go back to reference Li LM, Rao KQ, Kong LZ, Yao CH, Xiang HD, Zhai FY, et al. A description on the Chinese national nutrition and health survey in 2002. Zhonghua Liu Xing Bing Xue Za Zhi. 2005;26(7):478–84.PubMed Li LM, Rao KQ, Kong LZ, Yao CH, Xiang HD, Zhai FY, et al. A description on the Chinese national nutrition and health survey in 2002. Zhonghua Liu Xing Bing Xue Za Zhi. 2005;26(7):478–84.PubMed
5.
go back to reference Yin S, Su Y, Liu Q, Zhang M. Dietary status of preschool children from day-care kindergartens in six cites of China. Wei Sheng Yan Jiu. 2002;31(5):375–8.PubMed Yin S, Su Y, Liu Q, Zhang M. Dietary status of preschool children from day-care kindergartens in six cites of China. Wei Sheng Yan Jiu. 2002;31(5):375–8.PubMed
6.
go back to reference Duan DH, Zhu MY, Luo JY, Wang Z, Gu CH, Zhang WM, et al. Investigation on dietary nutrients among rural stranded children of 2–7 year olds in china. Zhonghua Liu Xing Bing Xue Za Zhi. 2009;30(4):326–30.PubMed Duan DH, Zhu MY, Luo JY, Wang Z, Gu CH, Zhang WM, et al. Investigation on dietary nutrients among rural stranded children of 2–7 year olds in china. Zhonghua Liu Xing Bing Xue Za Zhi. 2009;30(4):326–30.PubMed
7.
go back to reference Willows ND, Barbarich BN, Wang LC, Olstad DL, Clandinin MT. Dietary inadequacy is associated with anemia and suboptimal growth among preschool-aged children in Yunnan Province. China Nutr Res. 2011;31(2):88–96.CrossRefPubMed Willows ND, Barbarich BN, Wang LC, Olstad DL, Clandinin MT. Dietary inadequacy is associated with anemia and suboptimal growth among preschool-aged children in Yunnan Province. China Nutr Res. 2011;31(2):88–96.CrossRefPubMed
8.
go back to reference Popkin BM. Nutrition in transition: the changing global nutrition challenge. Asia Pac J Clin Nutr. 2001;10(Suppl):S13–8.CrossRefPubMed Popkin BM. Nutrition in transition: the changing global nutrition challenge. Asia Pac J Clin Nutr. 2001;10(Suppl):S13–8.CrossRefPubMed
9.
go back to reference Zhai F, Wang H, Du S, He Y, Wang Z, Ge K, et al. Prospective study on nutrition transition in China. Nutr Rev. 2009;67 Suppl 1:S56–61.CrossRefPubMed Zhai F, Wang H, Du S, He Y, Wang Z, Ge K, et al. Prospective study on nutrition transition in China. Nutr Rev. 2009;67 Suppl 1:S56–61.CrossRefPubMed
10.
go back to reference Dearth-Wesley T, Gordon-Larsen P, Adair LS, Siega-Riz AM, Zhang B, Popkin BM. Less traditional diets in Chinese mothers and children are similarly linked to socioeconomic and cohort factors but vary with increasing child age. J Nutr. 2011;141(9):1705–11.CrossRefPubMedPubMedCentral Dearth-Wesley T, Gordon-Larsen P, Adair LS, Siega-Riz AM, Zhang B, Popkin BM. Less traditional diets in Chinese mothers and children are similarly linked to socioeconomic and cohort factors but vary with increasing child age. J Nutr. 2011;141(9):1705–11.CrossRefPubMedPubMedCentral
11.
go back to reference Wang Z, Zhai F, Zhang B, Popkin BM. Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009. Asia Pac J Clin Nutr. 2012;21(2):253–62.PubMedPubMedCentral Wang Z, Zhai F, Zhang B, Popkin BM. Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009. Asia Pac J Clin Nutr. 2012;21(2):253–62.PubMedPubMedCentral
12.
go back to reference Center of Disease Control Institute of Nutrition and Food Hygiene. China Food Composition. 1st ed. Beijing: Beijing Medical University Press; 2004. Center of Disease Control Institute of Nutrition and Food Hygiene. China Food Composition. 1st ed. Beijing: Beijing Medical University Press; 2004.
13.
go back to reference Center of Disease Control Institute of Nutrition and Food Hygiene. China Food Composition. 2nd ed. Beijing: Beijing Medical University Press; 2009. Center of Disease Control Institute of Nutrition and Food Hygiene. China Food Composition. 2nd ed. Beijing: Beijing Medical University Press; 2009.
14.
go back to reference Nutrition Coordinating Center University of Minnesota. Revisiting vitamin A measurements. NDS Quarterly. 2001;12:2. Nutrition Coordinating Center University of Minnesota. Revisiting vitamin A measurements. NDS Quarterly. 2001;12:2.
16.
go back to reference Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM, et al. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc. 2010;110(12 Suppl):S27–37.CrossRefPubMed Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM, et al. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc. 2010;110(12 Suppl):S27–37.CrossRefPubMed
17.
go back to reference Chinese Nutrition Society. Chinese Dietary Reference Intakes Handbook 2013. Beijing: China Standard Press; 2014. Chinese Nutrition Society. Chinese Dietary Reference Intakes Handbook 2013. Beijing: China Standard Press; 2014.
18.
go back to reference Institute of Medicine. Dietary Reference Intakes: Applications in Dietary Assessment. Washington DC: The National Academies Press; 2000. Institute of Medicine. Dietary Reference Intakes: Applications in Dietary Assessment. Washington DC: The National Academies Press; 2000.
19.
go back to reference Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesteroal, Protein, and Amino Acids. Washington DC: The National Academies Press; 2005. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesteroal, Protein, and Amino Acids. Washington DC: The National Academies Press; 2005.
20.
go back to reference National Bureau of Statistics of China. China Statistical yearbook 2013. Beijing: China Statistics Press; 2013. National Bureau of Statistics of China. China Statistical yearbook 2013. Beijing: China Statistics Press; 2013.
21.
go back to reference Chunming C. Fat intake and nutritional status of children in China. Am J Clin Nutr. 2000;72(5 Suppl):1368S–72.PubMed Chunming C. Fat intake and nutritional status of children in China. Am J Clin Nutr. 2000;72(5 Suppl):1368S–72.PubMed
22.
go back to reference Meng Q, Zhang L, Liu J, Li Z, Jin L, Zhang Y et al. Dietary folate intake levels in rural women immediately before pregnancy in Northern China. Birth Defects Res A Clin Mol Teratol. 2014. doi:10.1002/bdra.23280 Meng Q, Zhang L, Liu J, Li Z, Jin L, Zhang Y et al. Dietary folate intake levels in rural women immediately before pregnancy in Northern China. Birth Defects Res A Clin Mol Teratol. 2014. doi:10.1002/bdra.23280
23.
go back to reference Hao L, Ma J, Stampfer MJ, Ren A, Tian Y, Tang Y, et al. Geographical, seasonal and gender differences in folate status among Chinese adults. J Nutr. 2003;133(11):3630–5.PubMed Hao L, Ma J, Stampfer MJ, Ren A, Tian Y, Tang Y, et al. Geographical, seasonal and gender differences in folate status among Chinese adults. J Nutr. 2003;133(11):3630–5.PubMed
24.
go back to reference Ma G, Jin Y, Li Y, Zhai F, Kok FJ, Jacobsen E, et al. Iron and zinc deficiencies in China: what is a feasible and cost-effective strategy? Public Health Nutr. 2008;11(6):632–8.CrossRefPubMed Ma G, Jin Y, Li Y, Zhai F, Kok FJ, Jacobsen E, et al. Iron and zinc deficiencies in China: what is a feasible and cost-effective strategy? Public Health Nutr. 2008;11(6):632–8.CrossRefPubMed
25.
go back to reference Conn JA, Davies MJ, Walker RB, Moore VM. Food and nutrient intakes of 9-month-old infants in Adelaide. Australia Public Health Nutr. 2009;12(12):2448–56.CrossRefPubMed Conn JA, Davies MJ, Walker RB, Moore VM. Food and nutrient intakes of 9-month-old infants in Adelaide. Australia Public Health Nutr. 2009;12(12):2448–56.CrossRefPubMed
26.
go back to reference Gibson S, Sidnell A. Nutrient adequacy and imbalance among young children aged 1–3 years in the UK. Nutr Bull. 2014;39:172–80.CrossRef Gibson S, Sidnell A. Nutrient adequacy and imbalance among young children aged 1–3 years in the UK. Nutr Bull. 2014;39:172–80.CrossRef
27.
go back to reference Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, et al. A systematic analysis of global anemia burden from 1990 to 2010. Blood. 2014;123(5):615–24.CrossRefPubMedPubMedCentral Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, et al. A systematic analysis of global anemia burden from 1990 to 2010. Blood. 2014;123(5):615–24.CrossRefPubMedPubMedCentral
28.
go back to reference Berglund S, Domellof M. Meeting iron needs for infants and children. Curr Opin Clin Nutr Metab Care. 2014;17(3):267–72.CrossRefPubMed Berglund S, Domellof M. Meeting iron needs for infants and children. Curr Opin Clin Nutr Metab Care. 2014;17(3):267–72.CrossRefPubMed
29.
go back to reference Jiang J, Toschke AM, von Kries R, Koletzko B, Lin L. Vitamin A status among children in China. Public Health Nutr. 2006;9(8):955–60.CrossRefPubMed Jiang J, Toschke AM, von Kries R, Koletzko B, Lin L. Vitamin A status among children in China. Public Health Nutr. 2006;9(8):955–60.CrossRefPubMed
30.
go back to reference Zhang Y, Tao F, Yin H, Zhu X, Ji G, Kong S, et al. Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province. China Public Health Nutr. 2007;10(7):733–8.PubMed Zhang Y, Tao F, Yin H, Zhu X, Ji G, Kong S, et al. Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province. China Public Health Nutr. 2007;10(7):733–8.PubMed
31.
go back to reference Campbell KJ, Hendrie G, Nowson C, Grimes CA, Riley M, Lioret S, et al. Sources and correlates of sodium consumption in the first 2 years of life. J Acad Nutr Diet. 2014;114(10):1525–32. e2.CrossRefPubMed Campbell KJ, Hendrie G, Nowson C, Grimes CA, Riley M, Lioret S, et al. Sources and correlates of sodium consumption in the first 2 years of life. J Acad Nutr Diet. 2014;114(10):1525–32. e2.CrossRefPubMed
32.
go back to reference Zhou BF, Stamler J, Dennis B, Moag-Stahlberg A, Okuda N, Robertson C, et al. Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: the INTERMAP study. J Hum Hypertens. 2003;17(9):623–30.CrossRefPubMed Zhou BF, Stamler J, Dennis B, Moag-Stahlberg A, Okuda N, Robertson C, et al. Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: the INTERMAP study. J Hum Hypertens. 2003;17(9):623–30.CrossRefPubMed
33.
go back to reference Du S, Batis C, Wang H, Zhang B, Zhang J, Popkin BM. Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. Am J Clin Nutr. 2014;99(2):334–43.CrossRefPubMed Du S, Batis C, Wang H, Zhang B, Zhang J, Popkin BM. Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. Am J Clin Nutr. 2014;99(2):334–43.CrossRefPubMed
34.
go back to reference Hebert JR, Hurley TG, Steck SE, Miller DR, Tabung FK, Peterson KE, et al. Considering the value of dietary assessment data in informing nutrition-related health policy. Adv Nutr. 2014;5(4):447–55.CrossRefPubMedPubMedCentral Hebert JR, Hurley TG, Steck SE, Miller DR, Tabung FK, Peterson KE, et al. Considering the value of dietary assessment data in informing nutrition-related health policy. Adv Nutr. 2014;5(4):447–55.CrossRefPubMedPubMedCentral
35.
go back to reference Bingham SA. Limitations of the various methods for collecting dietary intake data. Ann Nutr Metab. 1991;35(3):117–27.CrossRefPubMed Bingham SA. Limitations of the various methods for collecting dietary intake data. Ann Nutr Metab. 1991;35(3):117–27.CrossRefPubMed
36.
go back to reference Murphy SP, Poos MI. Dietary reference Intakes: summary of applications in dietary assessment. Public Health Nutr. 2002;5(6A):843–9.CrossRefPubMed Murphy SP, Poos MI. Dietary reference Intakes: summary of applications in dietary assessment. Public Health Nutr. 2002;5(6A):843–9.CrossRefPubMed
Metadata
Title
Nutrient intakes of infants and toddlers from maternal and child care centres in urban areas of China, based on one 24-hour dietary recall
Authors
Cheng Chen
Liya Denney
Yingdong Zheng
Gerard Vinyes-Pares
Kathleen Reidy
Huan Wang
Peiyu Wang
Yumei Zhang
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Nutrition / Issue 1/2015
Electronic ISSN: 2055-0928
DOI
https://doi.org/10.1186/s40795-015-0019-5

Other articles of this Issue 1/2015

BMC Nutrition 1/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine