CAJ | 학술논문

【目的】评估某幼儿园集体儿童及营养不良儿童的膳食质量，并对营养不良儿童采取综合干预措施。【方法】①膳食评估方法据该园22天每日一餐两点食物称重、食谱及用餐人数记录，及营养不良儿童剩菜剩饭记录，运用YL-2A营养专用电脑，进行三大营养及矿物质与维生素供给量和报入量统计。②营养不良儿童筛选方法按WH0年龄别体重第3百分位值作为营养不良儿童筛选值。【结果】集体儿童能量供给量与营养不良儿童量摄入量分别为(2 712.82±258.32)kJ和(2 116.03±248.44)kJ，蛋白质为(21.7±2.6)和(17.0±2.0)克，脂肪为(22.7±4.9)和(18.1±3.1)克，碳水化合物为(86.4±16.3)和(72.0±9.9)克，营养不良儿童膳食热能与三大营养素摄入量仅占推荐供给量(RDA)的79.1％、78.3％、83.3％和79.7％。集体和营养不良儿童膳食中蛋白质：脂肪：碳水化合物供能比较为理想，分别为13.4：31.5：53.2和13.2：31.6：56.1。膳食中优质蛋白质两者均占总蛋白质的50％以上。集体儿童膳食中铁和烟酸的供给量动、静态指标均不佳。营养不良儿童膳食中矿物质和维生素大多数均不足，主要有钙、锌、维生素A、E、B1、B2。对全园5名营养不良儿童采取综合干预措施1年后，全部转为正常儿童。【结论】营养不良儿童热能和三大营养素摄入量明显低于供给量。采取合理的综合干预措施可有效提高营养不良儿童的营养状况。
【목적】평고모유인완집체인동급영양불량인동적선식질량，병대영양불량인동채취종합간예조시。【방법】①선식평고방법거해완22천매일일찬량점식물칭중、식보급용찬인수기록，급영양불량인동잉채잉반기록，운용YL-2A영양전용전뇌，진행삼대영양급광물질여유생소공급량화보입량통계。②영양불량인동사선방법안WH0년령별체중제3백분위치작위영양불량인동사선치。【결과】집체인동능량공급량여영양불량인동량섭입량분별위(2 712.82±258.32)kJ화(2 116.03±248.44)kJ，단백질위(21.7±2.6)화(17.0±2.0)극，지방위(22.7±4.9)화(18.1±3.1)극，탄수화합물위(86.4±16.3)화(72.0±9.9)극，영양불량인동선식열능여삼대영양소섭입량부점추천공급량(RDA)적79.1％、78.3％、83.3％화79.7％。집체화영양불량인동선식중단백질：지방：탄수화합물공능비교위이상，분별위13.4：31.5：53.2화13.2：31.6：56.1。선식중우질단백질량자균점총단백질적50％이상。집체인동선식중철화연산적공급량동、정태지표균불가。영양불량인동선식중광물질화유생소대다수균불족，주요유개、자、유생소A、E、B1、B2。대전완5명영양불량인동채취종합간예조시1년후，전부전위정상인동。【결론】영양불량인동열능화삼대영양소섭입량명현저우공급량。채취합리적종합간예조시가유효제고영양불량인동적영양상황。
【Objective】 To estimate the dietary quality of healthy and malnutrition children in a nursery school of shanghai, and provide comprehensive intervention measures to malnutrition children. 【 Methods】 ① Dietary survey: Calculate the energy and nutrients for 22 days by daily weighted food record of April and May of 1999.② Screen of malnutrition children:Defined the cut off point of weight for age as ＜ P3 . 【Results】 The mean energy and protein , fat , carbohydrate in diets of healthy and malnutrition children were(2 712.82 ± 258.32)iJ and (2 116.03 ± 248.44)kJ,(21.7 ± 2.6)g and (17.0± 2.0)g,(22.7 ± 4.9)g and (18.1 ± 3.1 ) g, and (86.4 ± 16.3) g and (72.0 ± 9.9) g respectively. Intakes of energy 、 protein fat and carbohydrate in diets of malnutri tion were 78.1%,78.3%,83.3% and 79.7% respectively comparing with RDA.The energy ratios of protein/fat/carbohydrate in diets of healthy and malnutrition children were 13.4/31.5/53.2 and 13.2/31.6/56.1 respectively. The protein from animals and bean products was over 50% of total protein in both diets. The supplies of Fe,Vit PP were good either in mean level or in daily level; but Vit B2 supply was only good in mean level, not in daily level. The intakes of most minerals and vitamins were deficiency in diets of malnutrition children,such as Ca,Zn, Vit A,E,B1 ,B2. All of the malnutrition children were changed in healthy state after comprehen sive intervention carried out for 1 year. 【Conclusions】 The intakes of energy 、 protein、 fat and carbohydrate were lower in diets of malnutrtion children than those of healthy. The comprehensive intervention are effective in improving nutrition state of malnutrition children.