中国6~23月龄婴幼儿甜饮料和不健康食物摄入变化  

Changes of sweet beverage and unhealthy food consumption among infant and young child aged 6-24 months old in China

作　　者：王玉英 于冬梅 杨振宇 赵丽云 Wang Yuying;Yu Dongmei;Yang Zhenyu;Zhao Liyun(National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Key Laboratory of Trace Element Nutrition of National Health Committee,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心营养与健康所,北京100050 [2]国家卫生健康委微量元素与营养重点实验室,北京100050

出　　处：《卫生研究》2023年第6期919-923,共5页Journal of Hygiene Research

基　　金：国家重大公共卫生服务项目-中国儿童与乳母营养健康监测(2016—2017年);国家卫生健康委(原卫生部)医改重大项目—中国居民营养与健康状况监测(2010—2013年)。

摘　　要：目的描述2013年、2016—2017年中国6~23月龄婴幼儿甜饮料和不健康食物摄入的变化。方法数据来自2013年、2016—2017年中国儿童与乳母营养健康监测项目,研究对象分别为6~23月龄儿童9983名和20423名。根据世界卫生组织和联合国儿童基金会2021年更新的婴幼儿喂养评价指标体系,分析了儿童甜饮料和不健康食物摄入的变化。结果采用2010年国家统计局的人口数据进行复杂加权计算,利用Rao-Scott修饰权重的卡方检验进行不同调查年、性别、月龄、地区儿童之间的统计学差异检验。结果2013年中国6~23月龄儿童甜饮料摄入比例是20.2%(95%CI 16.0%~24.4%),大城市儿童达到29.6%,而最低的贫困农村儿童为14.0%,但不同地区之间差异无统计学意义。与2013年相比,2016—2017年中国6~23月龄儿童甜饮料摄入比例显著增加,达到了51.7%(95%CI 48.9%~54.4%),中小城市儿童达到了54.1%,而最低的大城市儿童为44.3%。2013年中国6~23月龄儿童不健康食物摄入比例是31.2%(95%CI 23.2%~39.3%),中小城市儿童达到46.3%,而最低的贫困农村儿童为16.3%。与2013年相比,2016—2017年中国6~23月龄儿童摄入不健康食物的比例为35.6%(95%CI 33.6%~37.5%),差异没有统计学意义(Rao-Scottχ2=0.96,P=0.33)。最高的中小城市儿童为38.6%,大城市和贫困农村儿童达到了30%。两个指标在同一调查年不同性别之间差异均无统计学意义,不同月龄儿童的差异有统计学意义(P<0.01)。结论中国6~23月龄儿童摄入甜饮料比例明显增加,不健康食物摄入相对稳定,12月龄以上儿童和农村儿童是要关注的人群。OBJECTIVE To describe the change of sweet beverage and unhealthy food consumption among infant and young child aged 6-23 months in 2013,2016-2017,China.METHODS Data was from the China Nutrition and Health Surveillance among Children and Lactating Women in 2013,2016-2017.9983,20423 children aged 6-23 months old were involved respectively.The sweet beverage and unhealthy food consumption was analyzed with WHO and UNICEF 2021 updated infant and young child feeding indicators.Data analyses were conducted using the complex weight based on national census from National Bureau of Statistics in 2010.Rao-Scott Chisquare was used test for statistical difference.RESULTS The proportions of sweet beverage consumption among children aged 6-23 months was 20.2%(95%CI 16.0%-24.4%)in 2013;it was 29.6%in large cities,and 14.0%in poor rural areas,but there was no significant difference in different areas.Compared with 2013,the proportions of sweet beverage consumption increased significantly in 2016-2017,reaching 51.7%(95%CI 48.9%-54.4%);it was 54.1%in medium and small cities,and 44.3%in large cities.The proportions of unhealthy food consumption among children aged 6-23 months was 31.2%(95%CI 23.2%-39.3%)in 2013;it was 46.3%in medium and small cities,and 16.3%in poor rural areas.Compared with 2013,the proportions of unhealthy food consumption was 35.6%(95%CI 33.6%-39.3%)in 2016-2017,and no significant difference was observed(Rao-Scottχ2=0.96,P=0.33);It was 38.6%in medium and small cities,and reached 30%in large cities and poor rural areas.For those 2 indicators at the same survey,no consistent differences were observed between boys and girls and there was significant difference in various months of age(P<0.01).CONCLUSION In China,the proportion of sweet beverage consumption among children aged 6-23 months has increased significantly,and the intake of unhealthy food is relatively stable.Children aged over 12 months and in rural areas need to be concerned about.

关 键 词：婴幼儿喂养 甜饮料 不健康食物 

分 类 号：R153.2[医药卫生—营养与食品卫生学] R174[医药卫生—公共卫生与预防医学]