scholarly journals Intakes of nutrients and food categories in Canadian children and adolescents across levels of sugars intake: Cross-sectional analyses of the Canadian Community Health Survey 2015 Public Use Microdata File

Author(s):  
Laura Chiavaroli ◽  
Ye (Flora) Wang ◽  
Mavra Ahmed ◽  
Alena (Praneet) Ng ◽  
Chiara DiAngelo ◽  
...  

Dietary recommendations to reduce sugars consumption may influence choices of sugars-containing foods and affect the intake of key micronutrients. We compared intakes of nutrients and food sources stratified by quintiles of total sugars in Canadian children (2-8y) and adolescents (9-13y, 14-18y) using 24-hour dietary recalls from the 2015 Canadian Community Health Survey-Nutrition. Energy intakes did not differ across quintiles of sugars intake. Those with lower sugars intakes (Q1/Q3) generally had higher protein, fat, sodium, niacin, folate and zinc and lower vitamin C compared to those with the highest sugars intakes (Q5). Q1 also had lower potassium but higher saturated fat compared to Q5. Further, Q1 generally had higher protein, fats and niacin compared to Q3, while children in Q3 had higher potassium and riboflavin and older adolescents had higher calcium and fibre. Q5 had highest intakes of multiple sugar-containing food categories (e.g. fruit, confectionary, milks, cakes/pies/pastries), with higher sugars-sweetened beverages in adolescents. Q3 had higher fruit, milks and fruit juice compared to Q1 and lower sugars/syrups/preserves, confectionary, and fruit juices compared to Q5. Certain nutrient-dense food sources of sugars (fruit, milks) may help increase key nutrients (potassium, calcium, fibre) in older adolescents with low sugars intakes. However, in those with the highest sugars intakes, nutrient-poor foods may displace nutrient-dense foods. Novelty: • Canadian children and adolescents with lower sugars intake have better intakes of some nutrients • Energy intakes did not differ across sugars intake • Older adolescents with mean intakes of total sugars had better intakes of some key nutrients (potassium, calcium, fibre)

2021 ◽  
Author(s):  
Alena (Praneet) Ng ◽  
Mavra Ahmed ◽  
Mary L'Abbe

Abstract Background: Up-to-date and appropriate estimates of the usual intakes of key nutrients are crucial for monitoring the nutritional adequacy of the Canadian population. Comprehensive, nationally-representative nutrient estimates for Canadian children and adolescents are available using data from the Canadian Community Health Survey (CCHS) – Nutrition 2004, however results are scarce for the most-recent 2015 data. The objective of this research was to assess nutrient intakes of Canadian children and adolescents using data from the CCHS 2015 Public Use Microdata Files (PUMF) Methods: Participants’ first 24-hr dietary recall, and the second-day recall from a subset of participants were used to estimate usual intakes of macronutrients, vitamins and minerals in children and adolescents (2-18 years). Usual intakes by Dietary Reference Intake (DRI) age-sex groups were estimated using the National Cancer Institute (NCI) method, adjusted for age, sex, misreporting status, weekend/weekday, and sequence of recall analyzed (first/second), with consideration for outliers (N=5,493). Usual intakes from food and beverages were assessed for prevalence of inadequacy in relation to the DRI recommendations. Results: Children 2-3y consumed a percentage of total energy from protein above the Acceptable Macronutrient Distribution Range (AMDR). Among children and adolescents, 71% met the AMDR for carbohydrates and 63-71% met the AMDR for total fat. With the exception of calcium and vitamin D, a very low prevalence (<10%) of inadequate intakes was observed for select micronutrients among Canadian children 2-8y, while a substantial proportion of adolescents (>15%) did not meet requirements for vitamin A, vitamin C, vitamin D, calcium, magnesium and zinc.Conclusions: Canadian children and adolescents may not be meeting recommendations for short fall nutrients such as calcium, potassium, vitamin A and vitamin D. Fibre intake continues to remain low, while sodium intake exceeded recommendations. These findings provide important, updated baseline estimates on the nutrient intakes of this subpopulation in Canada for continued monitoring of adherence to the 2019 Canada’s Food Guide and may be useful to inform future public health nutrition policies, programs and initiatives.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1937 ◽  
Author(s):  
Seyed H Hosseini ◽  
Julie M Jones ◽  
Hassan Vatanparast

The new Canada’s Food Guide (CFG) recommends whole grains foods as the primary choice of grain products in the daily diet. This study examined whether higher shares of whole-grain consumption, beyond the recommended levels (i.e., above half) of the daily grain intake, are linked with optimal diet quality and intakes of some key nutrients, for both children and adolescents and adults in Canada. To meet the objective of this study, we used the Canadian Community Health Survey (CCHS)–Nutrition 2015, which is a nationally representative data. We employed the propensity score matching (PSM) method in this study. PSM estimates the exposure effect when a set of individuals are exposed to a specific treatment (food group intake in this study) in a non-experimental setting. The results of our analyses implied that a high consumption of whole grains is associated with a good diet quality. However, after a certain level of whole-grain consumption, no significant differences can be observed in diet quality scores of children and adolescents and adults. Moreover, it was observed that the proportion of obese and overweight individuals was significantly lower among adults that had balanced intakes of whole and non-whole grains. The results of logistic regression analyses also showed the probability of being obese and overweight is significantly lower in the case of adults with balanced intakes of grains. However, no significant differences were observed in the prevalence of obesity and overweight across whole grains consumption patterns for children and adolescents.


2015 ◽  
Vol 2015 ◽  
pp. 1-14 ◽  
Author(s):  
Koren L. Fisher ◽  
Elizabeth L. Harrison ◽  
Bruce A. Reeder ◽  
Nazmi Sari ◽  
Karen E. Chad

Purpose. To examine relationships between leisure time physical activity (LTPA) and health services utilization (H) in a nationally representative sample of community-dwelling older adults.Methods. Cross-sectional data from 56,652 Canadian Community Health Survey respondents aged ≥ 50 years (48% M; 52% F; mean age 63.5 ± 10.2 years) were stratified into three age groups and analysed using multivariate generalized linear modeling techniques. Participants were classified according to PA level based on self-reported daily energy expenditure. Nonleisure PA (NLPA) was categorized into four levels ranging from mostly sitting to mostly lifting objects.Results. Active 50–65-year-old individuals were 27% less likely to report any GP consultationsORadj=0.73; P<0.001and had 8% fewer GP consultations annually(IRRadj=0.92; P<0.01)than their inactive peers. Active persons aged 65–79 years were 18% less likely than inactive respondents to have been hospitalized overnight in the previous year(ORadj=0.82, P<0.05). Higher levels of NLPA were significantly associated with lower levels of HSU, across all age groups.Conclusion. Nonleisure PA appeared to be a stronger predictor of all types of HSU, particularly in the two oldest age groups. Considering strategies that focus on reducing time spent in sedentary activities may have a positive impact on reducing the demand for health services.


2021 ◽  
Vol 64 (3) ◽  
pp. 68-78
Author(s):  
Suman Kanoatova ◽  
Eric N. Liberda ◽  
M. Anne Harris

Background Currently, 34 public health units (PHUs) in Ontario deliver public health programs and services to reduce preventable diseases, promote and protect health of their communities, and reduce persistent health inequities. Changes to the structure of Ontario PHUs have been proposed. This analysis compares the current 34 Ontario PHUs based on key health indicators for the purpose of determining local health needs in delivering public health programs and as a baseline for measuring the effect of any future changes to PHU structure. Methods We used data from the 2015–2016 Canadian Community Health Survey (CCHS), a voluntary cross-sectional survey about health status of Canadians. Twenty-one health indicators measured by the CCHS and particularly relevant to PHU responsibilities were identified and compared across units. In this descriptive, cross-sectional analyses we used survey-weighted frequency calculations of the selected indicator variables by PHU and χ2 analyses to test differences in indicator distribution across PHU. Results All indicators except for sex were distributed unevenly by PHU. We particularly highlight differences across units in modifiable indicators and risk factors such as obesity, fruit and vegetable consumption, physical inactivity, smoking, and access to primary care physicians. Impact of the study While all PHUs strive towards the same mandated responsibilities, considerable variations in health indicators exist between health units. This underscores the necessity for PHUs to tailor programs and deliver services based on local needs. Future changes to PHU structure must be tested against baseline to determine if they ameliorate or exacerbate health inequities in Ontario.


2015 ◽  
Vol 113 (2) ◽  
pp. 299-309 ◽  
Author(s):  
Adriana N. Mudryj ◽  
Harold M. Aukema ◽  
Nancy Yu

Soya foods are one of the recommended alternatives to meat in many dietary guidelines. While this is expected to increase the intake of some nutrients, potential concerns regarding others have been raised. The purpose of the present study was to examine the prevalence and the association of soya food consumption with nutrient intakes and dietary patterns of Canadians (age ≥ 2 years). Cross-sectional data from the 2004 Canadian Community Health Survey (Cycle 2.2; n 33 218) were used to classify soya consumers and non-consumers. Soya consumers were further divided into two groups based on their soya protein intake. Sample weights were applied and logistic regression analysis was used to explore the association between nutrient intakes and soya consumption, with cultural background, sex, age and economic status being included as covariates. On any given day, 3·3 % (n 1085) of Canadians consume soya foods, with females, Asian Canadians and adults with post-secondary education being more likely to be soya consumers. As a whole, adolescent and adult respondents who had consumed at least one soya food during their 24 h dietary recall had higher energy intakes, as well as increased intakes of nutrients such as protein, fibre, vitamin C, vitamin B6, naturally occurring folate, thiamin, Ca, P, Mg, PUFA, Fe and K and lowered intakes of saturated fat. These data indicate that soya food consumption is associated with improved diet quality of Canadians. However, future research is necessary to investigate the association between increased energy intake and soya consumption.


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