scholarly journals Trends and Disparities of Energy Intake and Macronutrient Composition in China: a series of national surveys, 1982-2012

2020 ◽  
Author(s):  
ZHENNI ZHU ◽  
Xiaoguang Yang ◽  
Yuehui Fang ◽  
Jian Zhang ◽  
Zhenyu Yang ◽  
...  

Abstract Background China’s diets transition might give references for the undeveloped countries on the way to prosperity. This report describes the trends and disparities in energy and macronutrient composition among Chinese adults and by subpopulations. Methods Data for the current study were obtained from the 1982, 1992, 2002, and 2010-12 CNNS rounds, which were nationally representative cross-sectional surveys. 24-h dietary recall and food weighing were applied to assess dietary intake. Results There were 204 877 participants aged 20 years or older included in the current analysis. From 1982 to 2012, the estimated energy intake declined from 2614.7 kcal to 2063.9 kcal. The trends of the estimated percentage of energy intake from fat showed a spike. It increased from 16.3–33.1% (1992 vs 1982 difference, 7.6%; 95% CI 7.4–7.7%; 2002 vs 1992 difference, 7.7%; 95% CI 7.6–7.9%; 2012 vs 2002 difference, 1.6%; 95% CI 1.4–1.7%; P < 0.01 for trend). The trends coincided in the subgroups (all P < 0.01 for trend) except the subgroup of those educated over 15 years whose percentage of energy intake from fat declined from 37.4–36.6% (2012 vs 2002 difference, -0.8%; 95% CI -1.6–0.0%). The estimated percentage of energy intake from carbohydrates declined from 74.0–55.0%. The ranges of the estimated percentage of energy intake from fat within population subgroups stratified by education level, area, and Gross national product (GNP) level were narrowed. Conclusions Quick improvements in society and economy effectively curbed undernutrition but easily triggered overnutrition. Disparities persistently existed in different subpopulations while the gaps would narrow if comprehensive efforts put on. Education might be a promising way to preventing overnutrition during the prosperous progress. Low social profile population required specific interventions to avoid further disease burden.

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2168
Author(s):  
Zhenni Zhu ◽  
Xiaoguang Yang ◽  
Yuehui Fang ◽  
Jian Zhang ◽  
Zhenyu Yang ◽  
...  

Background: China’s diet transition might offer guidance to undeveloped countries on the way to prosperity. This report describes the trends and disparities in energy and macronutrient composition among Chinese adults, and between subpopulations. Methods: Data for the current study were obtained from the 1982, 1992, 2002, and 2010–2012 China National Nutrition Survey (CNNS) rounds, which were nationally representative cross-sectional surveys. We applied 24-h dietary recall and food weighing to assess dietary intake. Results: There were 204,877 participants aged 20 years or older included in the current analysis. From 1982 to 2012, the estimated energy intake declined from 2614.7 kcal to 2063.9 kcal. The trend in the estimated percentage of energy intake from fat showed a spike. It increased from 16.3% to 33.1% (1992 vs. 1982 difference, 7.6%; 95% CI 7.4% to 7.7%; 2002 vs. 1992 difference, 7.7%; 95% CI 7.6% to 7.9%; 2012 vs. 2002 difference, 1.6%; 95% CI 1.4% to 1.7%; p < 0.01 for trend). The trends coincided in all the subgroups (all p < 0.01 for trend) except for the subgroup of those educated over 15 years, whose percentage of energy intake from fat declined from 37.4% to 36.6% (2012 vs. 2002 difference, −0.8%; 95% CI −1.6% to 0.0%). The estimated percentage of energy intake from carbohydrates declined from 74.0% to 55.0%. The ranges of the estimated percentage of energy intake from fat, within population subgroups stratified by education level, area and Gross national product (GNP) level, were narrowed. Conclusions: Quick improvements in society and the economy effectively curbed undernutrition, but easily triggered overnutrition. Disparities persistently existed between different subpopulations, while the gaps would narrow if comprehensive efforts were made. Education might be a promising way to prevent overnutrition during prosperous progress. The low-social profile populations require specific interventions so as to avoid further disease burdens.


2011 ◽  
Vol 15 (4) ◽  
pp. 609-617 ◽  
Author(s):  
Susan B Sisson ◽  
Stephanie T Broyles ◽  
Candace Robledo ◽  
Lindsay Boeckman ◽  
Misti Leyva

AbstractObjectiveExamine the association between energy intake and television (TV) viewing in Americans.DesignNationally representative, cross-sectional study of 2003–2006 National Health and Nutrition Examination Survey.SettingTotal energy intake was determined by two 24 h recalls. TV viewing was reported as low (≤1 h/d), middle (2–3 h/d), and high (≥4 h/d). Multivariate linear regression models were used to analyse TV viewing and energy intake, adjusted for BMI (percentile for children 2–18 years), age, ethnicity and physical activity.SubjectsPre-school children (2–5 years;n1369), school-age children (6–11 years;n1759), adolescents (12–18 years;n3233) and adults (≥19 years;n7850) in the USA.ResultsThere was a significant association between TV viewing and energy intake for adolescent girls (highv. low:β= 195·2,P= 0·03) and men (highv. low:β= −113·0,P= 0·02; middlev. low:β= −131·1,P= 0·0002). Mean adjusted energy intake for adolescent girls was 7801·0, 8088·5 and 8618·2 kJ/d for low, middle and high TV viewing, respectively. Mean adjusted energy intake for men was 9845·9, 9297·2 and 9372·8 kJ/d for low, middle and high TV viewing.ConclusionsTV viewing was associated with energy intake in US children and adults only in 12–18-year-old girls and men. For girls, the high TV viewing category consumed more energy daily (816·3 kJ (195 kcal)) than the low category. In men, the middle and high TV viewing categories consumed less energy daily (548·4 kJ (131 kcal) and 473·0 kJ (113 kcal), respectively) than the low category. Our findings support some, but not all previous research. Future research is needed to explore this complicated relationship with rigorous measures of energy intake and TV viewing.


2018 ◽  
Vol 21 (18) ◽  
pp. 3296-3306 ◽  
Author(s):  
Tania C Aburto ◽  
Jennifer M Poti ◽  
Barry M Popkin

AbstractObjectiveTo describe trends across the intake distribution of total, manufactured and homemade sugar-sweetened beverages (SSB) from 1999 to 2012, focusing on high SSB consumers and on changes by socio-economic status (SES) subgroup.DesignWe analysed data from one 24 h dietary recall from two nationally representative surveys. Quantile regression models at the 50th, 75th and 90th percentiles of energy intake distribution of SSB were used.Setting1999 Mexican National Nutrition Survey and 2012 Mexican National Health and Nutrition Survey.ParticipantsSchool-aged children (5–11 years) and women (20–49 years) for trend analyses (n7718). Population aged >1 year for 2012 (n10 096).ResultsOver the 1999–2012 period, there were significant increases in the proportion of total and manufactured SSB consumers (5·7 and 10·7 percentage points), along with an increase in per-consumer SSB energy intake, resulting in significant increases in per-capita total SSB energy intake (142, 247 and 397 kJ/d (34, 59 and 95 kcal/d) in school-aged children and 155, 331 and 456 kJ/d (37, 79 and 109 kcal/d) in women at the 50th, 75th and 90th percentile, respectively). Total and manufactured SSB intakes increased sharply among low-SES children but remained similar among high-SES children during this time span.ConclusionsLarge increases in SSB consumption were seen between 1999 and 2012 during this pre-tax SSB period, particularly for the highest consumers. Trends observed in school-aged children are a clear example of the nutrition transition experienced in Mexico. Policies to discourage high intake of manufactured SSB should continue, joined with strategies to encourage water and low-calorie beverage consumption.


2020 ◽  
Vol 8 (1) ◽  
pp. e001681
Author(s):  
Scott T McClure ◽  
Haley Schlechter ◽  
Susan Oh ◽  
Karen White ◽  
Beiwen Wu ◽  
...  

IntroductionDiet is a critical aspect of the management of adults with diabetes. This paper aims to compare dietary intakes of key macronutrients and micronutrients of US adults with and without diabetes and across the spectrum of diabetes.Research design and methodsWe compared absolute and energy-adjusted dietary intake of major macronutrients and micronutrients among those with and without diabetes and across the spectrum of glycemic control using a 24-hour dietary recall from a cross-sectional, nationally representative sample of 9939 US adults, 20+ years old (National Health and Nutrition Examination Survey 2013–2016). Diabetes was defined as an glycohemoglobin A1c (HbA1c)≥6.5%, fasting glucose ≥126 mg/dL, serum glucose at 2 hours following a 75 g glucose load (oral glucose tolerance test) ≥200 mg/dL, any diagnosis of diabetes or use of diabetes medication (self-reported).ResultsPercent of calories from macronutrients was similar for those with and without diabetes (p>0.05, energy adjusted and adjusted for age, race, and sex). In both groups, sugar accounted for about 20% of calories. Those with diabetes consumed about 7% more calcium (p=0.033), about 5% more sodium (p=0.026), and had lower diet quality (Healthy Eating Index-2015, p=0.021) than those without diabetes. Among those with diabetes, those with an HbA1c>9.0% consumed about 4% less magnesium (p-analysis of variance=0.007) than those with an HbA1c<6.5%. Results were similar within strata of age, race, and sex. Macronutrient intake did not vary consistently by HbA1c level.ConclusionsIn this nationally representative sample, there were no substantial or consistent differences in the dietary intake of macronutrients or micronutrients between US adults with and without diabetes. Improving the diets of those with diabetes will likely require enhanced targeted efforts to improve the dietary intake of persons with diabetes, as well as broad efforts to improve the dietary intake of the general population.


2021 ◽  
Vol 10 ◽  
Author(s):  
Oscar F. Herrán ◽  
Edna M. Gamboa-Delgado ◽  
María Del Pilar Zea

Abstract The present study was aimed at (1) the differences between current weight v. ideal weight, (2) total energy intake and comparing it with required energy (Rkeer), (3) absolute protein intake in g/kg per d and g/1000 calories, (4) how energy and protein intake relate to the nutritional status of the subjects in terms of overall overweight (OEW) [overweight + obesity] and conservative overweight (CEW) [obesity] and (5) the contribution (%) of protein to total energy intake based on the acceptable macronutrient distribution range (AMDR). A dietary study was carried out in Colombia with 29 259 subjects between 1 and 64 years of age, based on cross-sectional data collected in 2015 by a 24-h dietary recall (24HR) administered as part of the National Nutrition Survey. Energy and protein intake did not differ by nutritional status. In the general population, energy intake was 2117 kcal/d (95 % CI 1969, 2264). The total protein intake was 64⋅3 g/d (95 % CI 61⋅4, 67⋅3). Adequate energy intake ranged from 90 to 100 %, except for the 1–4-year-old group, which ranged from 144 to 155 %. Protein intake was 1⋅64 g/kg per d (95 % CI 1⋅53, 1⋅75). The mean AMDR for protein to total energy intake was 13⋅3 % (95 % CI 12⋅9, 13⋅7). Excess weight began during the first 4 years of age. In conclusion, it is worth reviewing and updating energy and protein intake recommendations and dietary guidelines for the Colombian population and designing and modifying public policy.


2009 ◽  
Vol 22 (5) ◽  
pp. 621-630 ◽  
Author(s):  
Selma Coelho Liberato ◽  
Josefina Bressan ◽  
Andrew Peter Hills

OBJECTIVE: The objective was to assess the quantitative agreement between a 4-day food record and a 24-hour dietary recall in young men. METHODS: Thirty-four healthy men aged 18-25 years had their food intake estimated by 4-day food record within one week following 24-hour dietary recall in a cross-sectional study. Resting metabolic rate was assessed by indirect calorimetry and Energy Expenditure was estimated by physical activity records completed simultaneously with food intake records. The validity of food records was determined by direct comparison of Energy Intake and Energy Expenditure (95% confidence interval for Energy Intake/Energy Expenditure). RESULTS: There were good agreements between the measurements of energy and macronutrient intakes by 24-hour dietary recall and 4-day food record at the group level, but not at the individual level. Compared to energy expenditure, about 20% and 9% of participants underreported their Energy Intake by 4-day food record and 24-hour dietary recall, respectively. Over 30% of underreporters of Energy Intake estimated by 24-hour dietary recall underreported Energy Intake estimated by 4-day food record. CONCLUSION: Both diet methods, 24-hour dietary recall and 4-day food record, may be used to collect data at the group level, but not at the individual level. Both methods, however, appear to underestimate Energy Intake. Underreporting may be subject-specific and appears that is more difficult to retrieve valid dietary data from some people than others.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020574 ◽  
Author(s):  
Larissa Galastri Baraldi ◽  
Euridice Martinez Steele ◽  
Daniela Silva Canella ◽  
Carlos Augusto Monteiro

ObjectivesTo compare ultra-processed food consumption across sociodemographic groups and over time (2007–2008, 2009–2010, 2011–2012) in the USA.DesignCross-sectional study.SettingNational Health and Nutrition Examination Survey (NHANES) 2007–2012.ParticipantsAll individuals aged ≥2 years with at least one 24-hour dietary recall were included (n=23 847).Main outcome measuresAverage dietary contribution of ultra-processed foods (expressed as a percentage of the total caloric value of the diet), obtained after classifying all food items according to extent and purpose of industrial food processing using NOVA classification.Data analysisLinear regression was used to evaluate the association between sociodemographic characteristics or NHANES cycles and dietary contribution of ultra-processed foods.ResultsAlmost 60% of calories consumed in the period 2007–2012 came from ultra-processed foods. Consumption of ultra-processed foods decreased with age and income level, was higher for non-Hispanic whites or non-Hispanic blacks than for other race/ethnicity groups and lower for people with college than for lower levels of education, all differences being statistically significant. Overall contribution of ultra-processed foods increased significantly between NHANES cycles (nearly 1% point per cycle), the same being observed among males, adolescents and high school education-level individuals.ConclusionsUltra-processed food consumption in the USA in the period 2007–2012 was overall high, greater among non-Hispanic whites or non-Hispanic blacks, less educated, younger, lower-income strata and increased across time.


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