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Spanish children's diet: compliance with nutrient and food intake guidelines.
Eur J Clin Nutr. 2003 Aug; 57(8):930-9.EJ

Abstract

OBJECTIVE

To compare the diet of Spanish children against the nutrient and food intake guidelines. To calculate an index of overall diet quality and check its validity against nutrient intake.

DESIGN AND SETTING

Cross-sectional study in four cities in Spain, where information on food and nutrient intake was obtained from schoolchildren through a food frequency questionnaire.

PARTICIPANTS

The sample included 1112 children (overall response rate of 85%) attending public and private schools and aged 6-7 y. Children were selected through random cluster sampling in schools, and stratified by sex and socioeconomic level.

MAIN OUTCOME MEASURES

Mean nutrient intake, number of food servings, and the percentage of children who meet recommended nutrient and food-serving intake levels. The overall dietary quality was assessed using the Healthy Eating Index (HEI).

RESULTS

Mean micronutrient intake exceeded 100% of the recommended dietary allowances, except for vitamin B6, which registered a mean intake of 77.1%. For almost all children, intake of saturated fat was above, and that of carbohydrate below, the recommended level, in contrast to the relatively high compliance with the recommendations for poly- and monounsaturated fatty acid, salt and fiber intake (69.7, 43.7, 40.7, and 30.1%, respectively). Consumption of food servings for each of the five American pyramid food groups came close to or exceeded USDA guidelines, with the exception of cereals, with 5.4 servings per day. The mean score obtained in the HEI was 64.6. Children who complied with all the food guide pyramid recommendations registered a higher dietary variety and a healthier nutritional profile.

CONCLUSIONS

Children aged 6-7 y show scant compliance with the macronutrient goals for healthy eating. Micronutrient intake is adequate in general, yet there are small groups of children with risk of deficient intake of vitamins B6 and D. While Spanish children's eating habits are reasonably in line with American food guide pyramid guidelines, consumptions of cereals and fruit should be improved.

Authors+Show Affiliations

Carlos III Institute of Public Health, Ministerio de Sanidad y Consumo, Madrid, Spain. mroyo@isciii.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12879087

Citation

Royo-Bordonada, M A., et al. "Spanish Children's Diet: Compliance With Nutrient and Food Intake Guidelines." European Journal of Clinical Nutrition, vol. 57, no. 8, 2003, pp. 930-9.
Royo-Bordonada MA, Gorgojo L, Martín-Moreno JM, et al. Spanish children's diet: compliance with nutrient and food intake guidelines. Eur J Clin Nutr. 2003;57(8):930-9.
Royo-Bordonada, M. A., Gorgojo, L., Martín-Moreno, J. M., Garcés, C., Rodríguez-Artalejo, F., Benavente, M., Mangas, A., & de Oya, M. (2003). Spanish children's diet: compliance with nutrient and food intake guidelines. European Journal of Clinical Nutrition, 57(8), 930-9.
Royo-Bordonada MA, et al. Spanish Children's Diet: Compliance With Nutrient and Food Intake Guidelines. Eur J Clin Nutr. 2003;57(8):930-9. PubMed PMID: 12879087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spanish children's diet: compliance with nutrient and food intake guidelines. AU - Royo-Bordonada,M A, AU - Gorgojo,L, AU - Martín-Moreno,J M, AU - Garcés,C, AU - Rodríguez-Artalejo,F, AU - Benavente,M, AU - Mangas,A, AU - de Oya,M, AU - ,, PY - 2003/7/25/pubmed PY - 2003/12/19/medline PY - 2003/7/25/entrez SP - 930 EP - 9 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 57 IS - 8 N2 - OBJECTIVE: To compare the diet of Spanish children against the nutrient and food intake guidelines. To calculate an index of overall diet quality and check its validity against nutrient intake. DESIGN AND SETTING: Cross-sectional study in four cities in Spain, where information on food and nutrient intake was obtained from schoolchildren through a food frequency questionnaire. PARTICIPANTS: The sample included 1112 children (overall response rate of 85%) attending public and private schools and aged 6-7 y. Children were selected through random cluster sampling in schools, and stratified by sex and socioeconomic level. MAIN OUTCOME MEASURES: Mean nutrient intake, number of food servings, and the percentage of children who meet recommended nutrient and food-serving intake levels. The overall dietary quality was assessed using the Healthy Eating Index (HEI). RESULTS: Mean micronutrient intake exceeded 100% of the recommended dietary allowances, except for vitamin B6, which registered a mean intake of 77.1%. For almost all children, intake of saturated fat was above, and that of carbohydrate below, the recommended level, in contrast to the relatively high compliance with the recommendations for poly- and monounsaturated fatty acid, salt and fiber intake (69.7, 43.7, 40.7, and 30.1%, respectively). Consumption of food servings for each of the five American pyramid food groups came close to or exceeded USDA guidelines, with the exception of cereals, with 5.4 servings per day. The mean score obtained in the HEI was 64.6. Children who complied with all the food guide pyramid recommendations registered a higher dietary variety and a healthier nutritional profile. CONCLUSIONS: Children aged 6-7 y show scant compliance with the macronutrient goals for healthy eating. Micronutrient intake is adequate in general, yet there are small groups of children with risk of deficient intake of vitamins B6 and D. While Spanish children's eating habits are reasonably in line with American food guide pyramid guidelines, consumptions of cereals and fruit should be improved. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/12879087/Spanish_children's_diet:_compliance_with_nutrient_and_food_intake_guidelines_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601627 DB - PRIME DP - Unbound Medicine ER -