2003, Number S4
<< Back Next >>
salud publica mex 2003; 45 (S4)
Energy and nutrient intake in preschool and school age Mexican children: National Nutrition Survey 1999
Barquera S, Rivera JA, Safdie M, Flores M, Campos-Nonato I, Campirano F
Language: English
References: 55
Page: 540-550
PDF size: 132.00 Kb.
ABSTRACT
Objetive. To estimate energy and nutrient intake and adequacy in preschool and school age Mexican children, using the National Nutrition Survey 1999 (NNS-1999).
Material and Methods. Twenty four-h dietary recalls from pre-school (
n=1 309) and school (
n=2 611) children obtained from a representative sub-sample of the NNS-1999 were analyzed. Intakes and adequacies were estimated and compared across four regions, socio-economic strata, and between urban and rural areas, and indigenous vs. non-indigenous children.
Results. Median energy intake in pre-school children was 949 kcal and in school children 1 377 kcal, with adequacies ‹70% for both groups. Protein adequacy was ›150% in both age groups. The North and Mexico City regions had the highest fat intake and the lowest fiber intake. Children in the South region, indigenous children, and those in the lowest socio-economic stratum had higher fiber and carbohydrate intakes and the lowest fat intake. These children also showed the highest risks of inadequacies for vitamin A, vitamin C, folate, iron, zinc and calcium.
Conclusions. Mexico is experiencing a nutrition transition with internal inequalities across regions and socio-economic strata. Food policy must account for these differences in order to optimize resources directed at social programs.
REFERENCES
Rivera J, Barquera S, Campirano F, Campos I, Safdie M, Tovar V. Epidemiological and nutritional transition in Mexico: Rapid increase of non-communicable chronic diseases and obesity. Public Health Nutr 2002;14:113-122.
Bobadilla J, Frenk J, Lozano R, Frejka T, Stern C. The epidemiologic transition and health priorities. In: Jamison D, Ed. Disease control priorities in developing countries. New York (NY): Oxford University Press, 1993.
Frenk J, Frejka T, Bobadilla JL, Stern C, Sepúlveda J, José MV. The epidemiologic transition in Latin America. Bol Oficina Sanit Panam 1991;111:485-496.
Popkin BM. The nutrition transition in low-income countries: An emerging crisis. Nutr Rev 1994;52:285-298.
Drewnowski A, Popkin BM. The nutrition transition: New trends in the global diet. Nutr Rev 1997;55:31-43.
Romieu I, Hernández-Avila M, Rivera JA, Ruel MT, Parra S. Dietary studies in countries experiencing a health transition: Mexico and Central America. Am J Clin Nutr 1997;65:1159S-1165S.
Barquera S, Rivera J, Gasca-García A. Políticas y programas de alimentación y nutrición en México. Salud Publica Mex 2001;43:1-14.
Sepúlveda-Amor J, Lezana MA, Tapia-Conyer R, Valdespino JL, Madrigal H, Kumate J. Nutritional status of pre-school children and women in México: Results of a probabilistic national survey. Gac Med Mex 1990;126:207-224.
Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J. Capítulo 2: Preescolares. In: Rivera-Dommarco J, Shamah-Levy T, Villalpando S et al, ed. Encuesta Nacional de Nutrición 1999. Estado Nutricio de Niños y Mujeres de México. Vol. ISBN 968-6502-54-8. Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2000:29-61.
Hernández-Prado B, Rivera-Dommarco J, Shamah-Levy T, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J. Escolares. En: Rivera-Dommarco J, Shamah-Levy T, Villalpando S, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J, ed. Encuesta Nacional de Nutrición 1999. Estado Nutricio de Niños y Mujeres de México. Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2000:69-99.
Villalpando S, Rivera-Dommarco J, Shamah-Levy T, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J. Micronutrimentos. In: Rivera-Dommarco J, Shamah-Levy T, Villalpando S, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J, Ed. Encuesta Nacional de Nutrición 1999. Estado Nutricio de Niños y Mujeres de México. Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2000:179-238.
Allen LH. The nutrition CRSP: What is marginal malnutrition, and does it affect human function? Nutr Rev 1993;51:255-267.
Pollitt E, Saco-Pollit C, Jahari A, Husaini M, Huang J. Effects of an energy and micronutrient supplement on mental development and behavior under natural conditions in undernourished children in Indonesia. Eur J Clin Nutr 2000;54:80-90.
Pelletier D, Frongillo E, Habitcht J P. Epidemiologyc evidence for a potentiation effect of malnutrition on child mortality. Am J Public Health 1993;83:1130-1133.
Beaton G, Martorell R, Aronson K, Edmonston A, McCabe G, Ross A. Effectiveness of vitamin A supplementation in the control of young child mortality in developing countries. Nutrition Policy Discussion Paper No. 13 ACC/SCN 1993. New York. United Nations Press.
Black R, Sazawal S. Zinc and childhood infectious disease morbidity and mortality. Br J Nutr 2001;85:S125-S129.
Barker DJ, Osmond C, Simmonds SJ, Wield GA. The relation of small head circumference and thinness at birth to death from cardiovascular disease in adult life. BMJ 1993;306:422-426.
Barker DJ, Clark PM. Fetal undernutrition and disease in later life. Rev Reprod 1997;2:105-112.
Hernández B, Peterson K, Sobol A, Rivera J, Sepúlveda J, Lezana MA. Overweight in 12-49 year-old women and children under 5 years of age in México. Salud Publica Mex 1996;38:178-188.
Martínez-Salgado H, Parra-Cabrera S, Rivera-Dommarco J. Personal communication: Adecuación de la ingestión dietética de energía y micronutrimentos en niños de 1 a 5 años de edad: resultados de una encuesta probabilística nacional. Instituto Nacional de Salud Pública, Cuernavaca, Morelos, 1998.
Rosado J, Bourges H, Saint-Martín B. Deficiencia de vitaminas y minerales en México. Una revisión crítica del estado de la información: deficiencia de vitaminas. Salud Publica Mex 1995;37:452-461.
Resano-Pérez E, Vicencio-Acevedo C, Landeros-Díaz A, Shamah-Levy T, Rivera-Dommarco J. Metodología. In: Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, González-Cossío T, Hernández-Prado B, Sepúlveda-Amor J, Ed. Encuesta Nacional de Nutrición II: Estado Nutricio de Niños y Mujeres en México. Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2000:21-28.
Kleinbaum D, Kupper L, Muller K, Nizam A. Applied regression analysis and other multivariable methods. In: Kugushev A, Ed. Pacific Grove, California: Brooks/Cole Publishing Company, 1998:798.
Reyment R, Jöreskog K. Applied factor analysis in the natural sciences. Cambridge, UK: Cambridge University Press, 1996:371.
US Department of Agriculture, Agricultural Research Service. USDA Nutrient Database for Standard Reference, Release 13. Nutrient Data Laboratory, 1999.
Food composition database. Davis, (CA): University of California - Davis, 1998.
Instituto de Nutrición de Centroamérica y Panamá. Tabla de composición de alimentos para uso en América Latina. In: PAHO, INCAP, Ed. Guatemala: - ICNND, 1961:98.
Morales J, Babinsky V, Bourges H, Camacho M. Tablas de composición de alimentos mexicanos del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. México, DF: Instituto Nacional de Nutrición, 1999.
Muñoz M, Chávez A, Pérez-Gil F. Tablas de valor nutritivo de los alimentos de mayor consumo en México. Mexico, DF: Editorial Pax, 1996:330.
Souci S, Fachmann W, Kraut H. Food composition and nutrition tables. In: Senser HSuF, Ed. Stuttgart: Medpharm Scientific Publications: CRC Press, 2000.
Institute of Medicine. Dietary reference intakes: Applications in dietary assessment. Washington, DC: Institute of Medicine, National Academy Press, 2000:285.
National Research Council. Recommended dietary allowances. Washington, DC: National Academy Press, 1989.
Institute of Medicine. Dietary reference intakes for: Vitamin C, vitamin E, selenium and carotenoids. Washington DC: Institute of Medicine, National Academy Press, 2000:506.
Institute of Medicine. Dietary reference intakes for: Vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington DC: Institute of Medicine, National Academy Press, 2001:650.
Institute of Medicine. Dietary reference intakes for: Calcium, phosphorus, magnesium, vitamin D and fluoride. Washington DC: Institute of Medicine, National Academy Press, Washington, DC. 2000:432.
Millns H, Woodward M, Bolton-Smith C. Is it necessary to transform nutrient variables prior to statistical analyses? Am J Epidemiol 1995;141:251-262.
Willett W. Nutritional epidemiology. In: MacMahon B, Ed. Monographs in epidemiology and biostatistics. Vol. 15. New York: Oxford University Press, Inc., 1990:396.
Campirano F, Barquera S, Rivera J, Hernández-Prado B, Flores M, Monterrubio E. Estimation of energy under-reporting in obese and non-obese Mexican women using different equations: Analysis of the Mexican Nutrition Survey. Ann Nutr Metabol 2001;45:146.
Muller MJ, Koertzinger I, Mast M, Langnase K, Grund A, Koertringer I. Physical activity and diet in 5 to 7 years old children. Public Health Nutr 1999;2:443-444.
Popkin BM. The shift in stages of the nutrition transition in the developing world differs from past experiences. Public Health Nutr 2002;5:93-103.
O’Donnell AM. The feeding of children in Latin America. Arch Latinoamer Nutr 1988;38:685-704.
Fung TT, Willett WC, Stampfer MJ, Manson JE, Hu FB. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med 1857;161:1857-1862.
Hu FB, Manson JE, Stampfer MJ. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 2001;345:790-797.
Hu FB, Willett WC. Diet and coronary heart disease: Findings from the Nurses’ Health Study and Health Professionals’ Follow-up Study. Journal of Nutrition, Health & Aging 2001;5:132-138.
Liu S, Manson JE, Lee IM, Cole SR, Hennekens CH, Willet WC et al. Fruit and vegetable intake and risk of cardiovascular disease: The Women’s Health Study. Am J Clin Nutr 2000;72:922-928.
Liu S, Buring JE, Sesso HD, Rimm EB, Willett WC, Manson JE. A prospective study of dietary fiber intake and risk of cardiovascular disease among women. J Am Coll Cardiol 2002;39:49-56.
Tucker K, Selhub J, Wilson P, Rosenberg I. Dietary intake pattern relates to plasma folate and homocysteine concentrations in the Framingham Hearth Study. J Nutr 1996;126:3025-3031.
Tucker K, Spiro A, Weiss S. Variation in food and nutrient intakes among older men: Age, and other socio-demographic factors. Nutr Res 1995;15:161-176.
Bedinghaus J, Doughten S. Childhood nutrition: From breastmilk to burgers. Primary Care 1994;21:655-672.
Borra ST, Schwartz NE, Spain CG, Natchipolsky MM. Food, physical activity, and fun: Inspiring America’s kids to more healthful lifestyles. J Am Diet Assoc 1995;95:816-823.
Ernst ND, Obarzanek E. Child health and nutrition: Obesity and high blood cholesterol. Preventive Medicine 1994;23:427-436.
Kennedy E, Goldberg J. What are American children eating? Implications for public policy. Nutr Rev 1995;53:111-126.
Berenson GS, Srinivasan SR, Nicklas TA. Atherosclerosis: A nutritional disease of childhood. Am J Cardiol 1998;82.
Weber JL, Cunningham-Sabo L, Skipper B. Portion-size estimation training in second- and third-grade American Indian children. Am J Clin Nutr 1999;69.
Sahota P, Rudolf MC, Dixey R, Hill AJ, Barth JH, Cade J. Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 2001;323:1029-1032.