Intraindividual Double Burden of Malnutrition in Chinese Children and Adolescents Aged 6–17 Years: Evidence from the China Health and Nutrition Survey 2015

Hu, Xiaofen; Jiang, Hongru; Wang, Huijun; Zhang, Bing; Zhang, Jiguo; Jia, Xiaofang; Wang, Liusen; Ding, Gangqiang

doi:10.3390/nu13093097

Cited by 15 publications

(25 citation statements)

References 28 publications

(31 reference statements)

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“…The iron intake of 0–18-year-old children in China from national and sub-national studies (covering west and east China) ranged between 3.1 and 30 mg/day [ 28 , 36 , 42 , 50 , 51 , 62 , 84 , 96 , 97 ]. Inadequate intake was reported for children (3–17 years) in national studies between 10 and 24% [ 28 , 36 , 42 ]. CHNS 2015 reported <10% of normal-weight boys (6–17 years) and approximately 20% of normal-weight girls (6–12 years) were inadequate in iron [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…Inadequate intake was reported for children (3–17 years) in national studies between 10 and 24% [ 28 , 36 , 42 ]. CHNS 2015 reported <10% of normal-weight boys (6–17 years) and approximately 20% of normal-weight girls (6–12 years) were inadequate in iron [ 28 ]. Younger children met or were close to meeting EAR iron intake levels ( Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

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Systematic Literature Review of the Nutrient Status, Intake, and Diet Quality of Chinese Children across Different Age Groups

Ayling

Muhardi³

et al. 2023

Nutrients

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There is a lack of comprehensive reports on nutrient deficiencies and dietary intake among various age groups of children in China. The objective of this review is to provide an overview of the nutrient status, intake, and diet adequacy of Chinese children (0–18 years old). PubMed and Scopus were searched for literature published between January 2010 and July 2022. A systematic review approach with a quality assessment was performed to analyze 2986 identified articles in English and Chinese. Eighty-three articles were included in the analysis. In younger children, anemia and iron and Vitamin A deficiencies remain severe public health problems, despite high Vitamin A and adequate iron intake. In older children, a high prevalence of selenium; Vitamin A and D deficiencies; and inadequate intakes of Vitamins A, D, B, C, selenium, and calcium were reported. Intakes of dairy, soybeans, fruits, and vegetables were below recommended levels. High intakes of iodine, total and saturated fat, and sodium and low dietary diversity scores were also reported. As nutritional concerns vary with age and region, future nutrition interventions should be tailored accordingly.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic Literature Review of the Nutrient Status, Intake, and Diet Quality of Chinese Children across Different Age Groups

Ayling

Muhardi³

et al. 2023

Nutrients

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“…Our study also had several limitations. Firstly, this study was conducted in three boarding schools in Hunan Province and the proportions of overweight/obesity or hypertension were higher in our population compared to the general (overweight/obesity: 26.49% [44]; hypertension: ~4.0% [13]). Therefore, we should be cautious to generalize our results to other populations.…”

Section: Discussionmentioning

confidence: 99%

Salt intake assessed by three-days’ 24-hour urine in relation to intestinal microbiota and metabolites in Chinese boarding school children and adolescents

Dong

et al. 2022

Preprint

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Background More and more studies have shown that high salt intake changed intestinal microbiota and host metabolites. However, no studies have explored the association of a high-salt diet with intestinal microbiota and metabolites in children and adolescents. Therefore, we aimed to explore the relationship between salt intake and intestinal microbiota and host metabolites in Chinese boarding school children and adolescents based on 24-h urinary sodium excretion over three consecutive days. Methods This cross-sectional study was conducted in three boarding schools, from September to October 2021. In 153 children, we analyzed the diversity of intestinal microbiota as well as microbiota composition in normal salt (salt intake < 5.8 g/day) diet and a high salt diet (salt intake ≥ 5.8 g/day) and used linear discriminant analysis effect size analysis to find differential bacterial taxa. Subsequently, we explored the association of salt intake with fecal metabolites and 24-h urinary metabolites in the subgroup analysis. Results The high salt diet was associated with decreased diversity and increased abundance of conditionally pathogenic bacteria that have been linked to metabolic syndromes risk factors, such as Prevotella and Lachnospira (P < 0.05). High salt intake was associated with concentrations of several fecal metabolites, including Isobutyric acid and 2-Furoic acid, and several urinary metabolites such as Proline and Pentadecanoic acid in comparison with the normal salt diet. In addition, these metabolites also showed some correlation with differences in intestinal microbiota due to different salt intake levels. Conclusions Our findings show that the level of salt intake is associated with the intestinal microbiota and host metabolites in children and adolescents, thus providing some basis for explaining the pathogenesis of a high salt diet affecting human health and filling gaps in this area of research in children.

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“…The prevalence of both overweight and obesity was higher in males than in females. Results from the 2015 China Health and Nutrition Survey (CHNS) showed that, generally, overweight prevalence was 15.43% and obesity prevalence was 11.06% among children and adolescents aged 6 to 17 years [37]. Data from NHANES indicated that obesity prevalence among America youth aged 2-19 years, from 2015-2016, was 18.5% [38].…”

Section: Discussionmentioning

confidence: 99%

Multilevel Analysis of the Nutritional and Health Status among Children and Adolescents in Eastern China

et al. 2022

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We aimed to identify multiple nutritional health problems and the relevant factors among children and adolescents aged 7–17 years. This study was part of the China Nutrition and Health Surveillance of Children and Lactating Mothers in 2016–2017, conducted in Jiangsu Province in eastern China. After sampling, 3025 school-age children and adolescents were enrolled into this study. Demographic information collections and anthropometric measurements were conducted by trained local Center for Disease Control and Prevention (CDC) staff. Venous blood in the amount of 6 mL was drawn from each participant in the morning and used for testing biochemical and nutritional indicators. Multivariate logistic regression analysis and Poisson regression analysis were used for overnutrition- and undernutrition-related disorders to test relevant personal, parental, and household factors. The prevalence of wasting, overweight, and obesity was 5.5%, 14.8%, and 12.7%, respectively. Metabolic syndrome (MetS) was prevalent among 5.1% of participants. Among the study participants, 29.5% had hyperuricemia. The overall prevalence of high low-density lipoprotein (LDL) and high total cholesterol (TC) of all participants was 4.8% and 7.4%, respectively. 0.9% of the participants had vitamin A deficiency (VAD) and 14.6% had marginal vitamin A deficiency; 25.1% had vitamin D deficiency (VDD) and 54.5% had inadequate vitamin D levels. Anemia was present in 4.0% of all participants. The prevalence of zinc deficiency was 4.8%. Demographic characteristics, behavioral characteristics, parents’ characteristics, and family characteristics were associated with these multiple malnutrition disorders. The double burdens of malnutrition, which includes overnutrition- and undernutrition-related diseases, were prevalent among the school-age children and adolescents in Jiangsu Province in eastern China. There were various factors related to different nutritional problems. Thus, health education focusing on behavior intervention and nutrition education are necessary in containing nutritional problems among children.

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Intraindividual Double Burden of Malnutrition in Chinese Children and Adolescents Aged 6–17 Years: Evidence from the China Health and Nutrition Survey 2015

Cited by 15 publications

References 28 publications

Systematic Literature Review of the Nutrient Status, Intake, and Diet Quality of Chinese Children across Different Age Groups

Systematic Literature Review of the Nutrient Status, Intake, and Diet Quality of Chinese Children across Different Age Groups

Salt intake assessed by three-days’ 24-hour urine in relation to intestinal microbiota and metabolites in Chinese boarding school children and adolescents

Multilevel Analysis of the Nutritional and Health Status among Children and Adolescents in Eastern China

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