Establishment And Application Of Diet Balance Index For3to6Years Old Children In Urban Areas Of Lanzhou

Objectives Diet Balance Index for3to6years old children was established tentatively by analysing the dietary structure and quality of3to6years old children in urban areas of Lanzhou, and referencing to the thinking of China Diet Balance Index. And then, according to this DBI, we can evaluate the dietary of this group, quickly and accurately find relevant dietary nutritional problems and take scientific and rational intervention measures, and can provide scientific guidance for guiding and improving dietary nutrition and developing good eating behavior of3to6years old children.Methods Diet Balance Index for3to6years old children in urban areas of Lanzhou was established by referencing to Chinese Diet Balance Index (DBI), combining physiological characteristics and nutritional requirements of3to6years old children, according to the nutritional requirements for3to6years old children in The Dietary Guidelines for Chinese Residents and the Chinese Food Guide Pagoda.695children’s nutrition recipes from96kindergartens on different health care levels, in different functional urban areas of Lanzhou, from2008to2013were chosen as study objects using stratified cluster sampling method. The dietary nutrition structure and quality of this group were evaluated and analyzed synthetically by Diet Balance Index for3to6years old children in urban areas of Lanzhou.Results1. Analysis of the no amount of recipes of kindergartens in Lanzhou from2008to2013:In no amount of recipes of level2and3kindergartens, consumption proportion of rice and flour and their products, vegetables, livestock and poultry meat were higher; potato, the coarse grains, beans and its products and eggs were lower; fruit, milk and dairy products, fish and shrimp are the lowest.2. DBI indexs for3to6years old children were selected and weighted based on the establishment of Chinese Diet Balance Index (DBI-07) and RNI of Chinese Food Guide Pagoda for3to6years old children.9food-based components were selected, these were the intake of cereals, vegetable, fruit, milk and dairy products, beans and its products, animal food, sugar and carbonated drinkings, limit consumption of snacks and the kind of food. The scoring system included total score, lower bound score, higher bound scores and diet quality distance could reflect dietary structure and quality.3. Discovered of analyzing dietary structure and quality by Diet Balance Index3.1The overall dietary characteristics of3to6years old children’s with amount of recipes in urban areas of Lanzhou from2008to2013:recipes that the intake of grains, vegetables, beans and its products, livestock and poultry meat and eggs approached and reached RNI accounted for98.9%,63.5%,83.0%,100%and96.4%; Recipes that the intake of fruit, milk and fish and shrimp approached and reached RNI accounted for14.8%and16.6%; Recipes that the intake of processed vegetables, sugar and carbonated drinkings approached and reached RNI accounted for74.7%and81.6%; Recipes that the intake of limit consumption of snacks approached and reached RNI accounted for only17.7%; The kind of food was sufficient in these recipes, recipes contained six kinds of food accounted for72.6%.3.2In these recipes, inadequate intakes was the main problem, low-level inadequate intake was widespread, at the same time, there were a certain proportion of excessive intake, low-level inadequate intake recipes accounted for79.4%, middle-level inadequate intake recipes accounted for14.8%, low-level excessive intake recipes accounted for37.2%and low-level unbalanced recipes accounted for84.8%.3.3Dietary quality of the with amount of recipes of kindergartens in Lanzhou from2008to20133.3.1DBI-LBS was significantly different (P<0.05) within different levels of kindergarten, the proportion of inadequate intake of level3kindergarten’s recipes accounted for100%; DBI-LBS was significantly different (P<0.05) during these6years, the proportion of inadequate intake of recipes in2008and2010accounted for100%.3.3.2DBI-HBS was significantly different (P<0.05) within different levels of kindergarten, the proportion of excessive intake of level3kindergarten’s recipes accounted for100%; DBI-HBS was significantly different (P<0.05) during these6years, the proportion of excessive intake of recipes in2010accounted for100%.3.3.3DBI-DQD was significantly different (P<0.05) within different levels of kindergarten, the proportion of unbalanced intake of level3kindergarten’s recipes accounted for100%; DBI-DQD had no statistically significant (P>0.05) during these6years.3.4Among the with amount of recipes,38.3%were classified into dietary pattern A;24.5%into dietary pattern B;19.9%into dietary pattern D, and17.3%into dietary pattern E. Dietary pattern was significantly different (P<0.05) within different levels of kindergarten, pattern A of level1kindergarten’s recipes accounted for66.0%; the proportion of pattern E of level3kindergarten’s recipes accounted for44.2%; Dietary pattern was significantly different (P<0.05) during these6years,62.5%were classified into dietary pattern A in2008,34.1%into dietary pattern B in2011,30.4%into dietary pattern D in2010,29.3%into dietary pattern E in2011.4. Food processing way in the recipes of kindergartens in Lanzhou from2008to2013Food processing way was significantly different (P<0.05) within different levels of kindergarten, recipes have reasonable processing way accounted for49.8%, other50.2%have unreasonable way. Food processing way was significantly different (P<0.05) within these6years, recipes have unreasonable processing way accounted for63.4%in2008.Conclusions The core of establishment and application of3-6years old children’s Diet Balance Index was in accurately defining inadequate intake, excessive intake and unbalanced intake. The Diet Balance Index for3-6years old children has the characteristics of comprehensive, quantitative and effective, and can evaluate their dietary quality, but it didn’t ensure the dietary outside kindergarten and on the weekend. In this study, both inadequate intake and excessive intake were in overall dietary of3to6years old children in urban areas of Lanzhou from2008to2013. Dietary structure and quality were significantly different within different health care levels of kindergarten.In response, to ensure the healthy growth for children, childcare facilities and children parents should promote more interaction and pay more attention to3-6years old children’s nutrition, build up the scientific concept of reasonable nutrition and balanced diet for children, cultivate children’s good eating habits.