@article{a9ee707a88494e13b0cb743dee03a419,
title = "The nutritional status and dietary pattern of Chinese adolescents, 1991 and 1993",
abstract = "Objective: To increase understanding about current dietary patterns and short-term relationships between economic change and adolescent nutrition in a lower-income country, using the 1991 and 1993 China Health and Nutrition Survey data. Design: Cross-sectional study. Setting: Eight provinces in China that vary substantially in geography, economic development, public resources, and health indicators. Subjects: 2236 and 2018 adolescents aged 10-18 years who completed three 24-hour recalls in the 1991 and 1993 survey, respectively. Results: Chinese adolescents experienced an improvement of diet and nutritional status. The prevalence of stunting declined from 23% in 1991 to 19% in 1993. Under-nutrition was a problem of concern although the prevalence (12-13%) was relatively low. Over weight was emerging as a problem associated with young, high-income and urban adolescents, but the prevalence (4%) was quite low compared with developed countries. Chinese adolescents' energy and protein intakes were adequate compared with the American RDA. About 27% of the participants derived more than 30% of their dietary energy from fat and 16% of them derived over 10% of energy from saturated fat by 1993. Conclusion: Chinese adolescents have experienced an improvement in diet and nutritional status, but undernutrition is still an important nutrition problem, especially among young and poor groups. More attention should focus on the increase of dietary fat intake and obesity.",
keywords = "Adolescent nutrition, BMI, China, Dietary intake, Overweight, Stunting, Under-nutrition",
author = "Y. Wang and B. Popkin and F. Zhai",
note = "Funding Information: Acknowledgements —The study was supported in part by grants from the National Institutes of Health (R01 HD30880). The China Health and Nutrition Survey data were collected under NIH funding. Collaborative training and development work has been funded by the Fogarty Center, NIH, National Science Foundation (HSF-INT-8922588 and NSF-INT-9215398), and the Ford Foundation. This article is part of a collaborative research project between the Institute of Nutrition and Food Hygiene, the Chinese Academy of Preventive Medicine, and a group from the University of North Carolina at Chapel Hill and the Carolina Population Center. We thank Frances Dancy for her administrative assistance and Lynn Igoe for her editorial assistance. Funding Information: Objective: To increase understanding about current dietary patterns and short-term relationships between economic change and adolescent nutrition in a lower-income country, using the 1991 and 1993 China Health and Nutrition Survey data. Design: Cross-sectional study. Setting: Eight provinces in China that vary substantially in geography, economic development, public resources, and health indicators. Subjects: 2236 and 2018 adolescents aged 10 – 18 years who completed three 24-hour recalls in the 1991 and 1993 survey, respectively. Results: Chinese adolescents experienced an improvement of diet and nutritional status. The prevalence of stunting declined from 23% in 1991 to 19% in 1993. Under-nutrition was a problem of concern although the prevalence (12 – 13%) was relatively low. Overweight was emerging as a problem associated with young, high-income and urban adolescents, but the prevalence (4%) was quite low compared with developed countries. Chinese adolescents{\textquoteright} energy and protein intakes were adequate compared with the American RDA. About 27% of the participants derived more than 30% of their dietary energy from fat and 16% of them derived over 10% of energy from saturated fat by 1993. Conclusion: Chinese adolescents have experienced an improvement in diet and nutritional status, but undernutrition is still an important nutrition problem, especially among young and poor groups. More attention should focus on the increase of dietary fat intake and obesity. Source of support: Funding comes from the National Institutes of Health (R01 HD30880), the Chinese Academy of Preventive Medicine, and the National Science Foundation (grant #37486). Descriptors: adolescent nutrition; BMI; China; dietary intake; overweight; stunting; under-nutrition",
year = "1998",
doi = "10.1038/sj.ejcn.1600664",
language = "English (US)",
volume = "52",
pages = "908--916",
journal = "European Journal of Clinical Nutrition",
issn = "0954-3007",
publisher = "Nature Publishing Group",
number = "12",
}