职业与健康 ›› 2025, Vol. 41 ›› Issue (7): 911-916.

• 论著 • 上一篇    下一篇

应用中国健康膳食指数评价张家港市成年居民膳食质量

于颖慧1, 韩克阳1, 袁怡婷1, 施惠军1, 滕臣刚2   

  1. 1.张家港市疾病预防控制中心食品与学校卫生科,江苏 张家港 215600;
    2.苏州市疾病预防控制中心食品卫生科,江苏 苏州 215004
  • 收稿日期:2024-07-29 修回日期:2024-08-05 出版日期:2025-04-01 发布日期:2025-12-17
  • 通信作者: 滕臣刚,主任医师,E-mail:804555724@qq.com
  • 作者简介:于颖慧,女,主任医师,主要从事人群营养与食品卫生工作。
  • 基金资助:
    张家港市科技支撑计划项目(zks2026)

Evaluation of dietary quality of adult residents in Zhangjiagang City by Chinese healthy diet index

YU Yinghui1, HAN Keyang1, YUAN Yiting1, SHI Huijun1, TENG Chengang2   

  1. 1. Department of Food and School Hygiene,Zhangjiagang Center for Disease Control and Prevention,Zhangjiagang,Jiangsu 215600,China;
    2. Food Hygiene Department,Suzhou Center for Disease Control and Prevention,Suzhou,Jiangsu 215004,China
  • Received:2024-07-29 Revised:2024-08-05 Online:2025-04-01 Published:2025-12-17
  • Contact: TENG Chengang,Chief physician,E-mail:804555724@qq.com

摘要: 目的 调查张家港市成年居民膳食质量现状,查找存在问题和潜在健康风险。方法 2020—2021年采用多阶段分层与人口成比例的概率抽样法抽取张家港市城区4个社区和2个乡镇各3个社区、共200户、共600人作为研究对象,采用连续3 d 24 h膳食回顾法和家庭称重记帐法收集膳食资料。应用中国健康膳食指数(Chinese healthy diet index,CHDI)分析不同人群膳食质量。结果 张家港市成年居民CHDI总分均值为(58.9±9.2)分,≥60岁居民中得分明显低于其他年龄段,差异有统计学意义(P<0.05)。各类食物达到和超过推荐摄入量的人群比例:精制谷物类为86.1%,肉蛋类为52.2%,鱼虾类为44.3%,深色蔬菜为22.6%、蔬菜总量为15.5%,水果为7.5%,全谷和杂豆薯类为5.2%,奶类为3.3%,大豆类为2.2%。食物种类、精制谷物、蔬菜总量、深色蔬菜、水果(女性中)、奶类、肉蛋类(男性中)、钠、纯能量食物供热比得分在不同年龄段差异均有统计学意义(H=6.506~32.531,均P<0.05)。不同区域和年龄的女性水果得分均明显高于男性(H=-3.889~-2.303,均P<0.05),女性奶类得分和男性大豆得分在不同区域间比较差异均有统计学意义(H=-2.730~-1.991,均P<0.05)。结论 张家港市成年居民膳食质量一般,全人群普遍存在水果、全谷和杂豆薯类、奶类和大豆类食品摄入严重不足情况,老年人膳食问题更加突出,建议对不同人群加强针对性宣教和膳食指导。

关键词: 成年居民, 膳食调查, 中国健康膳食指数, 食物

Abstract: Objective To investigate the current status of dietary quality among adult residents in Zhangjiagang City,and to identify existing problems and potential health risks. Methods From 2020 to 2021,a multi-stage stratified probability sampling in proportion to population was used to select 200 households with 600 people from 4 communities in the urban area of Zhangjiagang City and 3 communities in each of 2 townships. Dietary data were collected by 24-hour dietary review method and household weighing accounting method for 3 consecutive days. The Chinese healthy diet index(CHDI) was used to analyze the dietary quality of different populations. Results The average total score of CHDI among adult residents in Zhangjiagang City was (58.9±9.2)points, with significantly lower scores among residents aged 60 and above compared to other age groups,and the difference was statistically significant(P<0.05). The proportions of people who reached or exceeded the recommended intake of various foods was 86.1% for refined grains,52.2% for meat and eggs,44.3% for fish and shrimp,22.6% for dark green and orange vegetables,15.5% for total vegetables,7.5% for fruits,5.2% for whole grains and mixed beans and potatoes,3.3% for dairy,and 2.2% for soybeans. The scores of food types,refined grains,total vegetables,dark green and orange vegetables,fruits(in female),milk,meat and egg(in male),sodium, energy supply ratio for pure calories food were statistically significant differences among different age groups(H=6.506-32.531,all P<0.05). The fruit scores of female in different regions and age groups were significantly higher than those of male(H=-3.889--2.303,all P<0.05). The scores of women's dairy products and men's soybean products showed statistically significant differences between different regions(H=-2.730--1.991,all P<0.05). Conclusion The dietary quality of adult residents in Zhangjiagang City is inappropriate,and the intakes of fruits,whole grains,dry beans and potatoes,milk and soybeans were seriously insufficient in the whole population. The dietary problems of the elderly are more prominent. It is recommended to strengthen targeted education and dietary guidance for different groups of people.

Key words: Adult residents, Dietary survey, China healthy diet index, Food

中图分类号: