Evaluation of the Nutritional Status of Male Adolescents

Abstract

Objectives: The aim of this study was to evaluate the nutritional status of adolescent male students in rural and urban areas of Edirne, Turkey. Patients and Methods: In a sample of 1004 male adolescent boys (mean age 14.4±1.7 years; range 12 to 17 years), intake of macronutrients and micronutrients was assessed from three-day self-reported food records. Results: It was observed that energy, calcium, magnesium, vitamin A, E, thiamine, folic acid and fiber intakes of the subjects were below the recommended levels, while protein, riboflavin, vitamin B6 and iron intakes exceeded the target levels. Distribution of macronutrients in daily energy consumption was in agreement with the recommended ratios. Nutritional status did not differ between rural and urban areas (p>0.05). Conclusion: The dietary recommendations and menu samples based on these findings may help the male adolescents living in our region and our country have a more balanced nutritional status than before. Turkish Başlık: Adolesan Erkeklerin Nutrisyonel Durumlarının Değerlendirilmesi Anahtar Kelimeler: Erkek adolesan; makronutrient; mikronutrient; RDA; kırsal; kentsel Amaç: Bu çalışmanın amacı Türkiye'nin Edirne ilinin kırsal ve kentsel alanında yaşayan adolesan erkek öğrencilerin nutrisyonel durumlarını değerlendirmektir. Hastalar ve Yöntemler: Toplam 1004 erkek adolesanın (ort. yaş 14.4±1.7; dağılım 12-17) makronutrient ve mikronutrient alımları üç günlük diyet kayıtları ile değerlendirilmiştir. Bulgular: Deneklerin enerji, kalsiyum, magnezyum, A, E, B1 (tiamin) vitaminleri, folik asit ve lif alımı önerilen günlük alımların altında saptanırken, protein, B2 (riboflavin), B6 vitaminleri ve demir alımları fazlaydı. Makronutrientlerin günlük enerji alımını oluşturan oranları önerildiği gibiydi. Kırsal ve kentsel alanda yaşayan adolesan erkeklerin nutrisyonel alımları farklılık göstermedi (p>0.05). Sonuç: Bölgemizde yaşayan erkek adolesanların bu bulgulara göre oluşturulacak diyet alım önerileri ve diyet menü örnekleri, eskiye göre daha sağlıklı dengeli besinsel duruma ulaşmalarına yardımcı olabilir.

Keywords

• Male adolescents; macronutrients; micronutrients; RDA; rural; urban

Adolesan Erkeklerin Nutrisyonel Durumlarının Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı Türkiye'nin Edirne ilinin kırsal ve kentsel alanında yaşayan adolesan erkek öğrencilerin nutrisyonel durumlarını değerlendirmektir. Hastalar ve Yöntemler: Toplam 1004 erkek adolesanın (ort. yaş 14.4±1.7; dağılım 12-17) makronutrient ve mikronutrient alımları üç günlük diyet kayıtları ile değerlendirilmiştir. Bulgular: Deneklerin enerji, kalsiyum, magnezyum, A, E, B1 (tiamin) vitaminleri, folik asit ve lif alımı önerilen günlük alımların altında saptanırken, protein, B2 (riboflavin), B6 vitaminleri ve demir alımları fazlaydı. Makronutrientlerin günlük enerji alımını oluşturan oranları önerildiği gibiydi. Kırsal ve kentsel alanda yaşayan adolesan erkeklerin nutrisyonel alımları farklılık göstermedi (p>0.05). Sonuç: Bölgemizde yaşayan erkek adolesanların bu bulgulara göre oluşturulacak diyet alım önerileri ve diyet menü örnekleri, eskiye göre daha sağlıklı dengeli besinsel duruma ulaşmalarına yardımcı olabilir.

Anahtar Kelimeler

• Erkek adolesan, makronutrient, mikronutrient, RDA, kırsal, kentsel.

References

1. Spear BA. Adolescent growth and development. J Am Diet Assoc 2002;102(3 Suppl):S23-9.
2. Herbold NH, Frates SE. Update of nutrition guide- lines for the teen: trends and concerns. Curr Opin Pediatr 2000;12:303-9.
3. Rome ES, Vazquez IM, Blazer NE. Adolescence: healthy and disordered eating. In: Walker WA, Duggan C, Watkins JB, editors. Nutrition in pediat- rics: basic science and clinical applications. 3rd ed. Hamilton Ontario: BC Decker; 2003. p. 861-77.
4. Story M, Neumark-Sztainer D, French S. Individual and environmental influences on adolescent eat- ing behaviors. J Am Diet Assoc 2002;102(3 Suppl):S40-51.
5. Fitzgibbon ML, Stolley M. Promoting health in an unhealthful environment: lifestyle challenges for children and adolescents. J Am Diet Assoc 2006;106:518-22.
6. Lytle LA. Nutritional issues for adolescents. J Am Diet Assoc 2002;102(3 Suppl):S8-12.
7. Öner N, Vatansever U, Garipağaoğlu M, Karasalihoğlu S. Dietary intakes among Turkish adolescent girls. Nutr Res 2005;25:377-86.
8. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O. Body mass index references for Turkish children. Acta Paediatr 2006;95:194-8.

9. Institute of Medicine. Dietary reference intakes: for calcium, phosphorus, magnesium, vitamin D, and fluoride. 1st ed. Washington DC: National Academy Press; 1997.
10. Institute of Medicine. Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vita- min B12, pantothenic acid, biotin, and choline. 1st ed. Washington DC: National Academy Press; 2000.
11. Institute of Medicine. Dietary reference intakes for vitamin C, vitamin E, selenium, and carotenoids. 1st ed. Washington DC: National Academy Press; 2000.
12. Institute of Medicine. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nick- el, silicon, vanadium, and zinc. 1st ed. Washington DC: National Academy Press; 2001.
13. Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, choles- terol, protein, and amino acids. 1st ed. Washington DC: National Academies Press; 2005.
14. Zive MM, Nicklas TA, Busch EC, Myers L, Berenson GS. Marginal vitamin and mineral intakes of young adults: the Bogalusa Heart Study. J Adolesc Health 1996;19:39-47.
15. Monge-Rojas R. Dietary intake as a cardiovascular risk factor in Costa Rican adolescents. J Adolesc Health 2001;28:328-37.
16. Hassapidou MN, Fotiadou E. Dietary intakes and food habits of adolescents in northern Greece. Int J Food Sci Nutr 2001;52:109-16.
17. Stang J, Story MT, Harnack L, Neumark-Sztainer D. Relationships between vitamin and mineral sup- plement use, dietary intake, and dietary adequacy among adolescents. J Am Diet Assoc 2000;100:905-10.
18. Martinchik AN, Baturin AK, Helsing E. Nutrition monitoring of Russian schoolchildren in a period of economic change: a World Health Organization mul- ticenter survey, 1992-1995. Am J Clin Nutr 1997;65(4 Suppl):S1215-S9.
19. Baş M, Altan T, Dinçer D, Aran E, Kaya HG, Yüksek O. Determination of dietary habits as a risk factor of cardiovascular heart disease in Turkish adolescents. Eur J Nutr 2005;44:174-82.
20. Khan MR, Ahmed F. Physical status, nutrient intake and dietary pattern of adolescent female factory workers in urban Bangladesh. Asia Pac J Clin Nutr 2005;14:19-26.
21. Rozen GS, Rennert G, Rennert HS, Diab G, Daud D, Ish-Shalom S. Calcium intake and bone mass devel- opment among Israeli adolescent girls. J Am Coll Nutr 2001;20:219-24.
22. Leclercq C, Piccinelli R, Arcella D, Le Donne C. Food consumption and nutrient intake in a sample of Italian secondary school students: results from the INRAN-RM-2001 food survey. Int J Food Sci Nutr 2004;55:265-77.
23. Johnson RK, Johnson DG, Wang MQ, Smiciklas- Wright H, Guthrie HA. Characterizing nutrient intakes of adolescents by sociodemographic factors. J Adolesc Health 1994;15:149-54.
24. Harel Z, Riggs S, Vaz R, White L, Menzies G. Adolescents and calcium: what they do and do not know and how much they consume. J Adolesc Health 1998;22:225-8.
25. Monge-Rojas R. Marginal vitamin and mineral intake of Costa Rican adolescents. Arch Med Res 2001;32:70-8.
26. Cavadini C, Siega-Riz AM, Popkin BM. US adoles- cent food intake trends from 1965 to 1996. Arch Dis Child 2000;83:18-24.
27. Forshee RA, Anderson PA, Storey ML. Changes in calcium intake and association with beverage con- sumption and demographics: comparing data from CSFII 1994-1996, 1998 and NHANES 1999-2002. J Am Coll Nutr 2006;25:108-16.
28. Neumark-Sztainer D, Story M, Dixon LB, Resnick MD, Blum RW. Correlates of inadequate consump- tion of dairy products among adolescents. J Nutr Educ Behav 1997;29:12-20.
29. Lambert J, Agostoni C, Elmadfa I, Hulshof K, Krause E, Livingstone B, et al. Dietary intake and nutritional status of children and adolescents in Europe. Br J Nutr 2004;92 Suppl 2:S147-211.
30. Decarli B, Cavadini C, Grin J, Blondel-Lubrano A, Narring F, Michaud PA. Food and nutrient intakes in a group of 11 to 16 year old Swiss teenagers. Int J Vitam Nutr Res 2000;70:139-47.
31. Nicklas TA, Myers L, O'Neil C, Gustafson N. Impact of dietary fat and fiber intake on nutrient intake of adolescents. Pediatrics 2000;105:E21.
32. Oner N, Vatansever U, Karasalihoğlu S, Ekuklu G, Celtik C, Biner B. The prevalence of folic acid deficiency among adolescent girls living in Edirne, Turkey. J Adolesc Health 2006;38:599-606.
33. Eskes TK. From anemia to spina bifida - the story of folic acid. A tribute to Professor Richard Smithells. Eur J Obstet Gynecol Reprod Biol 2000;90:119-23.
34. Alaimo K, McDowell MA, Briefel RR, Bischof AM, Caughman CR, Loria CM, et al. Dietary intake of vitamins, minerals, and fiber of persons ages 2 months and over in the United States: Third National Health and Nutrition Examination Survey, Phase 1, 1988-91. Adv Data 1994;258:1-28.
35. Greene-Finestone LS, Campbell MK, Evers SE, Gutmanis IA. Adolescents' low-carbohydrate-densi- ty diets are related to poorer dietary intakes. J Am Diet Assoc 2005;105:1783-8.
36. Muñoz KA, Krebs-Smith SM, Ballard-Barbash R, Cleveland LE. Food intakes of US children and ado- lescents compared with recommendations. Pediatrics 1997;100:323-9.
37. Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Correlates of inadequate fruit and vegetable con- sumption among adolescents. Prev Med 1996;25:497- 505.
38. American Institute for cancer research, World cancer research fund. Food, nutrition and the prevention of cancer: A global perspective. 1st ed. Washington: American Institute for cancer research. 1997. p. 24-5.
39. Thane CW, Bates CJ, Prentice A. Risk factors for low iron intake and poor iron status in a national sample of British young people aged 4-18 years. Public Health Nutr 2003;6:485-96.
40. Thane CW, Bates CJ, Prentice A. Zinc and vita- min A intake and status in a national sample of British young people aged 4-18 y. Eur J Clin Nutr 2004;58:363-75.
41. Shahabuddin AK, Talukder K, Talukder MK, Hassan M, Seal A, Rahman Q, et al. Adolescent nutrition in a rural community in Bangladesh. Indian J Pediatr 2000;67:93-8.
42. Shi Z, Lien N, Kumar BN, Holmboe-Ottesen G. Socio-demographic differences in food habits and preferences of school adolescents in Jiangsu Province, China. Eur J Clin Nutr 2005;59:1439-48.
43. Alberg A. The influence of cigarette smoking on circulating concentrations of antioxidant micronutri- ents. Toxicology 2002;180:121-37.
44. Dowdell EB, Santucci ME. Health risk behavior assessment: nutrition, weight, and tobacco use in one urban seventh-grade class. Public Health Nurs 2004;21:128-36.