目的 评估山东省6~14岁儿童软饮料饮用情况及由此摄入游离糖的风险,为指导儿童软饮料摄入及控制肥胖发生提供科学参考。方法 采用多阶段分层整群随机抽样的方法,选择山东省内东营、济南、济宁、莱芜、聊城、临沂、青岛、泰安、威海、潍坊、烟台11个地区为调查点,其中各市调查点分城市和农村人口分别调查。结果 共调查山东6~14岁儿童2 044人,男性1 039人,女性1 005人,城市556人,农村1 488人。碳酸饮料饮用率和饮用量男性均大于女性(χ²=5.582,t=2.625,P均<0.05),果汁和蔬菜汁、咖啡或咖啡味饮料和含乳饮料饮用率女性大于男性(χ²=7.588,7.386, 8.252,P均<0.05)。城市儿童的饮用率总体高于农村(χ²=4.983,P<0.05)。女性酸奶和咖啡类饮料的饮用量明显高于男性(t=-1.980,-2.555,P均<0.05)。城市和农村均有特定种类饮料饮用量高于对方(P<0.05)。城市儿童单双糖及游离糖(26.0 g/d,17.1 g/d)摄入量明显高于农村儿童(16.9 g/d,11.8 g/d)(t=8.14,5.30,P均<0.05)。结论 儿童经饮料摄入游离糖的供能未超过世界卫生组织、中国居民膳食指南和美国心脏协会的建议值,但所占比例较高。

Objective To describe the consumption status of soft drinks and the intake of free sugars in children aged 6~14 years in Shandong province,and to provide a scientific reference for guiding children's soft drinks intake and controlling obesity. Methods In this paper,11 regions including Dongying,Jinan,Jining,Laiwu,Liaocheng,Linyi,Qingdao,Tai'an,Weihai,Weifang and Yantai were selected as the survey points using the multi-stage stratified cluster random sampling method.The investigated survey points were divided into cities and rural population. Results A total of 2 044 children aged 6~14 years in Shandong were surveyed,including 1 039 males and 1 005 females,556 from cities and 1 488 from rural areas.The drinking rates and consumption of carbonated drink of male were higher than those of female (χ²=5.582,t=2.625,all P<0.05).The drinking rates of fruit juice and vegetable juice,coffee or coffee drink and milk drink in female were higher than those in male (χ²=7.588,7.386, 8.252,all P<0.05).The drinking rate of urban children was higher than that of children from rural areas (χ²=4.983,P<0.05).The consumption of yogurt and coffee or coffee in female were significantly higher than those in male (t=-1.980,-2.555,all P<0.05).The consumption of carbonated drink in male was significantly higher than that in female (P<0.05).The consumption of certain types of beverages was higher in urban and rural areas than that in the others (P<0.05).The monosaccharide and free sugar intake of urban children (26.0 g/d,17.1 g/d) were significantly higher than those of rural children (16.9 g/d,11.8 g/d)(t=8.14,5.30,P<0.05). Conclusion The energy consumption of free sugars in children aged 6~14 years in Shandong is not higher than recommended value of World Health Organization,Chinese Diet Guidelines and American Heart Association,but the relative proportion is higher.