Characteristics of dietary nutrient intake in wasted children

WAN Yuanyuan; TANG Weibing; PAN Jian; XIA Xiaona; ZHU Ting; GENG Shanshan

doi:10.11852/zgetbjzz2025-0893

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (4) : 401-405. DOI: 10.11852/zgetbjzz2025-0893

Special Column on Nutrition/Feeding and Allergic Diseases

Characteristics of dietary nutrient intake in wasted children

WAN Yuanyuan^1,2, TANG Weibing², PAN Jian², XIA Xiaona², ZHU Ting², GENG Shanshan¹

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Abstract

Objective To characterize dietary patterns and nutrient intakes among children with wasting, in order to provide evidence for targeted nutritional interventions. Methods This retrospective study included 195 children with wasting who attended the nutrition clinic of the Children′s Hospital affiliated with Nanjing Medical University from June 2021 to June 2025.Dietary intake was assessed using a 24-hour dietary recall supplemented by a food frequency questionnaire.Food and nutrient intakes were calculated using nutrition management software and compared with recommended reference values. Results The proportions of children with intakes below the lower recommended limits were high for vegetables (91.8%), dairy (74.9%), and soybeans (91.8%).Compared with preschool children, school-age children had significantly higher prevalence of inadequate intake of grains, vegetables, and meat (P<0.05).Girls showed significantly higher prevalence of inadequate intake of grains, meat, and eggs than boys (P<0.05).Intakes of energy, calcium, iron, vitamin B1, and vitamin B2 were insufficient.Girls had lower protein-to-recommended nutrient intake ratios (t=2.913) and iron-to-recommended nutrient intake ratios (Z=2.018) than boys, and the differences were significant (P<0.05).Significant differences across age groups were observed for the ratio of energy intake to estimated energy requirement (F=2.691) and the ratio of protein intake to recommended nutrient intake (F=5.403) (P＜0.05). Conclusions Children with wasting exhibit an imbalanced dietary structure and multiple nutrient inadequacies, with variations by age group and sex.Stratified dietary counseling and targeted nutritional interventions are warranted to improve energy and key nutrient intakes, so as to support normal growth and development.

Key words

wasting / dietary pattern / nutrient intake / nutritional intervention / children

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WAN Yuanyuan, TANG Weibing, PAN Jian, XIA Xiaona, ZHU Ting, GENG Shanshan. Characteristics of dietary nutrient intake in wasted children[J]. Chinese Journal of Child Health Care. 2026, 34(4): 401-405 https://doi.org/10.11852/zgetbjzz2025-0893

References

[1] Mehta NM, Corkins MR, Lyman B, et al.Defining pediatric malnutrition: A paradigm shift toward etiology-related definitions[J].J Parenter Enteral Nutr, 2013, 37(4):460-481.
[2] World Health Organization, United Nations Children′s Fund (UNICEF), World Bank Group.Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates: Key findings of the 2025 edition[EB/OL].(2025-07-21)[2026-01-09].https://www.who.int/publications/i/item/9789240112308
[3] 闫晓晋,刘云飞,马宁,等.《中国儿童发展纲要(2011—2020年)》实施期间中小学生营养不良率变化及其政策效应分析[J].北京大学学报(医学版), 2023,55(4):593-599.
Yan XJ, Liu YF, Ma N, et al.Assessment of prevalence of malnutrition among Chinese primary and secondary school students and analysis of policy effect during the period of the Program for the Development of Chinese Children 2011-2020[J].Journal of Peking University (Health Sciences), 2023, 55(4):593-599.(in Chinese)
[4] 杨颖,郑卫军,顾昉,等.浙江省2008—2021年中小学生营养不良状况[J].中国学校卫生,2024,45(9):1255-1259.
Yang Y, Zheng WJ, Gu F, et al.Malnutrition among primary and secondary school students from 2008 to 2021 in Zhejiang Province [J].Chin J Sch Health, 2024, 45(9):1255-1259.(in Chinese)
[5] 郭蕾,唐本玉,施欣,等.西藏察雅县3～7岁儿童营养状况分析[J].中山大学学报(医学科学版),2023,44(5):854-862.
Guo L, Tang BY, Shi X, et al.Nutritional status of children aged 3 to 7 years in Zhag′yab, Tibet[J].Journal of Sun Yat-sen University (Medical Sciences), 2023, 44(5):854-862.(in Chinese)
[6] 中国营养学会.中国居民膳食指南(2022)[M].北京:人民卫生出版社,2022.
[7] 中国营养学会.中国居民膳食营养素推荐摄入量(2023版)[M].北京:人民卫生出版社,2023.
[8] 王志宏,孙静,王惠君,等.中国居民膳食结构的变迁与营养干预策略发展[J].营养学报,2019,41(5):427-432.
Wang ZH, Sun J, Wang HJ, et al.Dietary structure transition and development of nutrition intervention strategies in China[J].Acta Nutrimenta Sinica, 2019, 41(5):427-432.(in Chinese)
[9] 覃尔岱,王靖,覃瑞,等.我国不同区域膳食结构分析及膳食营养建议[J].中国食物与营养,2020,26(8):82-86, 59.
Qin ED, Wang J, Qin R, et al.Dietary structure analysis and dietary nutrition recommendations in different regions of China[J].Food and Nutrition in China,2020,26(8):82-86, 59.(in Chinese)
[10] 李扬帆,阳丽君,江美花,等.福建省7～17岁儿童青少年膳食质量评价[J].营养学报,2022,44(5):436-441.
Li YF, Yang LJ, Jiang MH, et al.Evaluation of dietary quality of school-age children in Fujian Province[J].Acta Nutrimenta Sinica, 2022, 44(5):436-441.(in Chinese)
[11] Bacchetta J, Edouard T, Laverny G, et al.Vitamin D and calcium intakes in general pediatric populations: A French expert consensus paper[J].Arch Pediatr, 2022, 29(4):312-325.
[12] Scaglioni S, De Cosmi V, Ciappolino V, et al.Factors influencing Children′s eating behaviours[J].Nutrients, 2018, 10(6):706.
[13] 吴洪静,王佳佳,汪璐,等.中小学生饮食行为及其与营养素养、家庭食物环境的关系[J].中国健康教育,2023,39(8):710-714, 737.
Wu HJ, Wang JJ, Wang L, et al.Eating behavior of primary and middle school students in Beijing Fengtai District and its relationships with nutrition literacy and family food environment[J].Chin J Health Education, 2023, 39(8):710-714,737.(in Chinese)
[14] 吴薇岚,江蕙芸,罗宇阳,等.家庭喂养方式和父母负性情绪与儿童营养不良发生的相关性[J].中国儿童保健杂志,2022,30(1):25-29.
Wu WL, Jiang HY, Luo YY, et al.Correlation of family feeding mode and parents′ negative emotion with childhood malnutrition[J].Chin J Child Health Care, 2022, 30(1):25-29.(in Chinese)
[15] 严海燕,李小芹,王瑞锋.学龄前儿童营养不良的危险因素及营养指导应用效果[J].安徽医学,2022,43(3):322-325.
[16] Katoch OR.Determinants of malnutrition among children: A systematic review[J].Nutrition, 2022, 96:111565.
[17] 毕小艺,杨媞媞,徐培培,等.2010—2012年中国6～17岁儿童膳食钙摄入情况[J].卫生研究,2021,50(3):431-434.
[18] 郭林啸,庞学红,段一凡,等.2019—2021年中国2～5岁儿童膳食微量营养素摄入状况[J].卫生研究,2023,52(1):60-66.
Guo LX, Pang XH, Duan YF, et al.Dietary micronutrient intake of children aged 2-5 years in China in 2019-2021[J].Journal of Hygiene Research, 2023, 52(1):60-66.(in Chinese)
[19] 魏潇琪,李佳玺,赵丽云,等.大型营养调查与监测的膳食调查方法应用现状及研究进展[J].卫生研究,2024,53(1):152-159.
[20] 邵烨林,应晓玲,吴飞妍,等.24h膳食回顾法应用与发展现状[J].中国食物与营养,2023,29(9):78-82.
Shao YL, Ying XL, Wu FY, et al.Application and development status of 24 h dietary recall[J].Food and Nutrition in China,2023,29(9):78-82.(in Chinese)
[21] 房红芸,黄坤,郭齐雅,等.不同调查天数24小时膳食回顾法估计人群膳食摄入量[J].卫生研究,2024,53(4):519-526.
Fang HY, Huang K, Guo QY, et al.Comparison study of food, energy and nutrient intake by 24-hour dietary recall method on two consecutive days versus three consecutive days[J].Journal of Hygiene Research, 2024, 53(4):519-526.(in Chinese)
[22] Thurstans S, Sessions N, Dolan C, et al.The relationship between wasting and stunting in young children: A syste-matic review[J].Matern Child Nutr, 2022, 18(1):e13246.
[23] Li S, Nor NM, Kaliappan SR.Long-term effects of child nutritional status on the accumulation of health human capital[J].SSM Popul Health, 2023, 24:101533.