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. 2018 Jan 24;10(2):115.
doi: 10.3390/nu10020115.

Secular Trends in Energy and Macronutrient Intakes and Distribution among Adult Females (1991-2015): Results from the China Health and Nutrition Survey

Jian Zhao  1 , Chang Su  2 , Huijun Wang  3 , Zhihong Wang  4 , Yun Wang  5 , Bing Zhang  6
Affiliations

Secular Trends in Energy and Macronutrient Intakes and Distribution among Adult Females (1991-2015): Results from the China Health and Nutrition Survey

Jian Zhao et al. Nutrients. .

Abstract

With rapid nutrition transition in China, dietary intake and nutritional status of women has gained more and more attention in the past decades. This study aimed to investigate temporal trends of total energy and macronutrient intakes among Chinese adult females. The longitudinal data are from the Chinese Health and Nutrition Survey (CHNS, 1991-2015). Information on the intake of energy and macronutrient was obtained from consecutive three-day dietary recall techniques and compared with the Chinese Dietary Reference Intakes (DRI). Mixed-effect models were performed to evaluate temporal trends of total energy and macronutrient intake. From 1991 to 2015, a significant reduction in daily energy, protein and carbohydrate intakes was seen among all adult females (p < 0.001). Daily fat intake, the proportion of energy from fat, the proportion of females consuming more than 30% of energy from fat and less than 50% of energy from carbohydrate were observed significant increment in the present study (p < 0.001). In 2015, the proportion met the DRI for energy and protein intakes were 47.0% and 48.0%, respectively; the proportion with lower carbohydrate and higher fat intakes compare with the DRI were 45.5% and 66.9%, respectively. Further nutritional education and policy interventions still needed to improve nutrition status for Chinese females.

Keywords: dietary reference intake; female; macronutrient; nutrition transition.

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Conflict of interest statement

The authors declare that they have no conflict of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
BMI changes in Chinese adult females from 1991 to 2015 by age group (18–49 and 50–64 years).
Figure 2
Figure 2
Percentage of energy from protein, fat, carbohydrate in Chinese adult females from 1991 to 2015 by age group (18–49 and 50–64 years).
Figure 3
Figure 3
Shift in distribution of energy from fat and carbohydrate in Chinese adult females aged 18–64 years from 1991 to 2015.
See this image and copyright information in PMC

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