Background
Methods
Study population
Data collection
Anthropometric assessment
Dietary intake of children
Statistical analysis
Results
Sociodemographic and anthropometric characteristics
Age group (months) | Total | 0–5.9 | 6–11.9 | 12–23.9 | 24–47.9 | p-value* | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Sociodemographic Characteristics | n | % | n | % | n | % | n | % | n | % | |
866 | 100 | 103 | 11.9 | 148 | 17.1 | 222 | 25.6 | 393 | 45.4 | ||
Sex | |||||||||||
Male | 440 | 50.8 | 53 | 51.5 | 65 | 43.9 | 115 | 51.8 | 207 | 52.7 | 0.326 |
Female | 426 | 49.2 | 50 | 48.5 | 83 | 56.1 | 107 | 48.2 | 186 | 47.3 | |
Governorate | |||||||||||
Beirut | 80 | 9.2 | 12 | 11.6 | 14 | 9.5 | 11 | 4.9 | 43 | 10.9 | 0.149 |
Mount Lebanon | 264 | 30.5 | 30 | 29.1 | 41 | 27.7 | 69 | 31.1 | 124 | 31.5 | |
North Lebanon | 319 | 36.8 | 35 | 34.0 | 68 | 45.9 | 83 | 37.4 | 133 | 33.8 | |
South and Nabatieh | 136 | 15.6 | 19 | 18.4 | 18 | 12.2 | 36 | 16.2 | 63 | 16.0 | |
Bekaa | 67 | 7.8 | 7 | 6.8 | 7 | 4.7 | 23 | 10.4 | 30 | 7.6 | |
Household monthly income (Lebanese pounds)a | |||||||||||
< 1,000,000 | 286 | 33.0 | 27 | 26.2 | 64 | 43.2 | 76 | 34.2 | 119 | 30.3 | 0.001 |
1,000,000-2,000,000 | 271 | 31.3 | 44 | 42.7 | 30 | 20.3 | 61 | 27.5 | 136 | 34.6 | |
> 2,000,000 | 146 | 16.9 | 17 | 16.5 | 27 | 18.2 | 29 | 13.1 | 73 | 18.6 | |
Do not know / Refused to answer | 163 | 18.8 | 15 | 14.6 | 27 | 18.2 | 56 | 25.2 | 65 | 16.5 | |
Crowding Index | |||||||||||
< 1 persons/room | 119 | 13.7 | 16 | 15.5 | 26 | 17.6 | 30 | 13.5 | 47 | 12.0 | 0.366 |
≥ 1 persons/room | 747 | 86.3 | 87 | 84.5 | 122 | 82.4 | 192 | 86.5 | 346 | 88.0 | |
Education of mother | |||||||||||
Less than elementaryb | 25 | 2.9 | 1 | 1.0 | 5 | 3.4 | 6 | 2.7 | 13 | 3.3 | 0.328 |
Elementary-secondaryc | 653 | 75.4 | 72 | 69.9 | 107 | 72.3 | 169 | 76.1 | 305 | 77.6 | |
College | 188 | 21.7 | 30 | 29.1 | 36 | 24.3 | 47 | 21.2 | 75 | 19.1 | |
Education of father | |||||||||||
Less than elementaryb | 33 | 3.9 | 3 | 2.9 | 7 | 4.8 | 13 | 5.9 | 10 | 2.6 | 0.532 |
Elementary-secondaryc | 694 | 81.3 | 82 | 80.4 | 118 | 80.3 | 174 | 79.4 | 320 | 82.9 | |
College | 127 | 14.9 | 17 | 16.7 | 22 | 15.0 | 32 | 14.6 | 56 | 14.5 | |
Mother employed | |||||||||||
Yes | 150 | 17.3 | 25 | 24.3 | 25 | 16.9 | 45 | 20.3 | 55 | 14.0 | 0.049 |
No | 716 | 82.7 | 78 | 75.7 | 123 | 83.1 | 177 | 79.7 | 338 | 86.0 | |
Father employed | |||||||||||
Yes | 822 | 95.7 | 99 | 96.1 | 145 | 98.0 | 209 | 94.6 | 369 | 95.4 | 0.440 |
No | 37 | 4.3 | 4 | 3.9 | 3 | 2.0 | 12 | 5.4 | 18 | 4.6 | |
Marital status | |||||||||||
Married | 856 | 98.8 | 103 | 100.0 | 148 | 100.0 | 221 | 99.6 | 384 | 97.7 | 0.063 |
Separated, divorced, or widowed | 10 | 1.2 | 0 | 0.0 | 0 | 0.0 | 1 | 0.4 | 9 | 2.3 | |
Anthropometric Characteristics | |||||||||||
Height for aged | |||||||||||
Stunted | 61 | 7.1 | 7 | 6.8 | 7 | 4.7 | 22 | 10.1 | 25 | 6.4 | 0.219 |
Not stunted | 798 | 92.9 | 96 | 93.2 | 141 | 95.3 | 197 | 89.9 | 364 | 93.6 | |
BMI Statuse | |||||||||||
Wasted | 17 | 2.0 | 4 | 3.9 | 8 | 5.4 | 4 | 1.8 | 1 | 0.3 | < 0.001 |
Normal | 511 | 59.5 | 69 | 67.0 | 98 | 66.2 | 106 | 48.4 | 238 | 61.2 | |
At risk of overweight | 223 | 25.9 | 13 | 12.6 | 33 | 22.3 | 67 | 30.6 | 110 | 28.3 | |
Overweight | 79 | 9.2 | 11 | 10.7 | 7 | 4.7 | 33 | 15.1 | 28 | 7.2 | |
Obese | 29 | 3.4 | 6 | 5.8 | 2 | 1.3 | 9 | 4.1 | 12 | 3.1 |
Energy intakes
Age group | ||||
---|---|---|---|---|
0–5.9 months | 6–11.9 months | 12–23.9 months | 24–47.9 months | |
Mean ± SE | ||||
Energy intake (kcal) | 608.0 ± 14.2 | 899.1 ± 28.2 | 1205.6 ± 33.0 | 1504.1 ± 27.0 |
EER | 498.6 ± 15.1 | 730.5 ± 8.7 | 934.0 ± 10.7 | 1232.2 ± 9.2 |
% EER | 132.8 ± 4.9 | 124.2 ± 3.8 | 132.1 ± 4.0 | 124.2 ± 2.4 |
Energy inadequacy n (%) | ||||
% below EER | 26 (25.2) | 51 (34.5) | 70 (31.5) | 125 (31.8) |
% above EER | 77 (74.8) | 97 (65.5) | 152 (68.5) | 268 (68.2) |
Food consumption patterns
Adherence to dietary recommendations
Macronutrient intakes
Age group | 0–5.9 months | 6–11.9 months | 12–23.9 months | 24–47.9 months | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nutrient | DRI | Mean ± SE | % > AI | DRIa | Mean ± SE | % < EAR | % > AI | DRIa | Mean ± SE | % < EAR or <AMDR | % > AI | % > AMDR | DRIa | Mean ± SE | % < EAR or < AMDR | % > AI | % > AMDR |
AI | AI/EAR | AI/EAR/AMDR | AI/EAR/AMDR | ||||||||||||||
Macronutrients | |||||||||||||||||
Energy (kcal/d) | – | 608.0 ± 14.2 | – | – | 899.1 ± 28.4 | – | – | – | 1205.6 ± 33.0 | – | – | – | – | 1504.1 ± 27.0 | – | – | – |
Total Fat (g/d) | 31 | 34.7 ± 0.8 | 83.5 | 30 | 42.1 ± 1.3 | – | 77.0 | – | 53.1 ± 1.6 | – | – | – | – | 65.7 ± 1.5 | – | – | – |
Saturated fat (g/d) | – | 13.9 ± 0.3 | – | – | 14.2 ± 0.5 | – | – | – | 15.7 ± 0.6 | – | – | – | – | 21.9 ± 0.6 | – | – | – |
Monounsaturated fat(g/d) | – | 12.8 ± 0.3 | – | – | 13.7 ± 0.5 | – | – | – | 17.7 ± 0.6 | – | – | – | – | 23.0 ± 0.6 | – | – | – |
Polyunsaturated fat(g/d) | – | 5.7 ± 0.2 | – | – | 8.3 ± 0.4 | – | – | – | 11.8 ± 0.5 | – | – | – | – | 12.7 ± 0.4 | – | – | – |
Linoleic acid (g/d) | 4.4 | 4.8 ± 0.2 | 47.6 | 4.6 | 7.6 ± 0.4 | – | 72.3 | 7 | 11.1 ± 0.5 | – | 68.5 | – | 7 | 12.0 ± 0.4 | – | 70.0 | – |
Alpha linolenic acid (g/d) | 0.5 | 0.6 ± 0.0 | 48.5 | 0.5 | 0.7 ± 0.0 | – | 62.2 | 0.7 | 0.8 ± 0.0 | – | 53.6 | – | 0.7 | 0.8 ± 0.0 | – | 48.6 | – |
Carbohydrate (g/d) | 60 | 64.4 ± 1.8 | 38.8 | 95 | 110.2 ± 3.9 | – | 52.1 | 100 | 150.0 ± 4.2 | 21.2 | – | – | 100 | 182.2 ± 3.5 | 11.4 | – | – |
Total Sugar (g/d) | – | 60.7 ± 1.5 | – | – | 69.7 ± 2.4 | – | – | – | 74.9 ± 2.2 | – | – | – | – | 76.8 ± 1.8 | – | – | – |
Added sugar (g/d) | – | 0.9 ± 0.3 | – | – | 10.6 ± 1.4 | – | – | – | 19.5 ± 1.5 | – | – | – | – | 34.1 ± 1.6 | – | – | – |
Protein (g/d) | 1.52 g/Kg | 10.9 ± 0.3 | 68 | 1 g/Kg/d | 21.7 ± 0.9 | 6.1 | – | 0.87 g/Kg | 34.8 ± 1.2 | 1.8 | – | – | 0.87 g/Kg | 50.9 ± 1.1 | 1.3 | – | – |
Dietary fiber (g/d) | – | 0.2 ± 0.1 | – | – | 4.0 ± 0.3 | – | – | 19 | 7.7 ± 0.4 | – | 3.6 | – | 19 | 11.1 ± 0.3 | – | 11.5 | – |
As percentage of EI | |||||||||||||||||
Total Fat (%) | – | 51.6 ± 0.5 | – | – | 42.8 ± 0.5 | – | – | 30–40% | 39.5 ± 0.5 | 10.8 | – | 46.4 | 30–40% | 38.7 ± 0.4 | 12.0 | – | 43.5 |
Saturated fat (%) b | – | 20.8 ± 0.4 | – | – | 14.8 ± 0.4 | – | – | – | 11.9 ± 0.3 | – | – | – | < 8% | 13.2 ± 0.3 | – | – | 87.3 |
Carbohydrate (%) | – | 42.1 ± 0.4 | – | – | 48.7 ± 0.5 | – | – | 45–65% | 50.0 ± 0.5 | 27.5 | – | 5.9 | 45–65% | 48.8 ± 0.5 | 34.1 | – | 3.8 |
Total Sugar (%) | – | 40.0 ± 0.3 | – | – | 31.8 ± 0.6 | – | – | – | 25.6 ± 0.5 | – | – | – | – | 21.1 ± 0.4 | – | – | – |
Protein (%) | – | 7.2 ± 0.1 | – | – | 9.4 ± 0.2 | – | – | 5–20% | 11.5 ± 0.2 | 0 | – | 2.2 | 5–20% | 13.8 ± 0.2 | 0.5 | – | 6.1 |
Micronutrient intakes
Age group | 0–5.9 months | 6–11.9 months | 12–23.9 months | 24–47.9 months | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nutrient | DRI | Mean ± SE | % > AI | DRIa | Mean ± SE | % < EAR | % > AI | DRIa | Mean ± SE | % < EAR | % > AI | DRIa | Mean ± SE | % < EAR | % > AI |
AI | AI/EAR | AI/EAR | AI/EAR | ||||||||||||
Antioxidants | |||||||||||||||
Vitamin C (mg/d) | 40 | 50.0 ± 1.6 | 94.2 | 50 | 60.1 ± 2.4 | – | 54.1 | 13 | 71.0 ± 3.3 | 5.4 | – | 13 | 75.2 ± 3.5 | 10.2 | – |
B vitamins | |||||||||||||||
Thiamin (mg/d) | 0.2 | 0.4 ± 0.0 | 73.8 | 0.3 | 0.7 ± 0.0 | – | 85.1 | 0.4 | 1.0 ± 0.0 | 4.9 | – | 0.4 | 1.0 ± 0.0 | 5.1 | – |
Riboflavin (mg/d) | 0.3 | 0.6 ± 0.0 | 99.1 | 0.4 | 0.9 ± 0.0 | – | 89.9 | 0.4 | 1.2 ± 0.0 | 2.2 | – | 0.4 | 1.3 ± 0.0 | 2.8 | – |
Niacin (mg/d) | 2 | 4.1 ± 0.3 | 80.6 | 4 | 7.4 ± 0.4 | – | 82.4 | 5 | 11.2 ± 0.4 | 7.7 | – | 5 | 12.0 ± 0.4 | 11.7 | – |
Vitamin B-6 (mg/d) | 0.1 | 0.2 ± 0.0 | 100.0 | 0.3 | 0.6 ± 0.0 | – | 85.1 | 0.4 | 0.8 ± 0.0 | 9.0 | – | 0.4 | 1.0 ± 0.0 | 7.6 | – |
Folate (μg dietary folate equivalents/d) | 65 | 102.3 ± 6.3 | 61.2 | 80 | 172.2 ± 8.5 | – | 80.4 | 120 | 226.1 ± 11.1 | 20.3 | – | 120 | 199.1 ± 7.1 | 33.8 | – |
Vitamin B-12 (μg/d) | 0.4 | 0.9 ± 0.1 | 100.0 | 0.5 | 1.4 ± 0.1 | – | 87.2 | 0.7 | 2.3 ± 0.3 | 10.8 | – | 0.7 | 2.8 ± 0.1 | 9.9 | – |
Bone-related nutrients | |||||||||||||||
Calcium (mg/d) | 200 | 374.0 ± 13.9 | 98.1 | 260 | 525.4 ± 19.8 | – | 91.2 | 500 | 582.2 ± 18.7 | 44.6 | – | 500 | 715.6 ± 20.5 | 35.9 | – |
Phosphorus (mg/d) | 100 | 193.4 ± 8.6 | 98.1 | 275 | 390.1 ± 16.5 | – | 68.9 | 380 | 566.4 ± 19.4 | 23.0 | – | 380 | 916.2 ± 19.6 | 5.3 | – |
Magnesium (mg/d) | 30 | 32.5 ± 1.2 | 46.6 | 75 | 71.0 ± 3.2 | – | 37.8 | 65 | 122.6 ± 4.2 | 14.9 | – | 65 | 184.2 ± 4.1 | 2.8 | – |
Vitamin D (μg/d) | 10 | 4.9 ± 0.4 | 15.5 | 10 | 6.4 ± 0.4 | – | 21.6 | 10 | 6.0 ± 0.3 | 84.7 | – | 10 | 4.2 ± 0.2 | 91.9 | – |
Other micronutrients | |||||||||||||||
Vitamin A (μg retinol activity equivalent/d) | 400 | 519.9 ± 11.9 | 92.2 | 500 | 511.7 ± 17.2 | – | 39.2 | 210 | 532.5 ± 36.6 | 12.6 | – | 210 | 348.4 ± 23.3 | 35.1 | – |
Vitamin K (μg/d) | 2 | 25.5 ± 2.2 | 100.0 | 2.5 | 42.1 ± 3.4 | – | 93.2 | 30 | 71.8 ± 6.8 | – | 78.8 | 30 | 67.1 ± 3.4 | – | 60.6 |
Iron (mg/d) | 0.27 | 3.6 ± 0.3 | 79.6 | 6.9 | 7.8 ± 0.4 | 45.3 | – | 3 | 9.5 ± 0.3 | 9.0 | – | 3 | 8.1 ± 0.3 | 11.2 | – |
Zinc (mg/d) | 2 | 2.9 ± 0.2 | 60.2 | 2.5 | 4.5 ± 0.2 | 21.6 | – | 2.5 | 5.9 ± 0.2 | 6.8 | – | 2.5 | 6.4 ± 0.2 | 4.1 | – |
Sodium (mg/d)b | 110 | 152.9 ± 5.9 | 92.2 | 110/370 | 542.0 ± 33.1 | – | 67.6 | 800 | 1087.8 ± 45.8 | – | 60.4 | 800 | 1672.1 ± 42.8 | – | 88.6 |
Potassium (mg/d)c | 400 | 557.7 ± 20.6 | 94.2 | 400/860 | 1024.3 ± 37.1 | – | 68.2 | 2000 | 1495.5 ± 48.0 | – | 19.4 | 2000 | 2126.1 ± 44.8 | – | 51.4 |