Scholarlink

Purpose <p>The EAT-Lancet Commission introduced a Planetary Health Diet (PHD) in 2019 for individuals aged two years and older. Concerns exist regarding its ability to fulfill children’s specific micronutrient requirements. The PHDI-C, an adapted version of the Planetary Health Diet Index (PHDI), was developed to better reflect the nutritional needs of growing children. However, its association with micronutrient adequacy in pediatric populations has not been fully examined. Our study investigates whether the PHDI-C is associated with micronutrient adequacy in children and compares its performance to the original PHDI.</p> Methods <p>This cross-sectional study compared the association of the PHDI and PHDI-C with nutritional adequacy in 945 children aged 4–5&#xa0;years from the SENDO cohort. Dietary, lifestyle, and socio-demographic data were collected via parent-administered questionnaires. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ). Scores for both indices were calculated and ranged from 0 to 150, and participants were categorized into tertiles. We calculated the intake of 20 micronutrients relevant to public health and micronutrient adequacy was assessed using the Estimated Average Requirement (EAR) cut-off points. Generalized estimating equation models were used to examine the relationship between both indices and the risk of inadequate micronutrient intake.</p> Results <p>Median scores were 63.0 and 62.3 for the PHDI and PHDI-C respectively. Higher PHDI and PHDI-C scores were associated with higher intakes of vitamins A, C, E, B1, B3, and B6, as well as folate, Fe, Mg, Se, Zn, Cr, and K, but lower intakes of vitamins B2, B12, and Ca, and I. After adjusting for potential confounders, higher PHDI-C scores were associated with fewer unmet EARs <i>(p</i> &lt; <i>0.001).</i> Children in the highest tertile of the PHDI-C had 55% lower odds (OR:0.45 95% CI: 0.22–0.94) of having ≥ 3 inadequate micronutrient intakes compared to the lowest tertile. For the original PHDI, children in the highest tertile had 30% lower odds (OR: 0.70; 95% CI: 0.32–1.54).</p> Conclusion <p>The PHDI-C is linked to better nutritional adequacy than the original PHDI. Further research is needed to validate the PHDI-C in terms of environmental sustainability.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

EAT-Lancet reference diet and nutritional adequacy in children: examining the planetary health diet index for children (PHDI-C)

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月19日

查看全文
  • Elise Fabios,
  • Itziar Zazpe,
  • Susana Santiago,
  • Silvia García,
  • Miguel Ángel Martínez-González,
  • Nerea Martín-Calvo

摘要

Purpose

The EAT-Lancet Commission introduced a Planetary Health Diet (PHD) in 2019 for individuals aged two years and older. Concerns exist regarding its ability to fulfill children’s specific micronutrient requirements. The PHDI-C, an adapted version of the Planetary Health Diet Index (PHDI), was developed to better reflect the nutritional needs of growing children. However, its association with micronutrient adequacy in pediatric populations has not been fully examined. Our study investigates whether the PHDI-C is associated with micronutrient adequacy in children and compares its performance to the original PHDI.

Methods

This cross-sectional study compared the association of the PHDI and PHDI-C with nutritional adequacy in 945 children aged 4–5 years from the SENDO cohort. Dietary, lifestyle, and socio-demographic data were collected via parent-administered questionnaires. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ). Scores for both indices were calculated and ranged from 0 to 150, and participants were categorized into tertiles. We calculated the intake of 20 micronutrients relevant to public health and micronutrient adequacy was assessed using the Estimated Average Requirement (EAR) cut-off points. Generalized estimating equation models were used to examine the relationship between both indices and the risk of inadequate micronutrient intake.

Results

Median scores were 63.0 and 62.3 for the PHDI and PHDI-C respectively. Higher PHDI and PHDI-C scores were associated with higher intakes of vitamins A, C, E, B1, B3, and B6, as well as folate, Fe, Mg, Se, Zn, Cr, and K, but lower intakes of vitamins B2, B12, and Ca, and I. After adjusting for potential confounders, higher PHDI-C scores were associated with fewer unmet EARs (p < 0.001). Children in the highest tertile of the PHDI-C had 55% lower odds (OR:0.45 95% CI: 0.22–0.94) of having ≥ 3 inadequate micronutrient intakes compared to the lowest tertile. For the original PHDI, children in the highest tertile had 30% lower odds (OR: 0.70; 95% CI: 0.32–1.54).

Conclusion

The PHDI-C is linked to better nutritional adequacy than the original PHDI. Further research is needed to validate the PHDI-C in terms of environmental sustainability.