Deepening the Action on Salt Reduction in China-suggestions on strategy and implementation plan / 中华预防医学杂志

Excessive sodium/salt intake is the leading dietary risk factor for the loss of healthy life in the Chinese population. The "Healthy China 2030" Action Plan set the goal of reducing salt intake by 20% by 2030. However, salt intake in China is still at a very high level in the world, with adults reaching 11 g/d, more than twice the recommended limit of 5 g/d. The current policies and action plans of China have targeted catering workers, children, adolescents, and home chefs in salt, oil, and sugar reduction actions. However, there are still obvious deficiencies in the coordinated promotion and implementation. This study, therefore, proposed a set of comprehensive strategies (named CHRPS that is composed of communication and education, salt reduction in home cooking, salt reduction in restaurants, reducing salt content in pre-packaged food, and surveillance and evaluation) and key implementation points for further deepening the salt reduction action in China. These strategies were developed based on the main sources of dietary sodium for Chinese residents, the status of "knowledge, attitude and practice" in salt reduction, evidence of effective intervention measures, existing policies and requirements, and the salt reduction strategies of the World Health Organization and experience from some other countries. As a scientific reference, the CHRPS strategies will help the government and relevant organizations quickly implement salt reduction work and facilitate the earlier realization of China's salt reduction goal.

Mineral Intake in Urban Pregnant Women from Base Diet, Fortified Foods, and Food Supplements: Focus on Calcium, Iron, and Zinc / 生物医学与环境科学（英文）

In the Chinese national nutrition surveys, fortified foods were not investigated separately from the base diet, and the contribution of fortified foods to micronutrients intake is not very clear. This study investigated the diet, including fortified foods and food supplements, of urban pregnant women and analyzed the intake of calcium, iron, and zinc to assess the corresponding contributions of fortified foods, food supplements, and the base diet. The results demonstrated that the base diet was the major source of calcium, iron, and zinc, and was recommended to be the first choice for micronutrients intake. Furthermore, consumption of fortified foods and food supplements offered effective approaches to improve the dietary intake of calcium, iron, and zinc in Chinese urban pregnant women.

Risk assessment of fortification level for vitamin A in food in China / 中华预防医学杂志

<p><b>OBJECTIVE</b>To study the highest levels for vitamin A voluntary fortification in food by using the principles and methods of risk assessment.</p><p><b>METHODS</b>The dietary nutrient intake data of 68 962 subjects form "Survey on the Status of Nutrition and Health of the Chinese People" in 2002 were analyzed to calculate the highest fortification level of vitamin A in different groups stratified by age, sex and economic development level, using maximum sage fortification level (MSFL) model recommended by European countries. The results were compared with the current national standards of China.</p><p><b>RESULTS</b>The overall results showed that women aged ≥5 0 years had the highest MSFL(2011.5 µgRE/1000 KJ) and the men aged 14 - 17 years had the lowest MSFL (1078.5 µgRE/1000 KJ). The MSFL for pregnant women was 1066.8 µgRE/1000 KJ. The results in different areas showed that men and women aged 14 - 17 years in large city had lower MFSL(997.3 and 879.1 µgRE/1000 KJ respectively). the MSFL in other groups in different areas were between 1000 - 2000 µgRE/1000 KJ. After conversion using the lowest MSFL, the highest fortification levels for vegetable oil, wheat flour, rice, modified milk, biscuit, soybean powder, milk powder for preschool children, milk powder for pregnant and lactating women were 33 063,12 650,12 729,1978,15 929,15 411,20 642,17 920 µgRE/kg respectively,higher than the current fortified level in national standard.</p><p><b>CONCLUSION</b>The current fortification levels in foods are safe and the risk of over intake of vitamin A from fortified food is very low.</p>

Comparison of the dietary phytosterols intake and serum lipids content in elderly women from three cities of China / 中华预防医学杂志

<p><b>OBJECTIVE</b>To investigate the dietary phytosterol intake of elderly women in three different cities of China, and to compare the main dietary sources, so that to discuss the relationship of dietary phytosterol intake and serum lipids.</p><p><b>METHODS</b>Based on the dietary pattern, women more than 50 years old from Beijing, Hefei and Urumchi were chosen as testers, 80 - 100 people for each city respectively. The dietary survey was done by continues 24 hours review of two days, the plant food were collected and the phytosterol content (include beta-sitosterol, campesterol, stigmasterol, sitostanol) were analyzed by GC methods, the total phytosterols content were calculated. The dietary phytosterol intake were calculated and serum lipids were also analyzed in all the testers.</p><p><b>RESULTS</b>Testers from Beijing, Hefei and Urumchi were 100, 101 and 84 respectively. The average dietary phytosterol intake of people in Beijing and Hefei were 340.3 mg/d and 313.5 mg/d, the main sources were plant oil and cereals, while the average dietary phytosterol intake of people in Urumchi were 550.4 mg/d, higher than the other two cities (t values were 9.369, 10.420, respectively, both P values < 0.01), the main source in Urumchi was cereal (provide 53.1% of the total phytosterol intake). The laboratory results showed, testers in Urumchi had significantly lower serum TC content ((4.04 +/- 0.78) mmol/L) than that in Beijing ((4.89 +/- 0.91) mmol/L) and Hefei ((4.71 +/- 0.83) mmol/L) (t value were 6.766 and 5.401 respectively, both P values < 0.01); serum TG content in Urumchi((1.01 +/- 0.48) mmol/L) was also lower than that in Beijing ((1.31 +/- 0.53) mmol/L) and Hefei ((1.66 +/- 0.75) mmol/L) (t values were 3.343 and 7.293 respectively, both P values < 0.01); the serum glucose is also lower in testers in Urumchi ((5.02 +/- 2.18) mmol/L) compared with testers in Beijing ((5.69 +/- 1.53) mmol/L, t = 2.561, P < 0.05) and Hefei ((5.78 +/- 1.53) mmol/L, t = 2.934, P < 0.01).</p><p><b>CONCLUSION</b>Different dietary pattern result in significantly different dietary phytosterol intake in elder women in three cities, higher, phytosterol intake seemed to contribute to lower serum lipids.</p>

Contents of phytosterols in vegetables and fruits commonly consumed in China / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To quantify five specific dietary phytosterols and phytostanols in vegetables and fruits commonly consumed in China.</p><p><b>METHODS</b>A total of 34 different kinds of vegetables and 33 kinds of fruits were chosen according to the consuming habit of Chinese people. All the samples were purchased from two shops in Beijing. The contents of phytosterols (beta-sitosterol, campesterol, stigmasterol, beta-sitostanol, and campestanol) were analyzed by GLC method which was established by our laboratory, and the total phytosterols were calculated.</p><p><b>RESULTS</b>The total phytosterol content in vegetables ranged 1.1-53.7 mg/100 g edible portion. The highest concentration was found in pea, cauliflower, broccoli, and romaine lettuce. The phytosterol contents in fruits ranged 1.6-32.6 mg/100 g, the highest concentration was found in navel orange, tangerine, and mango.</p><p><b>CONCLUSION</b>The phytosterol contents in vegetables and fruits are not as high as those in edible oils, but because of the large amount of consumption, they also play an important role in increasing the people's phytosterols intake, indicating that increased intake of vegetables and fruits with higher phytosterol contents helps increase the phytosterol intake in China.</p>

Comparison of ileal digested production of parental rice and rice genetically modified with cowpeas trypsin inhibitor / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To compare the ileal digestibility of protein and amino acids in parental rice and rice genetically modified with sck gene.</p><p><b>METHODS</b>Six experimental swines were surgically fixed with a simple T-cannula at the terminal ileum and fed with parental rice and rice genetically modified with sck gene alternately. The ileum digesta were collected and analyzed for determination of apparent and true digestibility of protein and amino acids.</p><p><b>RESULTS</b>The apparent and true digestibility of protein was similar in these two types of rice. Except for the apparent digestibility of lysine, there was no difference in the apparent and true digestibility of the other 17 amino acids.</p><p><b>CONCLUSION</b>The digestibility of protein and amino acids is not changed by the insertion of foreign gene, so it can meet the request of "substantial equivalence" in digestibility of protein and amino acids.</p>

Effect of micronutrient supplementation on the growth of preschool children in China / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To study the relationship between micronutrient supplementation and children growth.</p><p><b>METHODS</b>A double-blind, placebo-controlled trial was conducted in 156 growth retarded preschool children. They were randomly assigned to five groups: supplemental control (S-control, n = 28), zinc supplementation (+Zn, 3.5 mg Zn/day, n = 34), zinc and calcium supplementation (+ZnCa, 3.5 mg Zn + 250 mg Ca/day, n = 37), zinc and calcium and vitamin A supplementation (+ZnCaVA, 3.5 mg Zn + 250 mg Ca + 200 g VA/day, n = 28), Calcium, and vitamin A supplementation (+CaVA, 250 mg Ca + 200 g VA/day, n = 29). Another 34 children with normal height were selected as normal control (N-control). Supplementation continued for twelve months.</p><p><b>RESULTS</b>The height gain in +Zn group (7.84 cm per year) and +ZnCa group (7.70 cm per year) was significantly higher than that in S-control group (6.74 cm per year, P < 0.05); The weight gain in +ZnCaVA group (2.55 kg per year) and +CaVA group (2.57 kg per year) was also significantly higher than that in S-control group (2.19 kg per year, P < 0.05); The average days of illness in each supplementation group were lower than that in S-control (13 days per year compared with 23 days per year). No significant difference was observed on bone age.</p><p><b>CONCLUSION</b>Zinc and Zinc + Calcium supplementation can improve the height gain, and vitamin A can improve weight gain in growth retarded preschool children, but do not affect the maturity of bone. Micronutrient supplementation can lower the morbidity of these children.</p>