Afsane Ahmadi, Zahra Mosallaei, Mahsa Moazen, Abolfazl Mohammadbeigi, Faramarz Amin-lari.
Nutrient intake and growth indices for children at Kindergartens in Shiraz, Iran.
J Pak Med Assoc Jan ;64(3):316-21.

Objective: To evaluate energy and nutrient intake and determine growth indices for pre-school children in Iran. Methods: The study was conducted from June to September 2010 and included 150 children aged between 3 and 5 years who attended kindergartens in Shiraz, Iran. Following a measurement of the participants' height and weight, three 24-hour dietary recalls were completed based on interviews with their parents. The data was entered into various computer softwares. The prevalence of underweight, stunting, wasting, at-risk-of-overweight and overweight children was then calculated, and energy and nutrient intake was compared with the recommended values. Results: The mean intake of energy, calcium and iron for the children were less than the recommended values. In contrast, the mean intakes of carbohydrate, protein, zinc and vitamin C were higher than the recommendations. Fat intake, however, was within the Acceptable Macronutrient Distribution Range. In addition, the rates of prevalence of the underweight, stunting, wasting, and overweight or at-risk-of-overweight were found to be 27 (18.6%), 37 (25.5%), 18 (12.4%) and 34 (23.4%), respectively. Finally, underweight children had lower intake of energy, carbohydrate, protein, fat, iron and zinc, while overweight or at-risk-of-overweight ones had higher intake of protein, calcium and zinc. Conclusion: There is a need for children in kindergartens of Shiraz to improve their mean intake of energy, calcium and iron. Moreover, about one-fourth of the children were stunted and about the same proportion were either overweight or at the risk of being so.

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