Volume 44 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
ZHONG Chengwang, YANG Bin, FENG Qiqin, ZHAO Chanjuan, GUO Jingyue, ZHANG Tao, CHENG Qiuyun, ZHANG Fan. Milk consumption behavior and its impact on bone mineral density among 696 pupils in Hainan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1631-1635. doi: 10.16835/j.cnki.1000-9817.2023.11.008
Citation: ZHONG Chengwang, YANG Bin, FENG Qiqin, ZHAO Chanjuan, GUO Jingyue, ZHANG Tao, CHENG Qiuyun, ZHANG Fan. Milk consumption behavior and its impact on bone mineral density among 696 pupils in Hainan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1631-1635. doi: 10.16835/j.cnki.1000-9817.2023.11.008

Milk consumption behavior and its impact on bone mineral density among 696 pupils in Hainan Province

doi: 10.16835/j.cnki.1000-9817.2023.11.008
  • Received Date: 2023-05-04
  • Rev Recd Date: 2023-08-04
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To investigate the milk-drinking behavior and bone mineral density level of pupils in Hainan Province, and to explore the correlation between bone mineral density and milk-drinking behavior, in order to provide scientific basis for promoting the healthy development of bones in children and adolescents.  Methods  In November 2021, a cross-sectional survey including demographic characteristics, milk intake, unhealthy eating behavior, physical activity and sleep was conducted among 696 students from grades 3 to 5 in Sanya and Baisha, Hainan by stratified cluster random sampling, and bone mineral density at the distal 1/3 of the right forearm was measured by dual-energy X-ray absorptiometry. t-test was used to compare the differences in bone mineral density among different milk-drinking behaviors of pupils, and multiple linear regression was used to analyze the correlation between milk consumption and bone mineral density.  Results  About 25.3% students consumed milk daily and 13.9% consumed ≥300 g of milk daily. The mean bone mineral density at the distal 1/3 of the right forearm was (0.237±0.041)g/cm2. The bone mineral density was greater in the group with daily milk intake than in the group without daily milk intake [(0.250±0.037)(0.204±0.034)g/cm2, t=15.00, P < 0.01], and the bone mineral density was greater in the group with daily average milk intake ≥300 g than in the group with daily average milk intake < 300 g [(0.284±0.036)(0.229±0.037)g/cm2, t=13.48, P < 0.01]. Multiple linear regression analysis showed that daily average milk intake was positively correlated with bone mineral density, with a correlation coefficient (β=0.020, t=21.46, P < 0.01).  Conclusion  Milk consumption among pupils is inadequate, and milk-drinking behavior has a positive impact on bone mineral density, so effective milk-drinking intervention should be carried out to promote children's bone development.
  • loading
  • [1]
    吴斌, 白峰华, 林明侠, 等. 青少年跟骨骨密度与骨矿脂肪肌肉含量的关系[J]. 中国学校卫生, 2019, 40(9): 1360-1362. doi: 10.16835/j.cnki.1000-9817.2019.09.022

    WU B, BAI F H, LIN M X, et al. The relationship between calcaneal bone mineral density and bone mineral, fat and muscle content in adolescents[J]. Chin J Sch Health, 2019, 40(9): 1360-1362. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.09.022
    沈朝霞, 潘圆圆, 黄荣, 等. 儿童骨密度与骨代谢相关因素的临床研究[J]. 中国儿童保健杂志, 2020, 28(2): 144-147, 160. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202002011.htm

    SHEN Z X, PAN Y Y, HUANG R, et al. Clinical study of relationship between bone mineral density and related of bone metabolism in children[J]. Chin J Child Health Care, 2020, 28(2): 144-147, 160. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202002011.htm
    RATAJCZAK A, ZAWADA A, RYCHTER A, et al. Milk and dairy products: good or bad for human bone?Practical dietary recommendations for the prevention and management of osteoporosis[J]. Nutrients, 2021, 13(4): 1329. doi: 10.3390/nu13041329
    潘丽莉, 赵显峰, 来伟旗, 等. 饮用学生奶对浙江省小学生生长发育和骨密度的影响[J]. 卫生研究, 2010, 39(5): 555-556. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201005008.htm

    PAN L L, ZHAO X F, LAI W Q, et al. Effects of drinking school milk on growth and bone mineral density of primary school students in Zhejiang Province[J]. J Hyg Res, 2010, 39(5): 555-556. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201005008.htm
    袁兆康, 文小桐. 中国青少年健康危险行为研究设计与流行现状[J]. 中国学校卫生, 2019, 40(4): 638-640. doi: 10.16835/j.cnki.1000-9817.2019.04.046

    YUAN Z K, WEN X T. Research design and prevalence of adolescent health risk behaviors in China[J]. Chin J Sch Health, 2019, 40(4): 638-640. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.04.046
    张帆, 张倩, 潘慧, 等. 学生营养改善计划地区2012和2013年不同供餐模式学校能量营养素供应情况比较[J]. 中国学校卫生, 2016, 37(5): 667-669, 673. doi: 10.16835/j.cnki.1000-9817.2016.05.009

    ZHANG F, ZHANG Q, PAN H, et al. Comparison of dietary nutrients of nutrition improvement program for rural compulsory education students between different catering models[J]. Chin J Sch Health, 2016, 37(5): 667-669, 673. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.05.009
    杨月欣, 王光亚, 何梅, 等. 中国食物成分表[M]. 北京: 北京大学医学出版社, 2018.

    YANG Y X, WANG G Y, HE M, et al. Chinese food composition table[M]. Beijing: Peking University Medical Press, 2018. (in Chinese)
    张娜, 朱文丽, 张曼, 等. 《中国学龄儿童膳食指南(2022)》解读[J]. 中国学校卫生, 2022, 43(6): 805-808. doi: 10.16835/j.cnki.1000-9817.2022.06.002

    ZHANG N, ZHU W L, ZHANG M, et al. Interpretation on Dietary Guidelines for Chinese School-aged Children[J]. Chin J Sch Health, 2022, 43(6): 805-808. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.002
    李红飞, 陈靖敏, 黄丽华, 等. 中国青少年不良饮食行为及影响因素分析[J]. 现代预防医学, 2022, 49(18): 3344-3350. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202218015.htm

    LI H F, CHEN J M, HUANG L H, et al. Unhealthy dietary behaviors and influencing factors among Chinese adolescents[J]. Mod Prev Med, 2022, 49(18): 3344-3350. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202218015.htm
    《中国人群身体活动指南》编写委员会. 中国人群身体活动指南(2021)[J]. 中华预防医学杂志, 2022, 56(1): 7-8. https://www.cnki.com.cn/Article/CJFDTOTAL-YASY202204028.htm

    Composing and Editorial Board of Physical Activity Guidelines for Chinese. Physical activity guidelines for Chinese(2021)[J]. Chin J Prev Med, 2022, 56(1): 7-8. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YASY202204028.htm
    中华人民共和国卫生部. 中小学生一日学习时间卫生要求: GB/T 17223—2012[S]. 北京: 中国标准出版社, 2012.

    Ministry of Health of the PRC. One day study time hygiene requirements for elementary and secondary students: GB/T 17223-2012[S]. Beijing: Standards Press of China, 2012. (in Chinese)
    程晓光, 袁慧书, 程敬亮, 等. 骨质疏松的影像学与骨密度诊断专家共识[J]. 中国骨与关节杂志, 2020, 9: 666-673. https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL202009011.htm

    CHENG X G, YUAN H S, CHENG J L, et al. Consensus on imaging and bone mineral density diagnosis of osteoporosis[J]. Chin J Bone Joint, 2020, 9: 666-673. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL202009011.htm
    张金, 张田, 孙慧慧, 等. 学龄期肥胖儿童骨密度水平及影响因素研究[J]. 中国儿童保健杂志, 2020, 28(11): 1271-1275. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202011025.htm

    ZHANG J, ZHANG T, SUN H H, et al. Study on bone mineral density level and its influencing factors in obese school-age children[J]. Child Health Care China J, 2020, 28(11): 1271-1275. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202011025.htm
    骆彦霏, 王超群, 王小娜, 等. 海口市112例少年儿童骨密度及影响因素分析[J]. 中国骨质疏松杂志, 2014, 20(7): 804-806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZS201407018.htm

    LUO Y F, WANG C Q, WANG X N, et al. Study of the bone mineral density in 112 children and adolescents in Haikou and the influencing factors[J]. Chin J Osteopor, 2014, 20(7): 804-806. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZS201407018.htm
    李静. 银川市学龄儿童青少年骨密度发育特征及其与维生素D的关系[D]. 银川: 宁夏医科大学, 2018.

    LI J. Analysis of bone mineral density and its correlation with vitamin D among children and adolescents in Yinchuan[D]. Yinchuan: Ningxia Medical University, 2018. (in Chinese)
    DOLAN E, SALE C. Protein and bone health across the lifespan[J]. Proc Nutr Soc, 2019, 78(1): 45-55.
    冯棋琴, 叶志萍, 董春波, 等. 海南省贫困地区9~16岁学生维生素D水平及影响因素[J]. 中华骨质疏松和骨矿盐疾病杂志, 2021, 14(6): 615-620. https://www.cnki.com.cn/Article/CJFDTOTAL-GUSS202106013.htm

    FENG Q Q, YE Z P, DONG C B, et al. Vitamin D levels and influencing factors among students aged 9-16 years in poor areas of Hainan Province[J]. Chin J Osteop Bone Miner Res, 2021, 14(6): 615-620. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GUSS202106013.htm
    冯棋琴, 王松, 王会琴, 等. 海南省琼中县中小学生营养知识和行为调查[J]. 基层医学论坛, 2015, 19(10): 1395-1397. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLT201510072.htm

    FENG Q Q, WANG S, WANG H Q, et al. Investigation on nutrition knowledge and dietary behavior of primary and middle-school students in Qiongzhong Country of Hainan Province[J]. Med Forum, 2015, 19(10): 1395-1397. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXLT201510072.htm
    唐咏梅, 杨猛, 刘英莉, 等. 学龄儿童骨密度水平及其膳食影响因素[J]. 中国学校卫生, 2013, 34(6): 706-708. http://www.cjsh.org.cn/article/id/zgxxws201306023

    TANG Y M, YANG M, LIU Y L, et al. Effect of dietary on bone density among school-age children[J]. Chin J Sch Health, 2013, 34(6): 706-708. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201306023
    罗仁惠, 谢奇, 郭秋云, 等. 海南省2005与2015年12岁儿童口腔健康状况及行为变化[J]. 中国学校卫生, 2020, 41(10): 1552-1554. doi: 10.16835/j.cnki.1000-9817.2020.10.029

    LUO R H, XIE Q, GUO Q Y, et al. Changes in oral health status and oral health behavior among 12-year-old children in Hainan Province during 2005-2015[J]. Chin J Sch Health, 2020, 41(10): 1552-1554. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.10.029
    卢琼妹. 学龄期儿童预防保健对儿童生长发育的作用分析[J]. 蚌埠医学院学报, 2017, 42(9): 1238-1242. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG201709028.htm

    LU Q M. Effect of health care on the growth and development of school-age children[J]. J Bengbu Med Coll, 2017, 42(9): 1238-1242. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BANG201709028.htm
    周月婵, 胡余明, 马征, 等. 长期饮用学生奶与儿童骨密度的关系[J]. 卫生研究, 2011, 40(1): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201101015.htm

    ZHOU Y C, HU Y M, MA Z, et al. Relation of long-term consumption of school milk to bone density in children[J]. J Hyg Res, 2011, 40(1): 65-67. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201101015.htm
    KIM S, KIM W, KANG M. Effect of milk and milk products consumption on physical growth and bone mineral density in Korean adolescents[J]. Nutr Res Pract, 2013, 7(4): 309-314.
    杜文雯, 王惠君, 王志宏, 等. 中国九省区1991—2006年7~17岁儿童青少年饮奶状况及变化趋势[J]. 中华流行病学杂志, 2010, 31(12): 1349-1352.

    DU W W, WANG H J, WANG Z H, et al. Trend of milk consumption among Chinese children and adolescents aged 7 to 17 years old in 9 provinces from 1991 to 2006[J]. Chin J Epidemiol, 2010, 31(12): 1349-1352. (in Chinese)
    史佳, 房红芸, 于冬梅, 等. 中国6~17岁儿童青少年奶制品摄入状况分析[J]. 中国食物与营养, 2022, 28(6): 26-30. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWY202206005.htm

    SHI J, FANG H Y, YU D M, et al. Consumption status of Dairy products in Chinese children and adolescents aged 6-17[J]. Food Nutr China, 2022, 28(6): 26-30. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWY202206005.htm
  • 加载中


    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索


    Article Metrics

    Article views (169) PDF downloads(24) Cited by()
    Proportional views


    DownLoad:  Full-Size Img  PowerPoint