| 摘要: | 背景：世界衛生組織建議嬰兒應純母乳哺育至第六月齡開始添加副食品，藉此提升營養攝取。近年臺灣市售副食品的使用有逐漸提升趨勢。研究指出家長認為有健康或營養宣稱產品較營養。而研究卻發現近六成具宣稱的嬰幼兒食品含高糖或高鈉。因此，本研究目的欲探討臺灣市售副食品包裝之營養相關資訊，並瞭解家長使用副食品習慣及對產品看法。方法：第一部分蒐集363項副食品包裝資訊，包含：建議月齡、保存溫度（如：常溫及冷凍）、食物種類（如：單一或混合型副食品、米麥精、嬰兒餅乾）、營養成分、產品宣稱（如：成分、健康、營養宣稱）等。第二部分以網路問卷為主，招募育有1-3歲小孩的臺灣家長，共1192份有效問卷；再以訪談為輔，從問卷招募12位曾用市售產品家長進行訪談。結果：48.2%產品建議月齡為< 6個月。相較4-6個月產品，7-9個月(46.2%、59.2%)及10-12個月(37.6%、43.2%)產品有較多比例為高鈉及高糖。嬰兒餅乾是鈉及糖量最高的食物。96.3%常溫單一食物副食品及68.4%米麥精亦有高糖問題。相較無健康宣稱產品，具健康宣稱產品有較高比例為高鈉(33.5%)及額外添加糖(49.5%)。61.8%家長提供市售產品給小孩，50.8%家長提供嬰兒餅乾。77.6%家長選購產品時，總是或經常閱讀包裝營養相關資訊，48.8%家長以營養為重要考量。然而，訪談發現媽媽未必瞭解營養標示。結論：臺灣市售副食品六個月以上適用及嬰兒餅乾為高鈉及高糖，具健康宣稱產品亦有高鈉或高糖問題。然而，家長閱讀包裝資訊未必能讀懂。因此建議兒科醫師及營養師應加強教導家長理解營養標示。
Background: The World Health Organization recommends that infants be breastfed exclusively for the first 6 months before their diets are supplemented with complementary food to increase nutrient intake. In recent years, the use of complementary food in feeding infants in Taiwan has been increasing. The nutrient content of commercial products differs with food category. Previous studies indicated that products with health or nutrition claims were considered more nutritious. However, ≧ 60% of products with such claims are high in sugar or sodium content. Therefore, the purpose of this study was to investigate the nutritional information on commercial complementary food product packages and to investigate parents’ opinions about commercial complementary food. Methods: This study comprised two components: First, Package information of 363 popular complementary foods was collected. These information included recommendation-age, food categories, nutrition facts, and food claims (such as composition, health, and nutrition claims). Second, research was undertaken using an online questionnaire survey of 1192 participants, who were parents with a child aged 1–3 years. After an initial analysis of the survey results, in-depth interviews were conducted with 12 mothers who had used commercial complementary food. Results: 48.2% of products were targeted < 6 month infant. The 7-9 (46.2%, 59.2%) and 10-12 month (37.6%, 43.2%) products had higher proton of high sodium and high sugar content. Infant cookies were the most sodium and sugar content food. And 96.3% of pure food and 68.4% of infant cereal had higher sugar content. Products with health claims had higher proton of higher sodium content(33.5%) and added-sugar(49.5%). 61.8% of parents provided commercial product to their children. 50.8% of them provided infant cookies. 77.6% of parents always or usually read food ingredients and nutritional information on package and 48.8% of then parents paid attention to the nutrient content. However, from the in-depth interview results, parents do not actually understand the nutrition facts. Conclusion: More than 30% of products targeted > 6 month infant and infant cookies were high in sodium and sugar content in Taiwan. Products with health claims were found to be high in sodium. In addition, parents do not real understand the nutritional package information. Therefore, pediatric doctors and dietitians should educate parents on how to read nutrition facts. |
