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Open AccessArticle

Calcium Intake and Nutritional Adequacy in Spanish Children: The ANIVA Study

Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain
Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
Author to whom correspondence should be addressed.
Nutrients 2017, 9(2), 170;
Received: 29 December 2016 / Revised: 15 February 2017 / Accepted: 17 February 2017 / Published: 21 February 2017
Calcium is an important nutrient for child development. The main objective of this study was to assess calcium intake and its adequacy with dietary reference intake (DRI) in Spanish children. The ANIVA (Antropometría y Nutrición Infantil de Valencia) study is a descriptive cross-sectional study. During two academic years 2013–2014 and 2014–2015, 1176 schoolchildren aged 6–9 years were selected from 14 primary schools in Valencia (Spain). Three-day food records were used to assess dietary intake, completed by parents/guardian. Anthropometric data (weight and height) were evaluated in all subjects. Nutritional intake was compared to estimated average requirements (EARs) and adequate intake (AI) values to determine nutritional adequacy. A percentage of 25.77% had inadequate calcium intake, and a significantly higher prevalence was observed in girls (p = 0.006). Adequate calcium intake showed a positive association with the height z-score (p = 0.032). When assessing dietary patterns, schoolchildren with adequate calcium intakes had better nutritional adequacy in all nutrients, except cholesterol (p = 0.086) and fluorine (p = 0.503). These results suggest a public health problem that must be addressed through nutrition education programs to increase intake of calcium-rich food and to correct the associated dietary pattern. View Full-Text
Keywords: children; nutritional intake; calcium; nutrients intake children; nutritional intake; calcium; nutrients intake
MDPI and ACS Style

Rubio-López, N.; Llopis-González, A.; Morales-Suárez-Varela, M. Calcium Intake and Nutritional Adequacy in Spanish Children: The ANIVA Study. Nutrients 2017, 9, 170.

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