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178 6.2  Nutrition for Adolescents

Table 6.2.3  Percentage of 11- to 18-year-old             low-fat products and artificially sweetened
boys and girls eating less than the LRNI for              drinks, perhaps due to a desire to control body
certain nutrients                                         weight.

            Percentage eating less then the            ●● Young people living in Scotland consumed
            LRNI                                          more high-fat foods and less fruit and vegetables
                                                          than those in the south of England. This impacts
Nutrient    Boys                    Girls                 nutritionally and children in Scotland had lower
Vitamin A                                                 intakes of fibre, retinol equivalents and
Riboflavin        12 13                                   ribof lavin.
Folate
Iron              8 17                                 ●● Those from the least affluent groups had lower
Calcium                                                   intakes of energy, fat and most vitamins and
Magnesium         25                                      minerals. A greater proportion of their daily
Potassium                                                 energy intake came from snacks of low nutrient
Zinc              5 43                                    density.
Selenium
Iodine            8 14                                 Nutritional status of adolescents

                  27 50                                Blood analyses from the 1997 NDNS revealed that:

                  16 31                                ●● 13 per cent of boys and 27 per cent of girls had
                                                          low serum ferritin levels, indicative of low iron
                  11 18                                   stores

                  22 47                                ●● vitamin C, folate, riboflavin and thiamin blood
                                                          levels were all low, particularly in young people
                  7 17                                    in Scotland and northern England

From Department of Health (2011).                      ●● 8 per cent of boys and 11.5 per cent of girls had a
LRNI, Lower Reference Nutrient Intake.                    plasma cholesterol concentration above
                                                          5.2 mmol/L
●● Intake of milk-based foods was inadequate from
   the age of 11 years, with few drinking milk.        ●● use of salt at the table was associated with
                                                          increased systolic blood pressure
●● High rates of dieting among teenage girls were
   noted. In the 1997 NDNS 16 per cent of girls        ●● 10–25 per cent had low vitamin D plasma levels
   aged 15–18 years old were dieting to lose              depending on the time of year measurements
   weight.                                                were made. This may reflect less time spent
                                                          outside in the summer months.
●● Ten per cent of 15- to 18-year-old girls said they
   were vegetarian in the same survey. Suitable        Further Causes of Malnutrition
   high-iron alternatives to meat and fish such as
   nuts and pulses are often not included in the       Obesity
   teenage vegetarian’s diet.
                                                       This is discussed in Chapter 7.2.
●● Breakfast is often not eaten which reduces
   nutrient intakes. A survey in 2005 found that 12    Vegetarianism
   per cent of children aged 15–16 years did not eat
   anything before school (Sodexho 2005).              Most dietary regimens are short lived but
                                                       vegetarianism may be one way of sustaining a
●● Older boys have better nutrient intakes than        reduced energy intake. For some, dieting and
   girls as they eat larger quantities of food,        vegetarianism are intertwined. In a US study
   including more biscuits, meat, fortified
   breakfast cereals, baked beans and potatoes.

Population differences in the dietary
intakes of adolescents

●● Boys appear to prefer meat and dairy products,
   while girls were more likely to favour fruit,
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