EVALUATION OF NUTRITION AND NUTRITIONAL STATUS OF POPULATION IN CROATIA
Main researcher
: KAIĆ-RAK, ANTOINETTE (147742) Assistants
ANTONIĆ, KATICA (147731)
KLEFLIN, ANA (21174)
Type of research: applied Duration from: 10/05/91. to 12/31/93. Papers on project (total): 29
Institution name: Zavod za zaštitu zdravlja Republike Hrvatske, Zagreb (5) Department/Institute: Health ecology service Department for Nutrition Address: Rockefellerova 7, 41000 Zagreb. City: 10000 - Zagreb, Croatia
Communication
Phone: 385 (0) 1 272-822/67
Fax: 385 (0) 1 276-248
Summary: Quality of meals and nutritional status of primary and
secundary schools' pupils, employees and older persons' nutritional
status have been assesed in order to evaluate nutrition's impact on
health status of population in Croatia. Special attention has been
focused on nutrition of refugees and displaced. Distribution of
anthropometric indexesare simmilar to distribution in referal population.
However it is possible to notice slight turning to the right side of curve
(higher values of z-score) for anthropometric index height for age and
slightly toward left (lower values of z-score) for anthropometric index
weight for height. Analysis of distribution patterns of mentioned indexes
indicate that on the average our school age population is somewhat taller
and thinnier than referal. It is determined that majority of school
children reached satisfactory level of height for age. Percentage of
children who have low height for age in Croatia among resident children
is 0.5-1 % (-2SD). Results regarding their weight for height (best
indicator of present nutrition) indicate presence of significant
differences. 0-5.9 % of resident pupils and 5.1 % of displaced pupils
have values of weight for height below 2 SD. On the average 7 % of
primary school pupils have increased body weight above 2SD. Clinical
examinations confirmed presence of symptoms related to vitamin A,
riboflavin and vitamin C deficiencies. BMI values in adult physicly
active working population indicate sytuation that could be refered as to
"turning to the left". At present we do not have under nourishment or
malnoutrition among adult population but it is indicative that 11.5 % of
resident women age 20-35 years and 12% of displaced women of the same age
group is recorded to have lower body weight (BMI below 20).In the rest of
adult population it is determined that In 17% of investigated displaced
female population presence of clinical signs related to the vitamin A,
vitamin B group, vitamin C and iron have been determined. Among older
persons it is determined that 1.4% men are undernourished (BMI below 20),
34.7% have BMI values 20-24.9, 55% have BMI 25-29.9 and 13.2% of
examined older individuals have BMI values above 30. In female population
in the age group above 65 it is recorded that 6.1% women have BMI below
20, 44.3 had BMI 20-24.9, 34% had BMI values between 25-29.9 and 15.5%
were extremely obese. Meal composition regarding energy and nutrient
values (proteins, carbochydrates and fats) of daily meals do not show
significant deviation from recomended daily intake for specific age
groups. It is possible to conclude that consumed food quantities are
adequate,however,it is important to mention that analyses of quality of
nutrition (of all seqments of population) indicate that vitamin and
mineral contant (vitamins and calcium) are significantly lower than
recommended, due to low consumption of foodstafs which are biologically
valuable but often quite expensive such as milk and dairy products, meat
and fresh vegetables and fruits, especially during winter and spring
season.
Research goals: In order to improve situation regarding quality of
nutrition and impact of nutrition on health, it is necessary to develop
National food and nutrition policy (complex of health, education, economic
and legislative measures) with objective to coordinate nutritional needs
of population with production and distribution of food. To establish
continous nutritional surveilance system on the national level with the
aim to ensure relevant data about physiological needs and nutritional
status of all seqments of population which will serve as indicator and
base for future planning and establishment of National food and nutrition
policy.
COOPERATION - PROJECTS
Name of project
: Eurofoods-Enfant Improvement of the Quality and
Compatibility of Food Consumption and Food Composition Data in Europe. Name of institution: Wageningen Agricultural University City: 6700 EV - Wageningen, Netherlands
COOPERATION - INSTITUTIONS
Name of institution
: Wageningen Agricultural University Type of institution: Economical/Production Type of cooperation: Joint project City: 6700 EV - Wageningen, Netherlands
Name of institution
: National Centre for Nutrition-National
school of Public Health Type of institution: State institute Type of cooperation: Joint project City: Atena, Grčka Other information about the project.