Analyzing nutrition rations at pre-school children facilities in a large industrial city in Russia

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D.N. Lir1,2, A.Ya. Perevalov2, N.V. Tapeshkina3,4, A.V. Sherstobitova2, E.A. Misharina2


1Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
2Perm State Medical University named after Academician E.A. Wagner, 26 Petropavlovskaya Str., Perm, 614990, Russian Federation
3Novokuznetsk State Institute for Doctors Skills Development, a branch of the Russian medical Academy for Continuous Occupational Education, 5 Stroitelei Ave., Novokuznetsk, 654005, Russian Federation
4Kemerovo State Medical University, 22А Voroshilova Str., Kemerovo, 650029, Russian Federation


Our research goal was to assess nutrition rations (menus) offered to children at pre-school children facilities after they had raised the costs of their services.
We performed hygienic assessment of cycle menus in order to establish whether they conformed to the existing standards; the assessment was performed in 28 pre-school children facilities in different districts of a large Russian city. All the calculations were made with our own software program called “Menu” that contained a database on a chemical structure of food products and product charts for dishes and culinary products.
Model menus offered to children at pre-school children facilities were able to satisfy their needs in macro-nutrients (by 102–127 %), vitamins (by 102–176 %), and minerals (by 102–162%). However, vegetable fats were not provided in sufficient quantities (20 %). We revealed that there was a deficiency of certain products in a ration and it amounted to 10 % regarding vegetables and wheat flour; more than 20 %, potatoes; more than 30%, sour milk drinks and vegetable oil. We also revealed that there were discrepancies between a stated quantity of a product and its actual provision in a ration or dishes and culinary products were not provided in a quantity stated in an official menu; sometimes the same dishes were offered to children for two days. Greater payments made by parents to a pre-school facility for taking care of their children didn’t result in better nutrition provided by such facilities.
Our research results revealed that any sanitary-epidemiologic surveillance aimed at preventing risks of alimentary de-pendent diseases should concentrate on eliminating deficiency of certain products (sources of essential nutrients such as animal proteins, vegetable fats, food fiber, and vitamins). Optimizing nutrition in pre-school facilities will require certain social and preventive activities.

nutrition, pre-school children facilities, menu, chemical structure, a set of products, nutrient charts for dishes, age-related needs, elimination of products deficiency
Lir D.N., Perevalov A.Ya., Tapeshkina N.V., Sherstobitova A.V., Misharina E.A. Analyzing nutrition rations at pre-school children facilities in a large industrial city in Russia. Health Risk Analysis, 2020, no. 1, pp. 52–58. DOI: 10.21668/health.risk/2020.1.05.eng
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