|
|
Analysis of the serum vitamin A levels and related influencing factors in children aged 0 to 6 years |
ZHAO Shujing1 FENG Na′na2 |
1.Department of Pediatrics, Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei, Hebei Province, Cangzhou 061001, China;
2.Department of Science and Education, Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei, Hebei Province, Cangzhou 061001, China |
|
|
Abstract Objective To investigate the serum vitamin A (Vit A) levels and related influencing factors in children aged 0 to 6 years. Methods From April 2017 to April 2019, a total of 445 children aged 0 to 6 years who were treated in the pediatric clinic of Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei Province were selected for questionnaire survey. Serum Vit A levels were measured, and the levels of Vit A and the deficiency of Vit A among children aged 0 to 6 years of different gender, season and age were observed and analyzed. Results There were no significant differences in Vit A levels and deficiencies between different genders (P > 0.05). There was a statistically significant difference in serum Vit A levels between different seasons (P < 0.05). Further comparison, the Vit A levels in summer and autumn were significantly higher than those in winter, and the differences were statistically significant (P < 0.05). Comparison of serum Vit A at different ages, the differences were statistically significant (P < 0.05). Among them, the levels of Vit A were the lowest in children less than 6 months (P < 0.05). There were no significant differences in the levels of Vit A among children of other ages (P > 0.05). While the difference in serum Vit A deficiency was statistically significant (P < 0.05). Regression analysis showed that season and age were influencing factors of Vit A levels. Conclusion It is necessary to perform Vit A test and appropriate Vit A supplement in time for children in winter and low age.
|
|
|
|
|
[1] 张之晗,河北省农村地区学龄儿童营养状况与智力发育水平研究[D].石家庄:河北医科大学,2017.
[2] 张旭光,陈彦平,陈冬凯,等.黑龙江省0~16岁儿童血清维生素A营养状况分析[J/OL].中国儿童保健杂志,http://kns.cnki.net/kcms/detail/61.1346.R.20190507.1324.022.html
[3] 杨春,陈竞,云春凤,等.中国中小城市小学生维生素A缺乏和贫血现况调查[J].卫生研究,2016(3):489-491.
[4] Wirth JP,Petry N,Tanumihardjo SA,et al. Vitamin A Supplementation Programs and Country-Level Evidence of Vitamin A Deficiency [J]. Nutrients,2017(9):190.
[5] OMS. Indicatiors for assessing citamin A deficiency and their application in monitoring and ecaluating intervention programmers.1996.WHO reference number:WHO/NUT/96.10[M/OL]. [2013-03-25] http://www. who.int/nutrition/publications/micronutrients/citamin_a_deficiency/WHO_NUT_ 96.10/en/.
[6] 金春华,王晓燕,张丽丽,等.健康儿童脂溶性维生素A、D、E现状分析[J].中华临床应用杂志,2016,24(6):349-353.
[7] 孙丽芳,尹有会,梁利,等.北京市平谷区2~6岁儿童血清维生素A水平分析[J].中国妇幼健康研究,2016,27(4):510-512.
[8] 张振洪,倪明,胡媛,等.东莞市学龄前儿童维生素A缺乏现在及维生素A对血清铁蛋白及红细胞参数的影响[J].中国当代儿科杂志,2018,20(3):195-199.
[9] Xiong JJ,Toschke AM,Kries RV,et al. Vitamin A status among children in China [J]. Public Health Nutrition,2006,9(8):955-960.
[10] 李文娟,薛佳殷,黄云,等.泰兴地区0~12岁儿童维生素A和维生素E的营养状况[J].中国学校卫生,2018, 39(9):1301-1306.
[11] 廖新,穆亚平,李玢,等.沈阳市1480名0~6岁体检儿童血清维生素A水平现状分析[J].中国中西医结合儿科学,2016,8(5):522-524.
[12] 李娜,王建红,金春华,等.67例儿童血清维生素A、D、E水平研究[J].中国儿童保健杂志,2015,23(10):1093-1096.
[13] 陈龙.我国婴幼儿配方食品标准中维生素适宜含量值评价[M].合肥:安徽医科大学,2018.
[14] 张立军,鲍纪明,陈海兰.舟山海岛母乳中维生素A测定结果分析[J].卫生研究,2001,30(4):234-236.
[15] Sharma R,Sood A,Nair P. Infant Feeding Practices and Risk of Occurrence of Diarrheal and Respiratory Infections in Infancy a hospital based study [J]. Int J Contemp Pediatrics,2017,4(5):1717-1720.
[16] Hedin C, Whelan K, Lindsay JO. Evidence for the use of probiotics and prebiotics in inflammatory bowel disease:a review of clinical trials [J]. Proc Nutr Soc,2007,66(3):307-315.
[17] 黄雪微,黄秀丽,翁薇洁,等.维生素A、E水平与反复儿童呼吸道感染的相关性研究[J].中国医药科学,2018, 8(12):75-77,104.
[18] 汤蕾,罗霞,李英,等.中国农村地区6~30月龄儿童喂养状况和影响因素的实证研究[J].华东师范大学学报:教育科学版,2019(3):84-96.
[19] 孙欣欣.小儿社区获得性肺炎与血清维生素A、维生素D水平相关性研究[J].中国医学创新,2019,16(21):124-127.
[20] Zhao Q,Yuan H,Hu H,et al. Follow-up of Pseudomembranous Colitis in Children Using Colonoscopy:A Case Report [J]. West Indian Med J,2015,64(4):435-437.
[21] 阮荣华,杨再兴,叶雅丽,等.台州地区成年人维生素A水平的初步调查及其季节性影响[J].中国卫生检验杂志,2019(8):947-949.
[22] 陈宝伶.儿童过敏性紫癜与维生素A、D、E水平的相关性研究[J].中国现代医生,2017,55(31):17-20.
[23] 董莉,蔡冰冰,韩丽萍,等.维生素A联合营养素在肺部感染新生儿中的辅助疗效研究[J].中国医药科学,2017,7(15):205-207.
[24] 李廷玉,黄鸿眉.维生素A缺乏的诊断、治疗及预防[J]. 实用儿科临床杂志,2010,25(11):867-868. |
|
|
|