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陈艳琳, 杨芳, 龚建华, 刘极文, 张丽美, 周首俊, 吴瑞霞, 谢秋梅, 李丽. 0~3岁婴幼儿维生素D水平影响因素分析[J]. 中国妇幼卫生杂志, 2020, 11(5): 52-55. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.012
引用本文: 陈艳琳, 杨芳, 龚建华, 刘极文, 张丽美, 周首俊, 吴瑞霞, 谢秋梅, 李丽. 0~3岁婴幼儿维生素D水平影响因素分析[J]. 中国妇幼卫生杂志, 2020, 11(5): 52-55. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.012
CHEN Yan-lin, YANG Fang, GONG Jian-hua, LIU Ji-wen, ZHANG Li-mei, ZHOU Shou-jun, WU Rui-xia, XIE Qiu-mei, LI Li. Analysis on the effect factors of vitamin D level among infants aged 0-3 years old[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2020, 11(5): 52-55. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.012
Citation: CHEN Yan-lin, YANG Fang, GONG Jian-hua, LIU Ji-wen, ZHANG Li-mei, ZHOU Shou-jun, WU Rui-xia, XIE Qiu-mei, LI Li. Analysis on the effect factors of vitamin D level among infants aged 0-3 years old[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2020, 11(5): 52-55. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.012

0~3岁婴幼儿维生素D水平影响因素分析

Analysis on the effect factors of vitamin D level among infants aged 0-3 years old

  • 摘要: 目的 通过0~3岁婴幼儿血清25(OH)D3水平影响因素分析,为有效控制并减少婴幼儿维生素D缺乏的发生提供科学依据。方法 对2017年7月-2018年12月在深圳市罗湖区妇幼保健院儿童保健科生长发育门诊进行健康管理的1407名0~3岁婴幼儿进行25(OH)D3定量测定及问卷调查。结果 0~3岁婴幼儿25(OH)D3不足检出率为14.1%。不同年龄段、不同孕周0~3岁婴幼儿25(OH)D3水平差异均有统计学意义(P值均<0.05)。线性回归分析发现,季节、父亲文化水平是儿童25(OH)D3水平影响因素。多因素二元Logistics回归分析发现,出生孕周、季节为维生素D缺乏的影响因素(P值均<0.05)。结论 罗湖区0~3岁婴幼儿维生素D总体营养状况相对较好,但应进一步强化3月龄以内儿童维生素D的补充。季节、父亲文化水平是儿童25(OH)D3水平影响因素。出生孕周≥37周、夏秋季节为维生素D缺乏的保护因素(P值均<0.05)。

     

    Abstract: Objective Through the analysis of the influencing factors of serum 25(OH) D3 level among 0-3-year-old infants to provide scientific basis for effectively controlling and reducing the occurrence of vitamin D deficiency in infants.Methods From July 2017 to December 2018,1407 0-3-year-old infants in the growth and development clinic of children's health care department of Luohu District Maternal and child health care hospital were measured with 25(OH) D3 quantitative method and questionnaire.Results The detection rate of 25(OH) D3 deficiency was 14.1%. There were statistically significant differences in the levels of 25(OH) D3 between 0-3 years old infants and young children of different ages and different gestational weeks(P<0.05). Linear regression analysis showed that season of pregnancy and father's education level were the influencing factors of children's 25(OH) D3 level.Multivariate logistic regression analysis showed that the gestational age and season of pregnancy were the influencing factors of vitamin D deficiency(P<0.05).Conclusion The nutritional status of vitamin D in infants aged 0-3 in Luohu District is relatively good,but vitamin D supplementation for children within 3 months of age should be further strengthened. Season of pregnancy and father's education level are the influencing factors of children's 25(OH) D3 level. The protective factors of vitamin D deficiency were gestational age≥37 weeks,pregnancy in summer and autumn(P<0.05).

     

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