首页|衡阳地区3 067名0~17岁儿童维生素D水平的调查分析

衡阳地区3 067名0~17岁儿童维生素D水平的调查分析

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目的 了解衡阳地区0~17岁儿童血清25-羟基维生素D(25-OH-VD)水平及缺乏情况,提供本地区儿童维生素D合理补充的科学依据。方法 回顾性分析2022年1月至2023年12月在衡阳市妇幼保健院儿童保健科进行常规健康体检的3 067名0~17岁儿童的血清25-OH-VD水平状况,采用化学发光法检测血清25-OH-VD水平,分析比较不同年龄、性别、季节与其水平的关系。结果 3 067名0~17岁儿童血清25-OH-VD的平均水平为(35。70±11。29)ng/ml,25-OH-VD缺乏率为6。7%,不足率为25。6%,充足率为67。7%。不同性别儿童的25-OH-VD水平比较,差异无统计学意义(P>0。05),而25-OH-VD水平分布情况比较,差异有统计学意义(P<0。05),女性的血清25-OH-VD缺乏率高于男性。不同年龄段儿童的血清25-OH-VD水平及分布情况比较,差异有统计学意义(P<0。05),血清25-OH-VD水平及充足率随着儿童年龄的增长有所下降。不同季节25-OH-VD水平及分布情况比较,差异有统计学意义(P<0。05),其中秋季25-OH-VD水平最高,冬季25-OH-VD水平最低。多因素logistic回归分析显示年龄和季节是影响25-OH-VD水平的独立因素(P<0。05)。结论 应注重儿童定期体检,根据个体情况加强维生素D的补充,增加儿童户外活动的时间,特别是学龄期和青春期儿童,预防维生素D相关症的发生。
Investigation and analysis of vitamin D levels in 3 067 children aged 0-17 years in Hengyang area
Objective To investigate the level and deficiency of 25-hydroxyvitamin D(25-OH-VD)in serum of 0-17 year old children in Hengyang area,and to provide scientific basis for rational vitamin D supplementation for children in Hengyang area.Methods The serum 25-OH-VD levels of 3 067 children aged 0-17 years who underwent routine physical examination in the Women and Children's Health Hospital of Hengyang from January 2022 to December 2023 were retro-spectively analyzed.The serum 25-OH-VD level was detected by chemiluminescence method,and the relationship between the level and age,sex and season was analyzed and compared.Results The average level of serum 25-OH-VD in 3 067 children aged 0-17 years was(35.70±11.29)ng/ml,the 25-OH-VD deficiency rate was 6.7%,the insufficiency rate was 25.6%,and the sufficiency rate was 67.7%.There was no statistical significance in the 25-OH-VD level of children of different genders(P>0.05),but there was statistical significance in the distribution of 25-OH-VD level of children of dif-ferent genders(P<0.05).The serum 25-OH-VD deficiency rate of women was higher than that of men.The level and dis-tribution of serum 25-OH-VD in children of different ages had statistical significances(P<0.05),and the level and suffi-ciency of serum 25-OH-VD decreased with the increase of children's age.The 25-OH-VD level and distribution in different seasons had statistical significances(P<0.05),and the 25-OH-VD level was the highest in autumn and the lowest in winter.Multiple logistic regression analysis showed that age and season were independent factors affecting 25-OH-VD level(P<0.05).Conclusion To prevent the diseases,which related to vitamin D,regular physical examinations should be conducted in children,and the supplement of vitamin D should be strengthened,based on the individual situation of children.The time for outdoor activity in chidren also should be incresed,especially for school-age and adolescent children.

25-hydroxyvitamin DVitamin DChildrenHengyang area

黄丽、陈友军

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湖南省衡阳市妇幼保健院检验科,湖南衡阳 421001

25-羟基维生素D 维生素D 儿童 衡阳地区

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(21)