首页|西安地区0~12岁健康体检儿童血清25羟维生素D水平调查研究

西安地区0~12岁健康体检儿童血清25羟维生素D水平调查研究

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目的 调查并评估西安地区0~12岁体检儿童血清25羟维生素D[25-hydroxy vitamin D,25(OH)D]营养状况.方法 回顾性分析2020 年 3 月 1 日~2023 年 7 月 31 日空军军医大学第二附属医院儿童保健科进行常规体检的2 670 例西安市 0~12 岁儿童的血清 25(OH)D资料,分析不同年龄、性别、季节儿童维生素D的营养状况.结果 ①该研究共纳入2 670例西安市0~12岁儿童,血清25(OH)D均值为40.80±18.00ng/ml,其中38例(1.42%)存在血清25(OH)D缺乏,333 例(12.47%)存在血清 25(OH)D不足,2 299 例(86.11%)血清 25(OH)D充足.②不同年龄段血清25(OH)D差异有统计学意义(H=1 524.23,P=0.000);1~<4 岁组最高,为52.51±13.57ng/ml;8~12岁组最低,为21.65±6.75ng/ml.③夏季的血清25(OH)D水平(39.44±17.46ng/ml)低于春季(41.96±17.76ng/ml)和秋季(42.71±18.15ng/ml),差异具有统计学意义(Z=101.57,-134.06,均P<0.01).但冬季血清25(OH)D缺乏、不足率(18.95%)高于春夏秋(13.52%,12.75%,12.36%)三季(χ2=14.32,P=0.026).④不同性别血清 25(OH)D水平差异无统计学意义(H=0.933,P=0.351).但男童血清 25(OH)D缺乏、不足率(12.51%)低于女童(15.46%),差异具有统计学意义(χ2=9.257,P=0.010).结论 西安地区 0~12岁儿童维生素D营养状况较好,应加强 3岁以上儿童维生素D的摄入和补充.
Research on Serum 25-Hydroxy Vitamin D Level in Healthy Children Aged 0~12 Years for Physical Examination in Xi'an Area
Objective To investigate and evaluate the nutrition status in serum 25-hydroxy vitamin D[25(OH)D]levels of 0~12 years old children in Xi'an.Methods A total of 2 670 patients aged 0~12 years old who underwent routine physical examinations in Children's Health Department of the Second Hospital of Air Force Medical University were selected from March 2020 to July 2023,and the 25(OH)D data of these patients were conducted in retrospective analysis.The nutritional status of vitamin D in these children of different genders,ages and seasons were also analyzed.Results ①This study included 2 670 children aged 0~12 years old in Xi'an,with the average level of serum 25(OH)D was 40.80±18.00 ng/ml.Among them,38 cases(1.42%)had serum 25(OH)D deficiency,333 cases(12.47%)had serum 25(OH)D insufficience,and 2 299 cases(86.11%)had sufficient serum 25(OH)D.②There was a statistically significant difference in serum 25(OH)D levels among different age groups(H=1 524.23,P=0.000).The group aged 1~<4 has the highest value of 52.51±13.57 ng/ml,while the group aged 8~12 has the lowest value of 21.65±6.75 ng/ml.③The levels of serum 25(OH)D in summer(39.44±17.46 ng/ml)were lower than those in spring(41.96±17.76 ng/ml)and autumn(42.71±18.15 ng/ml),with statistical significant differences(Z=101.57,-134.06,all P<0.01).However,the deficiency and inadequate rate of serum 25(OH)D in winter(18.95%)was higher than those in spring,summer and autumn(13.52%,12.75%,12.36%),with statistical significant differences(χ2=14.32,P=0.026).④There was no statistically significant difference in serum 25(OH)D levels between genders(H=0.933,P=0.351).However,the deficiency and inadequate rate of serum 25(OH)D in boys(12.51%)was lower than that in girls(15.46%),and the difference was statistically significant(χ2=9.257,P=0.010).Conclusion The nutritional status of serum 25(OH)D in children aged 0~12 years in Xi'an area is comparatively fine,and it is necessary to strengthen the intake and supplementation of vitamin D in over 3 years old children.

serum 25-hydroxy vitamin DXi'an areachildren

丁聪聪、刘瑛琦、苏海鹏、张靖、白重阳

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空军军医大学第二附属医院检验科,西安 710038

空军军医大学基础医学院四大队,西安 710032

血清25羟维生素D 西安地区 儿童

唐都青年自主创新科学基金

2023CTDQN027

2024

现代检验医学杂志
陕西省临床检验中心,陕西省人民医院

现代检验医学杂志

CSTPCD
影响因子:0.713
ISSN:1671-7414
年,卷(期):2024.39(2)
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