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凉山州少数民族地区新生儿维生素D水平及影响因素分析

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目的:对凉山州少数民族地区新生儿血清维生素D水平进行评估,探讨血清维生素D水平的影响因素。方法:收集2022年1月-2023年9月在西昌市人民医院住院分娩的1 705例新生儿为研究对象。采用调查问卷及电子病历收集孕妇及新生儿的一般情况,采用自动电化学发光法检测血清25(OH)D水平,统计新生儿血清25(OH)D水平状况,分析血清维生素D水平的影响因素。结果:凉山州少数民族地区新生儿1705例新生儿中,维生素D营养状况充足者共197例(11。55%),不足/缺乏者1 508例(88。45%)。孕妇文化程度为大学及以上(OR=0。906,95%CI:0。820~0。997)、维生素 D补充(OR=0。826,95%CI:0。690~0。989)及新生儿出生胎龄高(OR=0。912,95%CI:0。835~0。996)是维生素D营养状况的保护因素;而日照不充足(OR=1。284,95%CI:1。051~1。568)、孕期维生素D缺乏(OR=1。484,95%CI:1。017~2。166)及分娩季节为冬春季(OR=1。316,95%CI:1。017-1。693)是维生素D不足/缺乏的危险因素。结论:凉山州少数民族地区新生儿维生素D不足/缺乏发生率高,应关注此地区新生儿的维生素D营养状况,对可能的影响因素进行及时干预,以保证新生儿健康成长。
Analysis of Vitamin D Levels and Influencing Factors of Newborns in Ethnic Minority Areas of Liangshan Prefecture
[Objective]To evaluate serum vitamin D levels in newborns in ethnic minority areas of Liangshan prefecture and explore the influencing factors of serum vitamin D levels.[Method]Totally 1 705 neonates who were hospitalised and delivered in Xichang People's Hospital from January 2022 to September 2023 were collected as study subjects.Questionnaires and electronic medical records were used to collect the general conditions of pregnant women and newborns,serum 25(OH)D levels were detected by automatic electrochemiluminescence,the status of serum 25(OH)D levels in newborns was counted,and the influencing factors of serum vitamin D levels were analysed.[Result]Among 1 705 newborns in ethnic minority areas of Liangshan Prefecture,a total of 197(11.55%)had adequate vitamin D nutritional status and 1 508(88.45%)had insufficient/deficient status.Maternal education level of university and above(OR=0.906,95%CI:0.820-0.997),vitamin D supplementation(OR=0.826,95%CI:0.690-0.989)and high gestational age at birth of newborns(OR=0.912,95%CI:0.835-0.996)were the protective factors for vitamin D nutritional status;whereas sunshine Inadequate(OR=1.284,95%CI:1.051-1.568),vitamin D deficiency during pregnancy(OR=1.484,95%CI:1.017-2.166)and delivery season in winter and spring(OR=1.316,95%CI:1.017-1.693)were risk factors for vitamin D insufficiency/deficiency.[Conclusion]The incidence of vitamin D insufficiency/deficiency in newborns is high in ethnic minority areas of Liangshan Prefecture,and attention should be paid to the nutritional status of vitamin D in newborns in this area,and timely interventions should be made on the possible influencing factors in order to ensure the healthy growth of newborns.

vitamin Dminority areas of Liangshan prefecturenewbornsinfluencing factor

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西昌市人民医院儿科,四川西昌 615000

维生素D 凉山州少数民族地区 新生儿 影响因素

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(1)
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