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云南两县儿童生长发育及营养状况研究

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目的:了解云南省1~3年级儿童生长发育情况及微量营养素缺乏情况,为提高云南地区学生营养状况提供依据。方法:采用随机整群抽样方法选取云南省两县12所小学共计1 126名1~3年级儿童,测量身高、体重并计算BMI。采集478名儿童的空腹静脉血,检测血红蛋白水平以及血清维生素A和维生素D,并分析缺乏情况。结果:云南两县儿童生长迟缓率为2。3%,拉祜族儿童生长迟缓率高于汉族;轻度消瘦率为7。6%、中重度消瘦率为6。9%;超重率5。7%、肥胖率5。3%;男童超重率高于女童。儿童血清维生素A水平为0。41(0。37~0。47)µg/mL,维生素A边缘缺乏率5。9%,呈现随年龄升高而降低的趋势。儿童维生素D水平为(26。47±6。45)ng/mL,维生素D缺乏率0。8%,维生素D不足率13。8%,男童维生素D异常率低于女童,维生素D异常率呈现随年龄增加而升高的趋势,傣族低于汉族和彝族,拉祜族低于彝族。血红蛋白水平为143(137~148)g/L,仅有1例贫血,女童血红蛋白水平高于男童,并呈现随年龄增加而增加的趋势。结论:云南地区儿童生长发育和微量营养素状况仍需进一步改善,同时需预防超重肥胖的快速增长。
Study on Growth,Development and Nutritional Status of Children in Two Counties of Yunnan Province
[Objective]To investigate the growth and development and micronutrient deficiency of children from grade 1 to Grade 3 in Yunnan province,and to provide evidence for improving the nutritional status of students in Yunnan province.[Method]A total of 1 126 children from grade 1 to Grade 3 from 12 primary schools in two places in Yunnan province were selected by random cluster sampling to measure height and weight,calculate BMI.Fasting venous blood was collected from 478 children,hemoglobin levels and serum vitamin A and vitamin D levels were measured,and deficiencies were analyzed.[Result]The rate of stunting was 2.3%.The rate of stunting of Lahu children was higher than that of Han.The rate of mild wasting was 7.6%,and the rate of moderate and severe wasting was 6.9%.The rate of overweight was 5.7%and the rate of obesity was 5.3%.Boys are more likely to be overweight than girls.The serum vitamin A level in children was 0.41(0.37-0.47)µg/mL.The marginal deficiency rate of vitamin A was 5.9%,showing a trend of decreasing with age.Vitamin D level was(26.47±6.45)ng/mL.The deficiency rate and insufficiency rate were 0.8%and 14.4%,respectively.The abnormal rate of vitamin D in boys was lower than that in girls,the Dai was lower than that in Han and Yi,and the Lahu was lower than that in Yi.The abnormal rate of vitamin D showed a trend of increasing with age.The hemoglobin level was 143(137-148)g/L,and there was only one case of anemia.The hemoglobin level of girls was higher than that of boys,and showed a trend of increasing with age.[Conclusion]The growth and micronutrient status of children in Yunnan province still need to be further improved,and attention should be paid to preventing the rapid growth of overweight and obesity.

childrengrowth and developmentvitamin Avitamin D

张文彬、张妍、宫伟彦、丁彩翠、宋超、仇玉洁、杨博、刘爱玲

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中国疾病预防控制中心营养与健康所,北京 100050

中国学生营养与健康促进会,北京 100031

儿童 生长发育 维生素A 维生素D

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(6)