中国学校卫生2024,Vol.45Issue(10) :1399-1402.DOI:10.16835/j.cnki.1000-9817.2024291

山东省中小学生维生素D营养状况及相关因素分析

Analysis of vitamin D nutritional status and associated factors among primary and middle school students in Shandong Province

姜迎 孙青 梁争艳 宋柬 张迎修
中国学校卫生2024,Vol.45Issue(10) :1399-1402.DOI:10.16835/j.cnki.1000-9817.2024291

山东省中小学生维生素D营养状况及相关因素分析

Analysis of vitamin D nutritional status and associated factors among primary and middle school students in Shandong Province

姜迎 1孙青 2梁争艳 1宋柬 1张迎修1
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作者信息

  • 1. 山东省疾病预防控制中心食品与营养所,济南 250014
  • 2. 山东大学附属儿童医院(济南市儿童医院)临床营养科
  • 折叠

摘要

目的 了解山东省中小学生维生素D营养状况及影响因素,为制定有针对性的维生素缺乏干预措施提供参考.方法 于2021年1-9月,采用多阶段分层随机抽样方法,对山东省内3 539名中小学生开展问卷调查、体格检查和实验室检测,并对其维生素D营养状况和相关因素进行Logistic回归分析.结果 中小学生血清维生素D为(17.56±6.65)ng/mL,维生素D缺乏和不足率为67.4%.多因素Logistic回归分析显示,女生(OR=1.95)、初中生(OR=2.14)、高中生(OR=2.36)维生素D缺乏和不足风险较高,沿海地区(OR=0.54)、夏秋季节体检(OR=0.74)、蛋类每天摄入≥35 g(OR=0.53)、户外活动时间60~120和>120 min(OR值分别为0.63,0.48)的学生维生素D缺乏和不足风险较低(P值均<0.05).结论 山东省中小学生维生素D营养状况不佳;应采取加强营养宣教、增加合理膳食、延长户外活动时间等干预措施,进一步改善中小学生维生素D营养状况.

Abstract

Objective To determine the nutritional status and associated factors of vitamin D in primary and middle school students in Shandong Province,so as to provide reference for developing targeted vitamin deficiency interventions.Methods From January to September 2021,using multi-stage stratified random sampling,physical examinations and laboratory tests were carried out among 3 539 primary and middle school students in Shandong Province.Associated factors of vitamin D were analyzed by Logsitc regression analysis.Results The average vitamin D level among primary and middle school students was(17.56±6.65)ng/mL,while the deficiency and severe deficiency rate was 67.4%.Multivariate Logistic regression analysis showed that girls(OR=1.95),students in junior high school(OR=2.14)and senior high school(OR=2.36)were at higher risk of vitamin D deficiency and se-vere deficiency(P<0.05).Students from coastal areas(OR=0.54),physical examination in summer and autumn(OR=0.74),and 35 g of egg intake per day(OR=0.53),and with outdoor activity time greater than 60-120 min and>120 min(OR=0.63,0.48)had lower risk of vitamin D deficiency(P<0.05).Conclusions The nutritional status of vitamin D among elementary and seconda-ry school students in Shandong Province warrants further attention.Intervention measures such as nutritional education,healthy diet and prolonging outdoor activities should be promoted in primary and middle school students.

关键词

维生素D/营养状况/回归分析/学生

Key words

Vitamin D/Nutritional status/Regression analysis/Students

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基金项目

山东省医药卫生科技发展计划项目(202112020791)

山东省中医药科技项目(M-2023252)

出版年

2024
中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
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