首页|山东省中小学生维生素D营养状况及相关因素分析

山东省中小学生维生素D营养状况及相关因素分析

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

Vitamin DNutritional statusRegression analysisStudents

姜迎、孙青、梁争艳、宋柬、张迎修

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山东省疾病预防控制中心食品与营养所,济南 250014

山东大学附属儿童医院(济南市儿童医院)临床营养科

维生素D 营养状况 回归分析 学生

山东省医药卫生科技发展计划项目山东省中医药科技项目

202112020791M-2023252

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
年,卷(期):2024.45(10)