551例8月龄婴儿血清维生素A水平及其影响因素分析  

Analysis of serum vitamin A level and its influencing factors in 551 eight-month-old infants

作　　者：倪钰飞[1] NI Yufei(Child Health Section,Affiliated Maternity and Child Health Care Hospital of Nantong University,Jiangsu Nantong 226018,China)

机构地区：[1]南通大学附属妇幼保健院儿童保健科,江苏南通226018

出　　处：《中国妇幼健康研究》2020年第12期1693-1696,共4页Chinese Journal of Woman and Child Health Research

基　　金：国家卫生计生委医药卫生科技资助项目(W2016EWJS09)。

摘　　要：目的了解南通市8月龄婴儿血清维生素A水平及其影响因素,为儿童合理补充维生素A提供参考依据。方法选择2017年1月至2018年12月在南通市妇幼保健院体检的8月龄婴儿551例,调查并分析婴儿血清维生素A水平及其影响因素。结果婴儿血清维生素A平均水平为(0.31±0.08)mg/L,其中男婴为(0.30±0.08)mg/L,女婴为(0.32±0.09)mg/L,男、女婴儿血清维生素A水平比较差异有统计学意义(t=-2.314,P<0.05)。8月龄婴儿维生素A不足的比例为51.00%(281/551),维生素A正常的比例为49.00%(270/551)。母亲学历低(OR=1.490,95%CI:1.065~2.330)、母乳喂养(OR=2.040,95%CI:1.364~3.051)、奶量不足(OR=1.916,95%CI:1.178~3.116)和婴儿肥胖(OR=1.734,95%CI:1.452~2.910)是8月龄婴儿血清维生素A缺乏的危险因素(均P<0.05)。结论南通市8月龄婴儿维生素A不足的比例较高,维生素A营养状况较差,母亲学历低、母乳喂养、奶量不足和婴儿肥胖是8月龄婴儿维生素A缺乏的危险因素,应加强监测,以预防相关疾病。Objective To understand the level of serum vitamin A and its influencing factors in eight-month-old infants in Nantong city,so as to provide reference for reasonable supplementation of vitamin A for children.Methods A total of 551 eight-month-old infants who underwent physical examination in Nantong Maternal and Child Health Hospital from January 2017 to December 2018 were selected to investigate and analyze the serum vitamin A level of infants and its influencing factors.Results The average serum vitamin a concentration of the studied infants was 0.30±0.08 mg/L,including 0.30±0.08 mg/L for boys and 0.32±0.09 mg/L for girls,the difference was statistically significant(t=-2.314,P<0.05).The proportion of vitamin A deficiency was 51.0%(281/551),and the normal rate was 49.0%(270/551).Low education(OR=1.490,95%CI:1.065-2.330),breastfeeding(OR=2.040,95%CI:1.364-3.051),insufficient breast milk(OR=1.916,95%CI:1.178-3.116),and infant obesity(OR=1.734,95%CI:1.452-2.910)were risk factors for serum vitamin A deficiency(all P<0.05).Conclusion The proportion of vitamin A deficiency in eight-month-old infants is high in Nantong city,and the nutritional status is poor.low education level of mothers,breastfeeding,insufficient milk supply and infant obesity are the risk factors of vitamin A deficiency infants,which should be monitor ed closely to prevent related diseases.

关 键 词：婴儿 维生素A 影响因素 现况调查 

分 类 号：R153.2[医药卫生—营养与食品卫生学]