2016-2017年江苏省6~17岁儿童青少年维生素A和维生素D营养状况  

Vitamin A and vitamin D nutritional status among children and adolescents aged 6-17 years in Jiangsu Province during 2016-2017

作　　者：田亭 张静娴[1] 谢玮[1] 汪元元 金迪[2] 戴月[1] Tian Ting;Zhang Jingxian;Xie Wei;Wang Yuanyuan;Jin Di;Dai Yue(Institute of Nutrition and Food Safety,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;Department of Nutrition and Food Hygiene,Nanjing Center for Disease Control and Prevention,Nanjing 210003,China)

机构地区：[1]江苏省疾病预防控制中心营养与食品安全所,南京210009 [2]南京市疾病预防控制中心营养与食品卫生科,南京210003

出　　处：《卫生研究》2023年第6期930-935,共6页Journal of Hygiene Research

基　　金：国家重点研发计划(No.2016YFC1305201-02);南京市卫生科技发展专项资金(No.YKK19123)。

摘　　要：目的调查江苏省6~17岁儿童青少年维生素A和维生素D营养状况,并分析其相关因素。方法运用2016—2017年中国儿童与乳母营养健康状况监测在江苏各监测点的数据,采用多阶段分层整群随机抽样方法,从江苏省12个监测点中随机抽取3244名6~17岁儿童青少年。使用面对面结构化问卷访谈、体格测量和采取6 mL血样,收集调查对象的一般信息、人体测量信息和血液生化指标。使用多因素Logistic回归分析,探索维生素A和维生素D营养状况的相关因素。结果江苏省6~17岁儿童青少年的维生素A缺乏率为0.8%,维生素A边缘缺乏率为15.8%,维生素D缺乏率为23.2%,维生素D不足率为54.2%,维生素A不足合并维生素D缺乏占4.8%。年龄、体重、电子屏幕时间和母亲受教育水平是儿童青少年维生素A不足的相关因素。儿童青少年患有维生素D缺乏的相关因素为性别、年龄、居住地、体力活动水平、电子屏幕时间和母亲教育水平。性别、居住地、体重、电子屏幕时间和母亲受教育水平是儿童青少年患有维生素A不足合并维生素D缺乏的相关因素。结论2016—2017年江苏省6~17岁儿童青少年维生素A不足和维生素D缺乏均处于较高的流行水平。OBJECTIVE This study aimed to investigate vitamin A and vitamin D conditions and related factors among children and adolescents aged 6-17 years in Jiangsu Province of China.METHODS All the data were derived from China Nutrition and Health Surveillance of Children and Lactating Mothers in 2016-2017.By applying multiple stage stratified cluster random sampling method,3244 children aged 6-17 years were selected from 12 survey sites in Jiangsu Province.Face to face interview,physical measurements and 6 mL blood sample were used to collect the general information,anthropometric information and blood nutritional indexes of the participants.Multivariate Logistic analysis was used for vitamin A and vitamin D conditions to test related factors.RESULTS The prevalence of vitamin A deficiency and marginal deficiency was 0.8%and 15.8%,respectively.23.2%of the participants had vitamin D deficiency,54.2%had vitamin D insufficiency and 4.8%had vitamin A insufficiency combined with vitamin D deficiency.Age group,weight levels,screen time and mother’s education levels are the relevant factors of vitamin A insufficiency in children and adolescents.The related factors of vitamin D deficiency among children and adolescents are gender,age group,residence,physical activity level,screen time and mother’s education levels.Gender,residence,weight levels,screen time and mother’s education levels are the related factors of vitamin A insufficiency combined with vitamin D deficiency.CONCLUSION Vitamin A insufficiency and vitamin D deficiency are at high epidemic levels among children and adolescents in Jiangsu Province in 2016-2017.

关 键 词：维生素A 维生素D 儿童青少年 营养状况 相关因素 

分 类 号：R153.2[医药卫生—营养与食品卫生学]