2010—2012年中国农村孕妇贫血及维生素A、维生素D营养状况
本文关键词: 贫血 维生素A 维生素D 横断面调查 农村 孕妇 出处:《卫生研究》2017年03期 论文类型:期刊论文
【摘要】:目的分析2010—2012年中国农村孕妇血红蛋白水平、维生素A和维生素D水平,评价该人群贫血患病率的变化,并评估其维生素A和维生素D的营养状况。方法数据来自2010—2012年中国居民营养与健康状况监测。调查对象为我国45个普通农村和30个贫困农村的孕妇。采用氰化高铁法检测1763例孕妇血红蛋白的浓度;采用高效液相色谱法检测601例血清视黄醇的水平;采用酶联免疫法测定979例25-羟基维生素D水平。计算血红蛋白水平及贫血患病率;维生素A水平及缺乏率和边缘缺乏率;维生素D水平及严重缺乏率、缺乏率和不足率。结果2010—2012年中国农村孕妇血红蛋白水平为123.60(113.80~133.50)g/L,普通农村[123.10(114.00~132.20)g/L]显著低于贫困农村[125.40(113.30~136.80)g/L](P=0.020)。中国农村孕妇贫血率为17.58%,贫困农村(20.19%)显著高于普通农村(16.10%)(P=0.029)。农村孕妇维生素A水平为1.53(1.18~1.98)μmol/L,维生素A缺乏率为3.49%,边缘缺乏率为12.81%。农村孕妇维生素D水平为15.55(11.94~19.90)ng/m L,维生素D缺乏严重,维生素D缺乏率(包括缺乏与严重缺乏)高达75.38%,普通农村缺乏率(65.36%)显著低于贫困农村(87.42%)(P0.001)。结论 2010—2012年中国农村孕妇贫血患病率较10年前有所改善,但仍高于其他人群。孕妇普遍存在较为严重的维生素D缺乏,同时存在一定比例的维生素A边缘缺乏。
[Abstract]:Objective to analyze the levels of hemoglobin, vitamin A and vitamin D in Chinese rural pregnant women from 2010 to 2012, and to evaluate the changes of anemia prevalence in this population. The nutritional status of vitamin A and vitamin D was assessed. Methods the data were collected from the monitoring of nutritional and health status of Chinese residents from 2010 to 2012. The subjects were pregnant women in 45 ordinary rural areas and 30 poor rural areas in China. The concentration of hemoglobin in 1763 pregnant women was detected by iron method. The levels of serum retinol in 601 cases and 25- hydroxyvitamin D levels in 979 cases were measured by high performance liquid chromatography and enzyme-linked immunosorbent assay (Elisa). The levels of hemoglobin and the prevalence of anemia, vitamin A level, deficiency rate and marginal deficiency rate were calculated. Vitamin D levels and severe deficiency rates, Results the hemoglobin level of pregnant women in rural China from 2010 to 2012 was 123.60 / 113.80 / 133.50 g / L, and that of ordinary rural women [123.10 / 114.00 / 132.20 / g / L] was significantly lower than that of poor rural areas [125.40 / 113.30 / 136.80 / g / L] P0.020.The anaemia rate of pregnant women in rural China was 17.58 and 20.190.It was significantly higher than that of normal rural women (16.10102.20g / L). The vitamin A level was 1.53 ~ 1.181.98) 渭 mol / L, the vitamin A deficiency rate was 3.49 and the marginal deficiency rate was 12.81.The vitamin D level of rural pregnant women was 15.55 ~ 11.94 ~ 19.90 ng / m ~ (-1), and the vitamin D deficiency was severe. The rate of vitamin D deficiency (including deficiency and severe deficiency) was as high as 75.38 and that in ordinary rural areas was 65.36. It was significantly lower than that in poor rural areas. Conclusion the prevalence of anemia among pregnant women in rural areas from 2010 to 2012 is better than that of 10 years ago. But it is still higher than that of other population. There are more serious vitamin D deficiency and a certain proportion of vitamin A marginal deficiency in pregnant women.
【作者单位】: 中国疾病预防控制中心营养与健康所国家卫生计生委微量元素营养重点实验室;
【基金】:国家卫生计生委(原卫生部)医改重大项目[中国居民营养与健康状况监测(2010—2013年)]
【分类号】:R153.1
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