福建省不同日照暴露人群维生素D营养状况及影响因素分析

发布时间：2018-11-04 09:27

【摘要】：目的了解福建省不同日照暴露人群维生素D(VD)营养状况及影响因素。方法 2012年10月至2013年3月通过分层整群随机抽样方法,在福建省9个地市选取1 185人,其中高日照暴露人群701人,低日照暴露人群484人,进行问卷调查、医学体检及实验室检测。结果调查人群血清25(OH)D均值为(60.46±17.12)nmol/L,VD充足、适宜和缺乏的比例分别为15.02%、59.16%和25.82%,其中秋季高日照暴露人群和冬春季低日照暴露人群25(OH)D均值分别为(66.24±17.77)nmol/L和(52.09±11.93)nmol/L,VD缺乏比例分别为13.84%和43.18%;多元线性回归分析显示月份、BMI、性别、年龄和海水鱼日平均摄入量是影响血清25(OH)D的主要因素;18岁以上糖尿病、高血压等慢性疾病患者与正常人VD水平之间不存在显著差异,在高日照暴露人群中,营养正常人群血清25(OH)D要显著高于超重和肥胖人群。结论在福建,以50 nmol/L(20ng/ml)作为评定人群VD缺乏与否的标准,大部分人群秋季VD水平是适宜的,但冬春季近半人群处于维生素缺乏状态,应引起足够重视。
[Abstract]:Objective to investigate the nutritional status and influencing factors of vitamin D (VD) in different sunshine exposed population in Fujian Province. Methods from October 2012 to March 2013, 1,185 people were selected from 9 cities in Fujian Province by stratified cluster random sampling, 701 people were exposed to high sunlight and 484 people were exposed to low sunlight. Medical examination and laboratory examination. Results the mean value of serum 25 (OH) D was (60.46 卤17.12) nmol/L,VD, and the suitable and deficient proportions were 15.02% and 25.82%, respectively. The mean values of 25 (OH) D in autumn and in winter and spring were (66.24 卤17.77) nmol/L and (52.09 卤11.93) nmol/L,VD deficiency, respectively, which were 13.84% and 43.18%, respectively. Multiple linear regression analysis showed that BMI, gender, age and average daily intake of seawater fish were the main factors affecting serum 25 (OH) D. There was no significant difference in VD levels between patients with diabetes and hypertension over 18 years of age and normal subjects. The serum levels of 25 (OH) D in healthy subjects were significantly higher than those in overweight and obese subjects. Conclusion in Fujian province, 50 nmol/L (20ng/ml) is the criterion for assessing VD deficiency in the population. The VD level in autumn is suitable for most of the population, but the vitamin deficiency in nearly half of the population in winter and spring should be paid enough attention to.
【作者单位】：福建省疾病预防控制中心;
【基金】：卫生部行业科研专项(No.201202012) 福建省自然科学基金(No.2014J01281)
【分类号】：R151.42

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