健康学龄前351名儿童25-羟维生素D水平及影响因素

doi:10.11852/zgetbjzz2019-1882

中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (10): 1101-1105.DOI: 10.11852/zgetbjzz2019-1882

健康学龄前351名儿童25-羟维生素D水平及影响因素

王汐蕊¹, 余晓丹¹, 张丽珊², 许磊², 袁谊春³

1 上海交通大学医学院附属上海儿童医学中心发育行为儿科/儿保科,上海 200127;
2 上海市浦东新区妇幼保健所,上海 201399;
3 上海市浦东新区洋泾社区卫生服务中心,上海 200135

收稿日期:2019-12-09 修回日期:2020-04-22 发布日期:2020-10-10 出版日期:2020-10-10
通讯作者: 袁谊春,E-mail:yuanyichun@126.com
作者简介:王汐蕊(1994-),女,安徽人,博士研究生,主要研究方向为儿童营养与发育行为。
基金资助:
国家自然科学基金(81773411);上海市浦东新区科学技术委员会项目(PKJ2017-Y05);上海市浦东新区卫生系统优秀社区适宜人才培养计划(PWRs2017-35)

Serum 25-hydroxy vitamin D status and the influencing factors in 351 healthy preschool children

WANG Xi-rui¹, YU Xiao-dan¹, ZHANG Li-shan², XU Lei², YUAN Yi-chun³

1 Department of Developmental and Behavioral Pediatrics,Pediatric Translation Medicine Institute,Shanghai Children′s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;
2 Department of Child Healthcare,Shanghai Pudong New Area Maternal and Child Health Care Institution,Shanghai 201399,China;
3 Department of Child Healthcare,Shanghai Pudong Yangjing Community Health Service Center,Shanghai 200135,China

Received:2019-12-09 Revised:2020-04-22 Online:2020-10-10 Published:2020-10-10
Contact: YUAN Yi-chun,E-mail:yuanyichun@126.com

摘要/Abstract

摘要： 目的了解上海市学龄前儿童的维生素D水平并分析其影响因素,为防治该地区维生素D缺乏提供理论依据。方法随机抽取上海市浦东新区3家幼儿园共351名3～6岁学龄前儿童(男:185名,女:166名),采用液相色谱串联质谱法(LC-MS/MS)测定测血清25-羟维生素 D[25-(OH)D]水平,并通过标准问卷获得相关影响因素数据。结果受试学龄前儿童血清25-羟维生素 D[25-(OH)D]的平均水平为(28.14±6.70) ng/ml。维生素D缺乏[25-(OH)D＜20 ng/ml]为35例(10.0％),维生素D适宜水平(20～100 ng/ml)为316例(90.0%)。多因素分析结果显示维生素D制剂补充频率低及大年龄组(≥6岁)是学龄前儿童25-(OH)D缺乏的高危因素(P＜0.05)。结论年龄和维生素D制剂补充与学龄前儿童维生素D水平明显相关,大年龄组(≥6岁)儿童维生素D制剂补充率相对较低。针对目前学龄前儿童仍存在维生素D缺乏的情况,应该加强儿童保健的科普教育,结合个体情况提高维生素D的补充率,同时增加儿童户外活动,促进学龄前儿童健康。

关键词: 学龄前儿童, 25-羟维生素D, 维生素D缺乏

Abstract: Objective To investigate the levels of serum vitamin D and its influencing factors in preschool children in Shanghai,so as to provide theoretical basis for the prevention and treatment of vitamin D deficiency in this area. Methods A total of 351 preschool children (185 boys and 166 girls) aged 3 to 6 years from 3 kindergartens in Pudong New Area,Shanghai,were randomly selected in this study.Serum 25-hydroxyvitamin D[25-(OH)D]levels were measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) and the data of relevant influencing factors was obtained by standardized questionnaire. Results The average level of 25-(OH)D in preschool children was (28.1±6.7)ng/ml.Vitamin D deficiency (≤20 ng/ml) was observed in 35 children (10.0%),and 316(90.0%) children had optimal vitamin D level (20～100 ng/ml).Multivariate analysis showed that the low frequency of vitamin D supplementation and the older age (≥6 years old) were the risk factors of 25-(OH)D deficiency in preschool children (P＜0.05). Conclusions Age and vitamin D supplementation have significant effect on Vitamin D levels of preschool children.The vitamin D supplement rate is relatively low in the older group (≥6 years old).Considering current vitamin D deficiency in preschool children,popular science education of children′s health care should be strengthened to increase the vitamin D supplementation rate in combination with the actual individual situation,as well as to increase outdoor activity time,thereby promoting the health of preschool children.

Key words: preschool children, 25-hydroxyvitamin D, vitamin D deficiency

中图分类号:

R153.7

王汐蕊, 余晓丹, 张丽珊, 许磊, 袁谊春. 健康学龄前351名儿童25-羟维生素D水平及影响因素[J]. 中国儿童保健杂志, 2020, 28(10): 1101-1105.

WANG Xi-rui, YU Xiao-dan, ZHANG Li-shan, XU Lei, YUAN Yi-chun. Serum 25-hydroxy vitamin D status and the influencing factors in 351 healthy preschool children[J]. journal1, 2020, 28(10): 1101-1105.

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健康学龄前351名儿童25-羟维生素D水平及影响因素

Serum 25-hydroxy vitamin D status and the influencing factors in 351 healthy preschool children

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