目的 了解全国健康儿童血清维生素E水平状况,为合理膳食指导提供依据。 方法 利用反相高效液相色谱荧光检测法测定血清维生素E水平,对《维生素A、E水平与儿童反复呼吸道感染疾病发生、发展的相关性研究》课题组中保健门诊健康体检儿童的临床资料进行分析。 结果 符合入组标准儿童共41 964例,血清维生素E水平(9.12±2.96)mg/L,血清维生素E水平随年龄增加有减低趋势(P<0.001)。维生素E缺乏与不足占21.49%,其中,缺乏者仅为3.36%(1 409/41 964),不足儿童占18.13%(7 609/41 964)。不同年龄段儿童维生素E缺乏及不足比例不同,小于3岁组儿童维生素E缺乏、不足分别为4.1%、13.0%;3岁以上儿童维生素E缺乏、不足分别为2.5%、24.0%(P<0.001)。不同区域儿童血清维生素E水平存在差异,东部、中部儿童血清维生素E水平高于西部和东北部儿童(P<0.001)。 结论 我国婴幼儿维生素E营养状况良好,3岁及以上儿童维生素E缺乏及不足者占1/4,原因尚需进一步研究。
Abstract
Objective To investigate the serum levels of vitamin E in healthy children in China,in order to provide basis for dietary guidance. Methods Serum vitamin E levels were measured by reverse phase high performance liquid chromatography(RP-HPLC) with fluorescence detection method.Clinical data of healthy children in the research group of "Study on the correlation between vitamin A and E levels and the development of children′s recurrent respiratory tract infections" were collected and analyzed. Results A total of 41 964 healthy children were included.The average level of vitamin E was(9.12±2.96)mg/L, and serum vitamin E level decreased with the increasing of age(P<0.001) .Vitamin E deficiency and insufficiency rates accounted for 21.49%, of which, the deficiency rate was only 3.36%(1 409/41 964), and the insufficiency rate was 18.13%(7 609/41 964).The vitamin E deficiency and insufficiency rates of children were different in different age groups, which were 4.1% and 13.0% in children under 3 years old and 2.5% and 24.0% in children older than 3 years old, respectively(P<0.001).There was significant difference on the serum level of vitamin E between different regions of China.Children in eastern and central areas whose serum vitamin E levels were in normal range was more than that in western and northeastern areas(P<0.001). Conclusion In general, serum vitamin E level of healthy children in China is in good condition.Vitamin E deficiency and insufficiency accounted for 1/4 of children aged 3 years and over, and further researches are warranted for exploring reasons.
关键词
维生素E /
缺乏症 /
儿童
Key words
vitamin E /
deficiency /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Galli F, Azzi A, Birringer M, et al.Vitamin E:emerging aspects and new directions[J].Free Radical Bio Med,2016,102:16-36.
[2] 于波.维生素E对机体免疫功能的影响[J].赤峰学院学报:自然科学版,2015,31(1):195-196.
[3] 中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会.反复呼吸道感染的临床概念和处理原则[J].中华儿科杂志,2008,46(2):108-110.
[4] 江载芳, 申昆玲, 沈颖.诸福棠实用儿科学[M].北京:人民卫生出版社,2014:570-572.
[5] Kuchan MJ, Jensen SK, Johnson EJ, et al.The naturally occurring α-tocopherol stereoisomer RRR-α-tocopherol is predominant in the human infant brain[J].Brit J Nutr,2016,116(1):126-131.
[6] Jiang Q.Natural forms of vitamin E:metabolism, antioxidant, and anti-inflammatory activities and their role in disease prevention and therapy[J].Free Radical Bio Med,2014,72:76-90.
[7] 金春华, 王晓燕, 张丽丽, 等.健康儿童脂溶性维生素A、D、E现状分析[J].中华临床营养杂志,2016,24(6):349-353.
[8] 李文娟, 薛佳殷, 黄云.泰兴地区0~12岁儿童维生素A和维生素E营养状况[J].中国学校卫生,2018,39(9):1301-1306.
[9] 王晶, 王欢欢, 张绍城.四川省绵阳地区健康儿童维生素A,D和E营养水平的分析研究[J].现代检验医学杂志,2018,33(3):150-153.
基金
国家卫生计生委科技发展中心临床科研专项课题(W2015EAE001)