Objective To identify the status of serum vitamin A,D,E levels of infants and young children and to provide reference for clinical diagnosis and treatment. Methods Totally 67 healthy infants and young children were recruited for the study from January to March in 2013.Serum vitamin A,25-hydroxy vitamin D[25(OH)D],vitamin E were determined.Basic situation,feeding methods,physical and other aspects of the information were collected. Results Altogether 67 children,included 40 boys and 27 girls.The mean serum vitamin A was (0.23±0.07) mg/L,the rate of lack was 34.33%.Stratified analysis showed serum levels of different age had differences (F=5.866,P=0.001).Serum vitamin A deficiency rate gradually decreased with the month age increase.The 0~4 months of age group was the lowest with (0.17±0.04) mg/L,the lack rate was high as 68.75%.There were also differences in serum vitamin levels of different feeding methods (F=2.838,P=0.045),serum levels of exclusively breastfed infants was minimum with (0.18±0.03) mg/L,the lack rate was 60.00%.Serum 25(OH)D level was (102.26±90.54) nmol/L,the lack rate was 13.33%.There were differences between the different feeding methods (F=2.951,P=0.038).Serum levels of exclusively breastfed infants was low with (96.93±20.42) nmol/L,the higher rate of lack was 33.34%.Serum vitamin E level was (10.09±2.76) mg/L,rate of insufficient was only 13.4%,and there were no children.Vitamin E was better overall nutritional status. Conclusions Children's nutrition of vitamin A and 25(OH)D situations were not optimistic.The attention of the government should be improved to timely applying intervention to prevent vitamin deficiency for high-risk groups.
Key words
vitamin A /
25 hydroxyl vitamin D /
vitamin E /
the level of serum
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 金春华,张丽丽,王晓燕,等.血清25-羟维生素D在诊断婴儿佝偻病的临床意义[J].北京医学,2013,35(10):824-827.
[2] Wagner CL,Greer FR.Prevention of rickets and vitamin D deficiency in infants,children,and adolescents[J].Pediatrics,2008,122(5):1142-1152.
[3] Holick MF,Binkley NC,Bischoff-Ferrari HA,et al.Evaluation,treatment,and prevention of vitamin D deficiency:an endocrine society clinical practice guideline[J].J Clin Endocrin Metab,2011,96(7):1911-1930.
[4] Holick MF.Vitamin D deficiency [J].N Engl J Med,2007,357(3):266-281.
[5] 胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:515-518.
[6] 葛可佑.中国营养师培训教材[M].北京:人民卫生出版社,2006:381-389.
[7] 叶志成.上海地区儿童维生素缺乏情况分析[J].中国优生优育杂志,2014,20(1):15-17.
[8] 张立军,鲍纪明,陈海兰.舟山海岛母乳中维生素A测定结果分析[J].卫生研究,2001,30(4):234-236.
[9] 邱行光,陈曦,杨式薇,等.福建省5岁以下儿童不同年龄间维生素A缺乏分析研究[J].中国妇幼保健,2010,25(30):4409-4411.
[10] 盛晓阳.中国儿童维生素D、钙营养的流行病学资料[J].中国实用儿科杂志,2012,12(3):180-182.
[11] 赵静,张倩,张环美,等.北京市怀柔区儿童维生素D营养状况及其体成分的关系[J].中华流行病学杂志,2010,31(1):34-38.
[12] 方芳,李婷,李艳杰,等.呼和浩特地区母乳中脂溶性VA、VD、VE含量[J].乳液科学与技术,2014,37(7):5-7.
[13] 金春华,王晓燕,吴建新..维生素D对冬季母乳喂养婴儿25(OH)D水平影响的自身对照研究[J].中华儿科临床营养杂志,2013,21(6):148-151