Analysis of current level and related factors of vitamin A in 212 cases of hospitalized newborns

CHANG Xiao,WANG Zhe,WU Yun-xia

Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (3) : 330-332.

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (3) : 330-332. DOI: 10.11852/zgetbjzz2018-0226

Analysis of current level and related factors of vitamin A in 212 cases of hospitalized newborns

  • CHANG Xiao,WANG Zhe,WU Yun-xia
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Abstract

Objective To evaluate the level of plasma vitamin A(VA) and the influencing factors of VA level in 212 hospitalized newborns. Methods The plasma level of VA in newborns was tested by high performance liquid chromatography(HPLC) from June to December 2017.And the general data of children were collected.SPSS 19.0 were used to analyze the influencing factors of VA level. Results There were 189(89.1%) cases were detected with VA deficiency. Gender,age,blood glucose,infection and neonatal respiratory distress syndrome(NRDS) were factors influencing VA concentration,and the difference was statistically significant(P<0.05). The level of VA was negatively correlated with C-reaction protein(CRP)(r=-0.167,P=0.015). The correlation between mother and neonates was not statistically significant(P>0.05).Gender(OR=0.465,95%CI:0.237-0.913,P=0.026) and infection(OR=2.583,95%CI:1.135-5.876,P=0.024) were the risk factors for clinical VA deficiency. Conclusion Vitamin A deficiency in newborns is severe. Male infants and newborns with infection are prone to developing clinical vitamin A deficiency.

Key words

vitamin A / sex / infection / hospitalized newborns

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CHANG Xiao,WANG Zhe,WU Yun-xia. Analysis of current level and related factors of vitamin A in 212 cases of hospitalized newborns[J]. Chinese Journal of Child Health Care. 2019, 27(3): 330-332 https://doi.org/10.11852/zgetbjzz2018-0226

References

[1] Stevens GA,Bennett JE,Hennocq Q,et al.Trends and mortality effects of vitamin A deficiency in children in 138 low-income and middle-income countries between 1991 and 2013:a pooled analysis of population-based surveys[J].Lancet Glob Health,2015,3(9):e528-536.
[2] Barber T,Esteban-Pretel G,Marín MP,et al.Vitamin a deficiency and alterations in the extracellular matrix[J].Nutrients,2014,6(11):4984-5017.
[3] Esteban-Pretel G,Marin MP,Rrnsu-Piqueras J,et al.Vitamin A deficiency alters rat lung alveolar basement membrane:reversibility by retinoic acid[J].Nutr Biochem,2010,21(3):227-236.
[4] Esteban-Pretel G1,Marín MP,Renau-Piqueras J,et al.Vitamin A deficiency disturbs collagen IV and laminin composition and decreases matrix metalloproteinase concentrations in rat lung.Partial reversibility by retinoic acid[J].J Nutr Biochem, 2013,24(1):137-145.
[5] 刘霞,李廷玉,陈洁.维生素A缺乏影响肠道屏障功能的研究进展[J].生命科学,2012,24(1):32-36.
[6] Ozdemir R,Yurttutan S,Sari FN,et al.All-trans-retinoic acid attenuates intestinal injury in a neonatal rat model of necrotizing enterocolitis[J],Neonatology,2013,104(1):22-27.
[7] Mactier H,McCulloch DL,Hamilton R,et al.Vitamin A supplementation improves retinal function in infants at risk of retinopathy of prematurity[J].J Pediatr,2012,160(6):954-959.
[8] Meyer S,Gortner L.Early postnatal additional high-dose oral vitamin A supplementatian versus placebo for 28 days for preventing bronchopulmonary dysplasia or death in extremely low birth weight infants[J].Neonatology,2014,105(3):182-188.
[9] Sirisinha S.The pleiotropic role of vitamin A in regulating mucosal immunity[J].Asian Pac J Allergy Immunol,2015,33(2):71-89.
[10] 顾志勇,余加林.维生素A与新生儿肺炎、败血症及呼吸窘迫综合征相关性的临床研究[J].儿科药学杂志,2015,6(21):11-14.
[11] 胡亚美.诸福棠实用儿科学[M].北京:人民卫生出版社,2015:556.
[12] Thorne-Lyman AL,Fawzi WW.Vitamin A and carotenoids during pregnancy and maternal,neonatal and infant health outcomes:a systematic review and meta-analysis[J].Paediatr Perinat Epidemiol,2012,26(1):36-54.
[13] 李文迪,魏守磊,彭云.新生儿维生素A缺乏的研究进展[J].中国儿童保健杂志,2017,8(25):799-802.
[14] 陶恩福,袁天明.维生素A水平与早产儿疾病[J].中国当代儿科杂志,2016,2(18):177-182.
[15] 刘登礼,何必子.不同胎龄和不同出生体重新生儿出生时血清维生素A水平测定[J].中国新生儿科杂志,2015,30(5):358-360.
[16] 孟君,吴洪涛.新生儿呼吸窘迫综合征维生素A、矿物质水平的研究[J].中国儿童保健杂志,2015,23(11):1221-1223.
[17] Ruttenstock EM,Doi T,Dingemann J,et al.Prenatal retinoicacid upregulates connexin 43(Cx43) gene expression in pulmonary hypoplasia in the nitrofen-induced congenital diaphragmatic hernia rat model[J].J Pediatr Surg,2012,47(2):336-340.
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