Analysis of nutritional anemia and its association with vitamin A in migrant children aged 6 to 35 months in Beijing

ZHANG Hai-feng; FENG Chao; ZHANG Ting; GUAN Hong-yan; CUI Ming-ming

doi:10.11852/zgetbjzz2020-0768

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Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (2) : 129-133. DOI: 10.11852/zgetbjzz2020-0768

Original Articles

Analysis of nutritional anemia and its association with vitamin A in migrant children aged 6 to 35 months in Beijing

ZHANG Hai-feng, FENG Chao, ZHANG Ting, GUAN Hong-yan, CUI Ming-ming

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Abstract

Objective To explore the status and the influencing factors of nutritional anemia and its association with vitamin A (VA) in migrant children aged 6 to 35 months in Beijing, in order to provide a scientific basis for the effective preventive measures for nutritional anemia in migrant children. Methods By using the convenient cluster sampling method, a cross-sectional survey on 308 children aged 6 to 35 months was conducted in 2017 from the migrant population settlement areas of Chaoyang, Haidian and Changping District in Beijing. Hemoglobin and VA levels were measured. Results The prevalence rate of anemia was 27.92% among migrant children aged 6 to 35 months in Beijing, with 29.19% in boys and 26.53% in girls. There were statistically significant differences among children at different age groups and different regions (P<0.001). And the prevalence rate of anemia was found highest in infants aged 6 to 11 months (52.63%). Children who had formula milk, lean meat, animal liver food had lower risk for anemia significantly (P＜0.05 or <0.01). VA level in children with anemia was significantly lower than that in the control group(P<0.001). Multivariate Logistic regression analysis showed that the residence area, age and VA level were the influencing factors of nutritional anemia(P<0.05 or <0.01). Conclusions The prevalence of nutritional anemia is high among the migrant children aged 6 to 35 months in Beijing, especially in infants aged 6 to 11 months. Children with anemia have significantly lower levels of VA. It is suggested to strengthen the popularization of scientific feeding knowledge and to adjust the dietary structure reasonably among parents of migrant children.

Key words

migrant children / nutritional anemia / vitamin A

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ZHANG Hai-feng, FENG Chao, ZHANG Ting, GUAN Hong-yan, CUI Ming-ming. Analysis of nutritional anemia and its association with vitamin A in migrant children aged 6 to 35 months in Beijing[J]. Chinese Journal of Child Health Care. 2021, 29(2): 129-133 https://doi.org/10.11852/zgetbjzz2020-0768

References

[1] 张霆. 儿童营养性贫血与多种微营养素缺乏[J]. 中国儿童保健杂志,2014,22(2):119-121.
[2] 郑康杰,李明珠.儿童青少年缺铁性贫血防治研究进展[J].中国学校卫生,2017,38(9):1435-1437.
[3] 余亮, 姚彤, 罗新辉. 维生素A缺乏与儿童疾病关系的研究进展[J]. 医学信息, 2018, 31(21):33-36.
[4] YC Hu,J Chen,M Li,et al.Study on anemia and vitamin A and vitamin D nutritional status of Chinese urban pregnant women in 2010 -2012 [J].Chinese Journal of Preventive Medicine,2017,51(2):125-131.
[5] 葛洋新, 刘海珍. 维生素A缺乏与儿童缺铁性贫血的相关性研究[J]. 临床医药文献电子杂志, 2019, 6(79):34,49.
[6] 蓝岚, 梁克纪, 张羽飞. 维生素A缺乏对缺铁性贫血的影响—体内外实验对比研究[J]. 中国食物与营养, 2016, 22(4):62-64.
[7] Guan H, Zhang Z, Wang B, et al. Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing[J]. BMC Pediatr, 2020, 20:70.
[8] Zhang HF, Quan L, Pei P, et al. Simultaneous determination of Vitamin A, 25-hydroxyl vitamin D3, α-tocopherol in small biological fluids by liquid chromatography-tandem mass spectrometry[J]. J Chromatogr B Analyt Technol Biomed Life Sci, 2018, 111(2):1-8.
[9] World Health Organization.Indicators for assessing infant and young child feeding practices. Part 1:definitions[EB／OL]. Geneva Switzerland WHO, 2008. https://www.who.int/nutrition/publications/infantfeeding/9789241596664/en/
[10] World Health Organization.Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity[EB/OL]. Geneva:World Health Organization, 2011. https://www.who.int/vmnis/indicators/haemoglobin/en/
[11] 武杰, 丁树荣. 北京市某社区流动婴幼儿保健服务及喂养状况信息分析[J]. 首都公共卫生, 2012, 6(4):167-170.
[12] 周燕菊, 魏孝侃. 小汤山地区0-3岁儿童喂养情况及母亲孕期贫血情况与贫血的关系[J].中国地方病防治杂志, 2015, 30(1):40-42.
[13] 胡永松, 李维克. 521名流动学龄前儿童贫血患病率调查[J]. 中国热带医学, 2013, 13(1):86-88.
[14] 徐菱钧, 孔桂花, 丘先. 深圳市宝安区流动儿童保健现状及健康状况分析[J]. 中国儿童保健杂志, 2013, 21(3):316-318.
[15] 国家卫生计生委疾病预防控制局. 中国居民营养与慢性病状况报告(2015年)[M]. 北京:人民卫生出版社, 2015:25-26.
[16] Huo J,Sun J,Fang Z,et al. Effect of home-based complementary food fortification on prevalence of anemia among infants and young children aged 6 to 23 months in poor rural regions of China[J]. Food Nutr Bull, 2015, 36(4):405-414.
[17] 中国营养学会. 中国居民膳食指南(2016)[M]. 北京:人民卫生出版社,2016:210-229.
[18] 王鸥, 王丽娟, 黄建, 等. 营养包覆盖地区6~23月龄婴幼儿贫血影响因素分析[J]. 中国儿童保健杂志, 2019, 27(11):1211-1215.
[19] Nambiar V, Roy K, Patel N, et al. Vitamin A deficiency and anemia:alarming public health problems among the tribal Rathwa adolescents of Chota Udepur, Gujarat, western India:a cross-sectional study[J]. Int J Med Sci Public Health,2015,4(11):1504-1512.
[20] Pajuelo J, Miranda M, Zamora R. Prevalence of vitamin A deficiency and anemia in children under five years of age in Peru[J]. Revista Peruana De Medicina Experimental Y Salud Publica, 2015, 32(2):245-251.