【摘要】 目的:探讨0～6岁营养不良儿童25-羟维生素D水平,并进行相关因素分析。方法:回顾性分析2018年1-12月在江门市妇幼保健中心体检的0～6岁的婴幼儿共17 595例,其中检出营养不良儿童1 865例。观察营养不良儿童25-羟维生素D水平情况,并对营养不良影响因素进行分析。结果:年龄3～6岁组25-羟维生素D水平低于年龄≥1岁且<3岁组及<1岁组,重度营养不良组25-羟维生素D水平低于中度及轻度营养不良组,维生素D摄入不规律组25-羟维生素D水平低于摄入规律组,差异均有统计学意义(P<0.05)。Logistic回归分析结果显示居住农村、日均户外活动<30 min、25-羟维生素D缺乏、父母受教育年限≤12年是引发婴幼儿营养不良的独立危险因素(OR>1,P<0.05)。结论:江门地区0～6岁营养不良儿童25-羟维生素D水平存在年龄、营养不良程度差异,同时居住农村、日均户外活动<30 min、25-羟维生素D缺乏、父母受教育年限≤12年与营养不良的发病有关。更多还原

【Abstract】 Objective:To investigate the levels of 25-hydroxyvitamin D in malnourished children aged 0-6 and analyze the related factors.Method:A retrospective analysis of 17 595 infants and children aged 0-6 who underwent physical examination at Jiangmen Maternal and Child Health Center from January to December 2018,and 1 865 malnourished children were detected.The levels of 25-hydroxyvitamin D in malnourished children were observed,and the factors affecting malnutrition analyze were analyzed.Result:The level of 25-hydroxyvitamin D in the 3-6 year-old group was lower than those in the ≥1 year-old and <3 year-old group and <1 year-old group,the level of 25-hydroxyvitamin D in the severe malnutrition group was lower than those in the moderate and mild malnutrition group,the level of 25-hydroxyvitamin D in the irregular intake group was lower than that in the regular intake group,the differences were statistically significant (P<0.05).Logistic regression analysis showed that living in rural areas,daily average outdoor activities <30 min,25-hydroxyvitamin D deficiency,and parents’ education years ≤12 years were independent risk factors for infant malnutrition (OR>1,P<0.05).Conclusion:There are differences in age and malnutrition levels of 25-hydroxyvitamin D in malnourished children aged 0-6 in Jiangmen area.At the same time,living in rural areas,daily outdoor activities less than 30 minutes,25-hydroxyvitamin D deficiency,parents’ education years less than 12 years are related to the incidence of malnutrition.更多还原