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2010—2012年中國(guó)農(nóng)村老年人群維生素A營(yíng)養(yǎng)狀況

發(fā)布時(shí)間:2018-06-01 17:34

  本文選題:維生素A + 老年人。 參考:《衛(wèi)生研究》2017年03期


【摘要】:目的分析2010—2012年中國(guó)農(nóng)村老年人群血清視黃醇水平,評(píng)價(jià)中國(guó)農(nóng)村老年人維生素A的營(yíng)養(yǎng)狀況。方法 2010—2012年中國(guó)居民營(yíng)養(yǎng)與健康狀況監(jiān)測(cè)采用多階段分層與人口成比例的整群隨機(jī)抽樣方法抽樣,調(diào)查對(duì)象為中國(guó)內(nèi)地31個(gè)省(直轄市、自治區(qū))的45個(gè)普通農(nóng)村和30個(gè)貧困農(nóng)村中60歲及以上老年人,共2413名。采用問(wèn)卷調(diào)查收集調(diào)查對(duì)象基本情況,高效液相色譜法測(cè)定血清視黃醇水平。按照WHO推薦標(biāo)準(zhǔn)進(jìn)行老年人血清視黃醇營(yíng)養(yǎng)狀況的判定,比較不同特征老年人血清視黃醇水平,及其維生素A缺乏率、邊緣缺乏率差異。結(jié)果中國(guó)農(nóng)村老年人群總體血清視黃醇的P50(P25~P75)為1.88(1.45~2.45)μmol/L;其中普通農(nóng)村老年人群血清視黃醇水平低于貧困農(nóng)村,分別為1.86(1.44~2.41)μmol/L和1.92(1.46~2.48)μmol/L(χ~2=5.1428,P=0.0233);男性高于女性,分別為1.97(1.48~2.54)μmol/L和1.82(1.42~2.33)μmol/L(χ~2=22.3383,P0.0001)。農(nóng)村老年人維生素A缺乏、邊緣缺乏率分別為2.28%、6.30%;其中普通農(nóng)村老年人維生素A缺乏率、邊緣缺乏率分別為2.79%和6.84%,均高于貧困農(nóng)村(分別為1.53%和5.51%),地區(qū)間差異無(wú)統(tǒng)計(jì)學(xué)意義。男性老年人維生素A缺乏率和邊緣缺乏率分別為2.18%和5.37%,女性老年人維生素A缺乏率和邊緣缺乏率分別為2.38%和7.21%,性別間差異無(wú)統(tǒng)計(jì)學(xué)意義。60~69歲老年人維生素A缺乏率和邊緣缺乏率分別為1.93%和5.87%,70~79歲老人缺乏率和邊緣缺乏率分別為3.17%和6.20%,≥80歲缺乏率和邊緣缺乏率分別為1.47%和11.74%。3個(gè)年齡段老年人的維生素A缺乏率差異無(wú)統(tǒng)計(jì)學(xué)意義,邊緣缺乏率差異有統(tǒng)計(jì)學(xué)意義(χ~2=7.3858,P=0.039)。結(jié)論中國(guó)農(nóng)村老年人群存在維生素A缺乏,其中80歲以上老年人邊緣性缺乏較高。
[Abstract]:Objective to analyze the serum retinol level in Chinese rural elderly people from 2010 to 2012, and to evaluate the nutritional status of vitamin A in Chinese rural elderly people. Methods from 2010 to 2012, the nutritional and health monitoring of Chinese residents was sampled by a cluster random sampling method with the proportion of multistage and population, and the survey was made in 31 provinces in China. A total of 2413 people aged 60 and above in 45 ordinary and 30 poverty-stricken rural areas under the jurisdiction of the city and the autonomous region. A questionnaire survey was conducted to collect the basic conditions of the subjects and to determine the serum retinol level by high performance liquid chromatography (HPLC). According to the WHO recommendation, the status of retinol nutrition in the serum of the elderly was determined, and the sera of different characteristics of the elderly were compared. The levels of retinol, vitamin A deficiency, and the rate of marginal deficiency were different. Results the total P50 (P25~P75) of serum retinol was 1.88 (1.45~2.45) mol/L in the Chinese rural elderly population, and the level of retinol was lower than that in the poor rural areas, which were 1.86 (1.44~2.41) mol/L and 1.92 (1.46~2.48) mu mol/L (chi ~2=5.1428, P=0.), respectively. 0233): male higher than women, 1.97 (1.48~2.54) mu mol/L and 1.82 (1.42~2.33) mu mol/L (1.42~2.33) mu mol/L (x ~2=22.3383, P0.0001). Rural elderly people with vitamin A deficiency and marginal deficiency rate were 2.28%, 6.30% respectively, and the rate of vitamin A deficiency in the ordinary rural elderly was 2.79% and 6.84% respectively, which were higher than those in poor rural areas (1.53% and 5.5 respectively). 1%) there was no significant difference between regions. The rate of vitamin A deficiency and marginal deficiency were 2.18% and 5.37% in male elderly respectively. The vitamin A deficiency and marginal deficiency were 2.38% and 7.21% respectively in the female old people, and there was no statistically significant difference between the sexes and the A deficiency rate and the marginal deficiency rate of 1.93% and 5.87% in.60~69 years old. The deficiency rate and marginal lack rate of 70~79 years old were 3.17% and 6.20% respectively. There was no significant difference in vitamin A deficiency rate between 1.47% age groups of 1.47% and 11.74%.3 age groups, and the difference of edge deficiency rate was statistically significant (x ~2=7.3858, P= 0.039). Conclusion there was vitamin A in the rural elderly population in China. A lack of borderline sex among 80 year old or older people is lacking.
【作者單位】: 中國(guó)疾病預(yù)防控制中心營(yíng)養(yǎng)與健康所國(guó)家衛(wèi)生與計(jì)劃生育委員會(huì)微量元素營(yíng)養(yǎng)重點(diǎn)實(shí)驗(yàn)室;
【基金】:國(guó)家衛(wèi)生計(jì)生委(原衛(wèi)生部)醫(yī)改重大項(xiàng)目[中國(guó)居民營(yíng)養(yǎng)與健康狀況監(jiān)測(cè)(2010—2013年)]
【分類號(hào)】:R153.3

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