摘要:
了解高校学生维生素D水平及相关因素,为干预青少年维生素D缺乏提供科学依据.方法 于2015年4月在阜阳市某高校方便抽取大一到大三年级6个班级的339名青少年进行维生素D相关因素问卷调查,并采集指尖血应用串联质谱法检测25(OH)D水平.结果 研究对象的25(OH)D水平范围为(6.2~ 34.5) nmol/L,均值为(16.0±5.4)nmoL/L.单因素分析显示,年龄较小、女性、非独生子女、经常晒太阳、近l周每天11:00-14:59户外活动时间≥30min的青少年有较高的25(OH)D水平.食用含维生素D相对较多食物的频率与25(OH)D水平间无统计学意义关联.多因素分析显示,年龄越大,25(OH)D水平越低(β=-0.62,95% CI=-1.04-0.20);女生25(OH)D水平较男生更高(β=2.31,95%CI=0.96~3.66);晒太阳频率越高(β=0.99,95% CI=0.13 ~ 1.85)和11:00-12:59户外活动时间越长(β=0.93,95%CI=0.27~1.58),25(OH)D水平越高.结论 青少年维生素D缺乏十分普遍,食用含维生素D相对高的食物不能有效提高25(OH)D水平,而经常晒太阳和增加有效户外活动时间可有效提高维生素D水平.
Abstract:
Objective The purpose of this study was to determine vitamin D status in adolescents in North Anhui and to examine factors that independently related vitamin D status.Methods In April 2015,a total of 339 adolescent were selected from six classes in a college in Fuyang,one of the largest cities in North Anhui located at 32.9 degrees north latitude.Concentrations of 25(OH) D in finger-tip blood was measured by using LC-MS/MS,and questionnaires were used to collect information on related factors.Results The mean 25(OH) D level was 16.0 nmol/L(SD=5.4),ranged from 6.2 to 34.5.Univariate analysis indicated that the concentration of 25(OH) D was higher in adolescents with younger age,female,non-only child,longer duration of sun exposure,outdoor activities more than 30 minutes between 11 am and 15 pm in a nearly week,light-skin and non-drinking.However,there was no significant association between intake frequencies of vitamin D-rich food and 25(OH) D level.In a multiple linear regression model,25(OH) D levels significantly decrease with the increase of the age (β=-0.62,95%Cl=-1.04-0.20);25(OH) D level of girls were significant higher than boys(β =2.31,95%Cl =0.96-3.66);and 25(OH) D level was significantly elevate with the increase of sun exposure frequency(β=0.99,95%CI=0.13-1.85) and outdoor activity time between 11 am and 15 pm(β=0.93,95%CI=0.27-1.58).Conclusions Vitamin D deficiency among adolescents in North Anhui is common.More frequencies of sun exposure and increasing time of outdoor activity,rather than more vitamin D rich food,might significantly improve vitamin D levels.