Vitamin A nutritional status and associated factors among primary and middle school students in Chongqing

CHEN Jingrong; LI Qunying; ZHANG Jie; TIAN Yu; LONG Cheng

doi:10.16835/j.cnki.1000-9817.2021.05.007

Volume 42 Issue 5

May 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(5): 667-670

CHEN Jingrong, LI Qunying, ZHANG Jie, TIAN Yu, LONG Cheng. Vitamin A nutritional status and associated factors among primary and middle school students in Chongqing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 667-670. doi: 10.16835/j.cnki.1000-9817.2021.05.007

Citation:

CHEN Jingrong, LI Qunying, ZHANG Jie, TIAN Yu, LONG Cheng. Vitamin A nutritional status and associated factors among primary and middle school students in Chongqing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 667-670. doi: 10.16835/j.cnki.1000-9817.2021.05.007

Citation:

PDF( 903 KB)

Vitamin A nutritional status and associated factors among primary and middle school students in Chongqing

doi: 10.16835/j.cnki.1000-9817.2021.05.007

1.
Institute of Public Health and Safety Monitoring, Center for Disease Control and Prevention of Chongqing, Chongqing(400042), China

Received Date: 2020-12-17
Rev Recd Date: 2021-01-14

Available Online: 2021-05-20

Publish Date: 2021-05-25

Abstract

Abstract

Objective To examine the vitamin A status of children and adolescents aged between 6-17 years old in Chongqing, and to analyze the influencing factors of vitamin A deficiency, providing a scientific basis for nutritional improvement measures. Methods From 2016 to 2017, a multi-stage random sampling method was used to select approximately 1 508 children and adolescents aged between 6-17 years old from three rural and three urban locations in Chongqing. This study carried out a questionnaire survey and laboratory testing, and the statistical analysis was performed using SPSS version 25.0. Results The mean vitamin A level was (1.45±0.42)μmol/L, while the prevalence of vitamin A deficiency and the subclinical deficiency rate were 0.46% and 13.46%, respectively. The binary Logistic regression analysis revealed that the following factors were associated with a lower risk of vitamin A deficiency: overweight and obese students(OR=0.51); students whose mothers had a high school education or above(OR=0.35, P=0.01); students from big cities; and higher quartile albumin levels (Q3 and Q4). Students who did not eat meat each day(OR=2.05), students aged 6-8 years old, and students with C-reactive protein in the third (OR=2.12) and fourth (OR=4.54) higher quartiles were at a higher risk of vitamin A deficiency. Conclusion The subclinical vitamin A deficiency rate was relatively high among children aged 6-17 years old in Chongqing. Measures including nutritional education, reasonable diets, and nutritionally fortified food or fortifiers should be used when necessary.
- Vitamin A,
- Vitamin A deficiency,
- Nutritional status,
- Regression analysis,
- Child,
- Adolescent

FullText(HTML)

References(17)

References

[1]	刘玉梅, 吴红, 张帆, 等. 海南少数民族地区中小学生维生素A和维生素D营养状况[J]. 营养学报, 2018, 40(3): 33-37. LIU Y M, WU H, ZHANG F, et al. Vitamin A and Vitamin D status of students from Hainan national minority areas[J]. Acta Nutri Sinica, 2018, 40(3): 33-37.
[2]	王迪, 胡小琪, 徐培培, 等. 2016年"学生营养改善计划"试点地区学生维生素A营养状况分析[J]. 中国健康教育, 2019, 35(4): 295-299. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201904003.htm WANG D, HU X Q, XU P P, et al. Status analysis on vitamin A among students in student nutrition improvement program in 2016[J]. Chin J Health Educat, 2019, 35(4): 295-299. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201904003.htm
[3]	DILIP K Y. 血清维生素A, 维生素D, 维生素E与常见儿童疾病关系临床研究[D]. 新乡: 新乡医学院, 2019. DILIP K Y. Clinical study on the relationship between serum Vitamin A, Vitamin D and Vitamin E levels in common childhood diseases[D]. Xinxiang: Xinxiang Medical University, 2019.
[4]	杨春, 杨晓光. 中国人群维生素A的影响因素[J]. 医学综述, 2016, 22(7): 1249-1252. doi: 10.3969/j.issn.1006-2084.2016.07.001 YANG C, YANG X G. The factors of Vitamin A in Chinese population[J]. Med Recap, 2016, 22(7): 1249-1252. doi: 10.3969/j.issn.1006-2084.2016.07.001
[5]	高蓉, 喻颖杰, 郭丹丹, 等. 北京市6~13岁儿童维生素A营养水平及影响因素[J]. 中国食物与营养, 2019, 25(6): 78-82. doi: 10.3969/j.issn.1006-9577.2019.06.018 GAO R, YU Y J, GUO D D, et al. Vitamin A level and influencing factors of children aged 6-13 in Beijing City[J]. Food Nutr China, 2019, 25(6): 78-82. doi: 10.3969/j.issn.1006-9577.2019.06.018
[6]	中华人民共和国中央人民政府. 国务院印发《关于调整城市规模划分标准的通知》[EB/OL]. [2021-03-04]. http://www.gov.cn/zhengce/content/2014-11/20/content_q225.htm. The State Council of the People's Republic of China. The State Concil printing and issuing the Notice on Adjusting the Standand of City Size Dirision[EB/OL]. [2021-03-04]. http://www.gov.cn/zhengce/content/2014-11/20/content_q225.htm.
[7]	国家卫生和计划生育委员会. 人群维生素A筛查方法[EB/OL]. [2020-10-10]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/08/20170811093617394.pdf. National Health Commission of the People's Republic of China. Method for Vitamin A deficiency screening[EB/OL]. [2020-10-10]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/08/2017081109 3617394.pdf.
[8]	国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查[EB/OL]. [2020-10-11]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/03/20180329094554367.pdf. National Health Commission of the People's Republic of China. Screening for overweight and obesity among school-age children and adolescents[EB/OL]. [2020-10-11]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/03/20180329094554367.pdf.
[9]	国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查[EB/OL]. [2020-10-11]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2014/07/20140704142652587.pdf. National Health Commission of the People's Republic of China. Screening standard for malnutrition of school-age children and adolescents[EB/OL]. [2020-10-11]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2014/07/20140704142652587.pdf.
[10]	王晶, 王欢欢, 张绍城. 四川省绵阳地区健康儿童维生素A, D和E营养水平的分析研究[J]. 现代检验医学杂志, 2018, 33(3): 144-147. doi: 10.3969/j.issn.1671-7414.2018.03.037 WANG J, WANG H H, ZHANG S C. Study on the nutritional levels of fat-soluble Vitamin A, D and E in healthy children in Mianyang of Sichuan Province[J]. J Mod Lab Med, 2018, 33(3): 144-147. doi: 10.3969/j.issn.1671-7414.2018.03.037
[11]	刘桐, 杨月欣, 张印红, 等. 甘肃省某农村地区学龄儿童维生素A营养干预效果评价[J]. 营养学报, 2018, 40(1): 32-35. doi: 10.3969/j.issn.0512-7955.2018.01.007 LIU T, YANG Y X, ZHANG Y H, et al. Effects of Vitamin A supplementation on school aged children in the rural areas of Gansu Province[J]. Acta Nutri Sinica, 2018, 40(1): 32-35. doi: 10.3969/j.issn.0512-7955.2018.01.007
[12]	郭珂, 杨月欣, 刘桐, 等. 甘肃省某农村地区7~12岁学龄儿童维生素A营养改善研究[J]. 中华疾病控制杂志, 2018, 22(5): 481-484. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201805012.htm GUO K, YANG Y X, LIU T, et al. Improvement study of the Vitamin A supplementation in school age children of 7-12 years old in rural areas, Gansu Province[J]. Chin J Dis Control Prev, 2018, 22(5): 481-484. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201805012.htm
[13]	阿斯亚·阿西木, 阿迪力·司马义, 张俊. 新疆贫困农村地区中小学生维生素A及维生素D营养状况[J]. 中国学校卫生, 2018, 39(9): 1394-1396. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201809037.htm ASYA A, ADILI S, ZHANG J. Nutritional status of Vitamin A and Vitamin D among primary and secondary school students in poverty-stricken rural areas of Xinjiang[J]. Chin J Sch Health, 2018, 39(9): 1394-1396. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201809037.htm
[14]	杨春. 中国6~13岁儿童和孕妇维生素A营养状况分析[D]. 北京: 中国疾病预防控制中心, 2016. YANG C. Nutritional status of Vitamin A in Chinese children aged 6-13 years and pregnant women[D]. Beijing: Chinese Center for Disease Control and Prevention, 2016.
[15]	喻颖杰, 余晓辉, 郭丹丹, 等. 北京小学生维生素A膳食供给与营养状况关系探讨[J]. 首都公共卫生, 2017, 11(4): 155-158. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW201704005.htm YU Y J, YU X H, GUO D D, et al. Study on the relationship between dietary Vitamin A intake and nutritional status among primary school students in Beijing[J]. Capit J Public Health, 2017, 11(4): 155-158. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW201704005.htm
[16]	WEI X, PENG R, CAO J, et al. Serum Vitamin A status is associated with obesity and the metabolic syndrome among school age children in Chongqing, China[J]. Asia Pac J Clin Nutr, 2016, 25(3): 563-557.
[17]	HOTZ C, CHILESHE J, SIAMUSANTU W, et al. Vitamin A intake and infection are associated with plasma retinol among pre-school children in rural Zambia[J]. Public Health Nutr, 2012, 15(9): 1688-1696. doi: 10.1017/S1368980012000924