Volume 43 Issue 11
Nov.  2022
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WANG Xu, LIU Xia, ZHU Lanlan, DENG Yu, XIAO Xiang, LIU Yong, LIU Feng. Analysis of vitamin D nutritional status among children aged 0 to 12 years in Chongqing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1638-1641. doi: 10.16835/j.cnki.1000-9817.2022.11.010
Citation: WANG Xu, LIU Xia, ZHU Lanlan, DENG Yu, XIAO Xiang, LIU Yong, LIU Feng. Analysis of vitamin D nutritional status among children aged 0 to 12 years in Chongqing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1638-1641. doi: 10.16835/j.cnki.1000-9817.2022.11.010

Analysis of vitamin D nutritional status among children aged 0 to 12 years in Chongqing

doi: 10.16835/j.cnki.1000-9817.2022.11.010
  • Received Date: 2022-05-27
  • Rev Recd Date: 2022-07-12
  • Available Online: 2022-11-30
  • Publish Date: 2022-11-25
  •   Objective  To investigate the nutritional status and associated factors of vitamin D among children aged 0 to 12 years old in Chongqing.  Methods  From January 2019 to December 2021, 1 877 children aged 0-6 years who received regular child health care were randomly selected from Chongqing maternal and child health hospital, and 707 school-age children were also selected from three primary school in Chongqing for investigation. The serum sample were collected for detecting serum 25-(OH)-D level by chemiluminescence method, and the possible influencing factors of vitamin D deficiency (VDD) were analyzed.  Results  The average serum 25-(OH)-D concentration of children was (39.9±9.1) ng/mL with the positive rate of VDD was 14.59%. There were significant differences of VDD positive rate in different age, visiting time, visiting season, body shape, outdoor activity time and vitamin D supplementation (0-3 years old vs 4-6 years old vs 7-12 years old: 14.73% vs 22.19% vs 10.47%; visiting season: spring vs summer vs autumn vs winter: 12.97% vs 10.65% vs 14.86% vs 21.33%; pre COVID-19 epidemic vs post COVID-19 epidemic: 11.18% vs 17.08%; underweight or normal vs overweight or obesity: 12.34% vs 26.13%; adequate outdoor activity time vs inadequate: 11.84% vs 16.27%; regular vitamin D supplementation vs irregular vitamin D supplementation: 11.71% vs 15.62%)(χ2=26.17, 17.59, 30.98, 53.74, 9.60, 6.17, P < 0.05). Underweight or normal body weight, sufficient outdoor activities and regular vitamin D supplementation were associated with less vitamin D deficiency with OR(OR95%CI) at 0.68(0.55-0.84), 0.57(0.25-0.77) and 0.62(0.44-0.85)(P < 0.05).  Conclusion  The prevalence of VDD among preschool and school-age children is high in Chongqing. Integrated prevention and control strategies incluing overweight or obesity control, increasing outdoor activities and oral vitamin D supplements should be taken.
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