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武汉地区 10 067 例体检者维生素 D 营养状况分析
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R714.7

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Analysis of vitamin D nutritional status of 10 067 physical examination population in Wuhan
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    摘要:

    目的?探讨武汉地区不同性别、年龄以及生活在不同季节成年人维生素 D 的营养状况。方法?选取武汉地区 10 067 例体检者,检测其血清 25- 羟基维生素 D(25-hydroxy vitamin D,25OHD)含量,定义血清 25OHD ≥ 20 ng/mL 为维生 素 D 充足,12 ng/mL ≤ 25OHD<20 ng/mL 为维生素 D 不足,25OHD<12 ng/mL 为维生素 D 缺乏。按照年龄、性别 和采样季节分组,分别统计各组维生素 D 水平及营养状态。结果?研究人群总体 25OHD 水平为(16.02±6.13)ng/mL; 维生素 D 充足、不足和缺乏比例为 22.54%、49.81% 和 27.65%;不同年龄组中 18~44 岁组缺乏率最高,≥ 60 岁组缺乏 率最低,分别为 32.11% 和 23.30% 且 18~44 岁组与 45~59 岁组、18~44 岁组与≥ 60 岁组维生素 D 营养状况差异有统计 学意义(P<0.05);女性的血清维生素 D 水平低于男性(P<0.05),女性人群维生素 D 缺乏率高于男性人群,差异有 统计学意义(P<0.05);夏季维生素 D 营养状况相对较好,充足率为 31.49%、缺乏率为 17.17%,而冬季相对较差,充 足率为 12.41%、缺乏率为 40.83%,夏季和春季维生素 D 营养状况差异有统计学意义(P<0.05)。结论?武汉地区体检 人群 70% 以上均处于维生素 D 不足或缺乏状态,应当引起重视。女性和 18~44 岁人群维生素 D 缺乏更为严重,冬季人群 维生素 D 普遍缺乏,应适当补充。

    Abstract:

    Objective To explore the vitamin D nutritional status of adults of different genders, ages and seasons of sampling in Wuhan. Methods 10 067 people undergoing physical examination in Wuhan were selected to detect their 25-hydroxy vitamin D (25OHD) levels in the serum. Serum 25OHD≥20 ng/mL was defined as vitamin D adequacy, 12 ng/mL≤25OHD < 20 ng/mL as vitamin D insufficiency, and 25OHD < 12 ng/mL as vitamin D deficiency. The data of vitamin D levels and nutritional status on tested cases were devided into groups by age, gender and season in which samples were taken and recorded. Results The overall vitamin level on the cases was (16.02±6.13) ng/ mL; the proportions of vitamin D adequacy, insufficiency and deficiency were 22.54%, 49.81% and 27.65%; the 18~44 years group ranked the highest in terms of the deficiency rate while the ≥ 60 age group had the lowest deficiency rate, which were 32.11% and 23.30%. The differences in vitamin D nutritional status between the 18~44 years group and the 45~59 years group, and between 18~44 years group and the ≥60 years group were all statistically significant (P<0.05). The vitamin D levels in the serum of women was lower than that of men (P<0.05), and the vitamin D deficiency rate of female population was higher than that of male population which was significantly different (P <0.05). The nutritional status of vitamin D of people whose samples taken in summer was relatively better, of whom the adequacy rate was 31.49% while the deficiency rate was 17.17%. The status of people whose samples taken in winter was relatively worse, when the adequacy rate was 12.41%, and the deficiency rate was 40.83%. The difference between the nutritional status of summer and that of spring was statistically significant (P<0.05). Conclusion Vitamin D deficiency and insufficiency are common among more than 70% of the population in Wuhan, which should be taken seriously. The problem of vitamin D deficiency is more serious among women and people between 18 and 45 years old. Vitamin D is generally at a low level in winter, and should be supplemented appropriately.

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  • 在线发布日期: 2023-08-03
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