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[哥伦比亚丰萨市学龄前儿童的铁和维生素A微量营养素状况、其缺乏的风险因素及人体测量评估]

[Iron and vitamin A micronutrient status, risk factors for their deficiencies and anthropometric assessment in preschool child from Funza municipality, Colombia].

作者信息

Poveda Elpidia, Cuartas Alexandra, Guarín Saralicia, Forero Yibby, Villarreal Elsa

机构信息

Grupo de Nutrición, Subdirección de Investigación, Instituto Nacional de Salud, Bogotá, D.C, Colombia.

出版信息

Biomedica. 2007 Mar;27(1):76-93. Epub 2007 May 31.

Abstract

INTRODUCTION

The malnutrition and deficiencias of iron and vitamin A are frequent in the Colombian population and are associated with biological and environmental risk factors.

OBJECTIVE

Prevalence of anemia, iron and vitamin A deficiencies and nutritional status was determined by anthropometric assessment in a population of preschool children in the municipality of Funza. Associations were made between micronutrient deficiency and other risk factors reported in the literature.

MATERIALS AND METHODS

The nutrition status of 287 child preschool was assessed by means of anthropometric evaluation, levels of hemoglobin, ferritin, and vitamin A in blood sera, in addition to fecal examination. A survey was administered to identify risk factors associated with these deficiencies.

RESULTS

Of these children, 40.8% showed anemia, 5.2% iron deficiency and 4.6% vitamin A deficiency. In addition, the children were generally malnourished. Significant associations were noted between low levels of hemoglobin, rented housing, lack of a nutritional program, low levels of vitamin A, and illness in the previous month. Nonsignificant, but statistical association was observed with other risk factors.

CONCLUSION

Incentive programs are necessary to improve the nutritional situation of the preschool children from Funza municipality, Colombia. Nutritional status can be determined by examination of levels of folic acid, vitamin B12, iron and vitamin A in association with social risk factors.

摘要

引言

营养不良以及铁和维生素A缺乏在哥伦比亚人群中很常见,并且与生物和环境风险因素相关。

目的

通过人体测量评估确定丰萨市学龄前儿童人群中贫血、铁和维生素A缺乏的患病率以及营养状况。将微量营养素缺乏与文献中报道的其他风险因素进行关联分析。

材料与方法

通过人体测量评估、血液中血红蛋白、铁蛋白和维生素A水平以及粪便检查,对287名学龄前儿童的营养状况进行评估。开展一项调查以确定与这些缺乏相关的风险因素。

结果

在这些儿童中,40.8%表现出贫血,5.2%缺铁,4.6%缺乏维生素A。此外,这些儿童普遍营养不良。血红蛋白水平低、租房居住、缺乏营养计划、维生素A水平低以及前一个月生病之间存在显著关联。与其他风险因素存在不显著但有统计学意义的关联。

结论

有必要实施激励计划来改善哥伦比亚丰萨市学龄前儿童的营养状况。营养状况可以通过检测叶酸、维生素B12、铁和维生素A水平并结合社会风险因素来确定。

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