Chowdhury Sutanu Dutta, Ghosh Tusharkanti
Department of Physiology, University of Calcutta, Kolkata 700009, West Bengal, India.
Homo. 2013 Jun;64(3):215-27. doi: 10.1016/j.jchb.2013.03.006. Epub 2013 Apr 12.
The nutritional status of the children can be measured by biochemical and hematological parameters and dietary assessment. The objectives of the present study were to evaluate the causes of the undernutrition in the surveyed Santal children, where high degree of undernutrition exists, by measuring selected hematological and biochemical parameters and dietary intake. Nutritional status was assessed by height-for-age Z-score. Total count of red blood cells (RBC count), packed cell volume (PCV), hemoglobin concentration (Hb%), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) were measured. Biochemical parameters such as serum iron, total iron binding capacity (TIBC), serum ferritin, serum transferrin, transferrin saturation (TS) and serum albumin were also measured. Serum iron, serum ferritin, transferrin saturation, hemoglobin level and serum albumin of stunted children were significantly lower (p<0.05) than those in children of normal stature. Total iron binding capacity and serum transferrin of stunted children were significantly higher (p<0.05) than the values in children of normal stature. More than 29% of surveyed children were suffering from iron deficiency. Hemoglobin concentration was found to be strongly associated (p<0.001) with the nutritional status. Dietary intake of almost all nutrients in all age groups was found to be lower than the recommended dietary allowances (RDA) in both sexes. A mild iron deficiency was found in stunted Santal children. The stunting may be associated with the deficiency of specific nutrients such as iron and protein in surveyed Santal children.
儿童的营养状况可通过生化和血液学参数以及饮食评估来衡量。本研究的目的是通过测量选定的血液学和生化参数以及饮食摄入量,评估存在高度营养不良的被调查桑塔尔儿童营养不良的原因。通过年龄别身高Z评分评估营养状况。测量了红细胞总数(RBC计数)、红细胞压积(PCV)、血红蛋白浓度(Hb%)、平均红细胞体积(MCV)、平均红细胞血红蛋白(MCH)和平均红细胞血红蛋白浓度(MCHC)。还测量了血清铁、总铁结合力(TIBC)、血清铁蛋白、血清转铁蛋白、转铁蛋白饱和度(TS)和血清白蛋白等生化参数。发育迟缓儿童的血清铁、血清铁蛋白、转铁蛋白饱和度、血红蛋白水平和血清白蛋白显著低于(p<0.05)正常身高儿童。发育迟缓儿童的总铁结合力和血清转铁蛋白显著高于(p<0.05)正常身高儿童。超过29%的被调查儿童患有缺铁症。发现血红蛋白浓度与营养状况密切相关(p<0.001)。所有年龄组几乎所有营养素的饮食摄入量在两性中均低于推荐膳食摄入量(RDA)。在发育迟缓的桑塔尔儿童中发现轻度缺铁。发育迟缓可能与被调查桑塔尔儿童特定营养素如铁和蛋白质的缺乏有关。