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[生命第一年维生素D补充剂的依从性及决定因素]

[Adherence to vitamin D supplementation and determinant factors during the first year of life].

作者信息

Arancibia C Mónica, Reyes G María Loreto, Cerda L Jaime

出版信息

Rev Chil Pediatr. 2014 Jul;85(4):428-36. doi: 10.4067/S0370-41062014000400004.

DOI:10.4067/S0370-41062014000400004
PMID:25697315
Abstract

INTRODUCTION

Breastfed infants under one year of age may not get enough vitamin D; therefore a vitamin supplement is needed. The adherence to this policy has not yet been evaluated in Chile.

OBJECTIVE

To evaluate the adherence to vitamin D supplementation in children less than one year old and the determinant factors involved.

PATIENTS AND METHOD

A cross-sectional study was carried out in three Catholic University Health Network centers. Breastfed infants under one year of age were included in the study. Their parents/guardians filled out a questionnaire about adherence to supplementation and its determinant factors.

RESULTS

170 infants were recruited. 164 of them received supplementation, with a good adherence of 68.9%. The main reason for non-adherence was due to maternal forgetfulness. The identified risk factor for poor adherence was the number of maternal children.

CONCLUSIONS

Vitamin D supplementation in Chile reaches high levels, but its adherence is poor. More education to parents on ways to avoid forgetting the supplement is needed as well as on identifying risk factors during medical consultations.

摘要

引言

一岁以下的母乳喂养婴儿可能无法获得足够的维生素D;因此需要补充维生素。智利尚未对这一政策的依从性进行评估。

目的

评估一岁以下儿童维生素D补充剂的依从性以及相关的决定因素。

患者与方法

在三个天主教大学健康网络中心开展了一项横断面研究。研究纳入了一岁以下的母乳喂养婴儿。他们的父母/监护人填写了一份关于补充剂依从性及其决定因素的问卷。

结果

招募了170名婴儿。其中164名接受了补充剂,良好依从性为68.9%。不依从的主要原因是母亲遗忘。确定的依从性差的风险因素是母亲所育子女数量。

结论

智利的维生素D补充水平较高,但其依从性较差。需要对父母进行更多关于避免忘记补充剂的方法以及在医疗咨询中识别风险因素的教育。

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