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中国北京6个月至3岁儿童贫血与锌、铜、铁、钙和镁水平相关性的初步研究

Pilot Study of the Association of Anemia with the Levels of Zinc, Copper, Iron, Calcium, and Magnesium of Children Aged 6 Months to 3 Years in Beijing, China.

作者信息

Yin Yan, Li Qin, Sun Baoling, Ma Lijuan, Miao Jie, Sun Jie, Xi Shuhui, Li Yongjin, Wu Xiaoxin, Zhou Ying, Liu Ying

机构信息

Integrated Early Child Development of Children, Capital Institute of Pediatrics, Beijing, 100020, China.

Environmental Standards Institute, Chinese Research Academy of Environmental Sciences, Beijing, 100012, China.

出版信息

Biol Trace Elem Res. 2015 Nov;168(1):15-20. doi: 10.1007/s12011-015-0337-0. Epub 2015 Apr 18.

Abstract

This study sought to explore the relationship between anemia in children and levels of five minerals in blood. A sample consisted of 242 normal and 304 anemic children paired by sex and age. Hematological parameters were assessed using the Sysmex xs-800i hematology analyzer. Levels of zinc (Zn), copper (Cu), iron (Fe), magnesium (Mg), and calcium (Ca) were measured by polarographic analysis. Differences in these elements between the anemic and normal groups were compared by ANOVA. Relationships between Ca, Zn, Fe, Cu, Mg, and Hb levels were tested by Pearson's correlation analysis. The Mg level (1.51 ± 0.30 mmol/L) of the moderately anemic group (≤90 g/L) was significantly higher than that (1.36 ± 0.30 mmol/L) of the mildly anemic (90 g/L ≤Hb <110 g/L) and normal groups (1.31 ± 0.30 mmol/L) (p < 0.05). The rate of moderate anemia (13.7 %) in the higher Mg group (Mg >1.57 mmol/L) was higher than that (5.3 %) of the lower Mg group (Mg ≤1.57 mmol/L) (p < 0.01). The rate of moderate anemia (12.8 %) in the lower Fe group (≤78.4 umol/L) was higher than that (6.2 %) of the higher Fe group (>78.4 umol/L) (p < 0.05). Hemoglobin was inversely correlated with Mg levels in the anemic group (p < 0.05). These results indicate that blood levels of Mg and Fe were correlated with anemic children aged 6 months to 3 years. To prevent and treat anemia better, a combination of the levels of Hb, Mg, and Fe in whole blood is required.

摘要

本研究旨在探讨儿童贫血与血液中五种矿物质水平之间的关系。样本包括242名正常儿童和304名贫血儿童,按性别和年龄配对。使用Sysmex xs - 800i血液分析仪评估血液学参数。通过极谱分析法测量锌(Zn)、铜(Cu)、铁(Fe)、镁(Mg)和钙(Ca)的水平。通过方差分析比较贫血组和正常组之间这些元素的差异。通过Pearson相关分析检验Ca、Zn、Fe、Cu、Mg与血红蛋白水平之间的关系。中度贫血组(≤90g/L)的镁水平(1.51±0.30mmol/L)显著高于轻度贫血组(90g/L≤血红蛋白<110g/L)和正常组(1.31±0.30mmol/L)(p<0.05)。高镁组(镁>1.57mmol/L)中中度贫血的发生率(13.7%)高于低镁组(镁≤1.57mmol/L)(5.3%)(p<0.01)。低铁组(≤78.4umol/L)中中度贫血的发生率(12.8%)高于高铁组(>78.4umol/L)(6.2%)(p<0.05)。贫血组中血红蛋白与镁水平呈负相关(p<0.05)。这些结果表明,6个月至3岁贫血儿童的血液中镁和铁水平存在关联。为了更好地预防和治疗贫血,需要综合考虑全血中血红蛋白、镁和铁的水平。

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