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一家基层医疗中心儿科人群的维生素D水平:一个公共卫生问题?

Vitamin D levels in a pediatric population of a primary care centre: a public health problem?

作者信息

Fernández Bustillo J M, Fernández Pombo A, Gómez Bahamonde R, Sanmartín López E, Gualillo O

机构信息

SERGAS (Servizo Galego de Saude), Pediatric Primary Care, C.S. Bertamiráns, 15220, A Coruña, Bertamirans-Ames, Spain.

SERGAS, Division of Endocrinology and Nutrition, University Clinical Hospital of Santiago de Compostela, 15706, Santiago de Compostela, Spain.

出版信息

BMC Res Notes. 2018 Nov 8;11(1):801. doi: 10.1186/s13104-018-3903-7.

Abstract

OBJECTIVE

Vitamin D deficiency is a public health problem that occurs more frequently than expected. The aim of this study is to evaluate the vitamin D levels of children attending the paediatrics unit of the Bertamiráns primary care centre (A Coruña NW Spain). This is an observational study carried out during 1 year on a random sample of the pediatric population aged between 5 and 15 years. The levels of vitamin D (25(OH)D) were determined by immunoassay (ADVIA Centaur Vitamin D). The results were classified as sufficient (> 20 ng/ml), insufficient (10-20 ng/ml) and deficient (< 10 ng/ml).

RESULTS

153 analyses of vitamin D were carried out (58.2% in girls and 41.8% in boys), distributed in two age groups: 5-10 (62) and 10-15 (91). 66% of the total of the sample presented some degree of vitamin D deficit (60.1% insufficient (92) and 5.9% (11) deficient). In Galicia, there is a high prevalence of vitamin D deficiency/insufficiency in the healthy population, which increases if the patients present some kind of chronic pathology, thus leading to a public health problem. It is advisable to increase the consumption of fortified foods and/or to reconsider the administration of vitamin supplements.

摘要

目的

维生素D缺乏是一个比预期更频繁出现的公共卫生问题。本研究的目的是评估在贝塔米兰斯初级保健中心(西班牙西北部拉科鲁尼亚)儿科就诊的儿童的维生素D水平。这是一项对5至15岁儿科人群随机样本进行的为期1年的观察性研究。维生素D(25(OH)D)水平通过免疫测定法(ADVIA Centaur维生素D检测)测定。结果分为充足(>20 ng/ml)、不足(10 - 20 ng/ml)和缺乏(<10 ng/ml)。

结果

共进行了153次维生素D分析(女孩占58.2%,男孩占41.8%),分布在两个年龄组:5 - 10岁(62例)和10 - 15岁(91例)。样本总数的66%存在某种程度的维生素D缺乏(60.1%不足(92例),5.9%(11例)缺乏)。在加利西亚,健康人群中维生素D缺乏/不足的患病率很高,如果患者患有某种慢性疾病,患病率会更高,从而导致一个公共卫生问题。建议增加强化食品的摄入量和/或重新考虑维生素补充剂的使用。

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