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儿童微量元素与肺功能的性别差异

Sex Difference Between Trace Elements and Pulmonary Functions in Children.

作者信息

Pan Zhenzhen, Zhang Xiaojuan, Hui Yu, Xiang Hongxia, Wang Qian, Xu Shiyao, Li Ling

机构信息

Department of Pediatric Respiratory, Wuxi Children's Hospital, Wuxi, 214023, Jiangsu Province, People's Republic of China.

Department of pediatric respiratory, Wuxi children's hospital, No. 299-1 at Qingyang Road, Liangxi District, Wuxi, 214023, Jiangsu Province, People's Republic of China.

出版信息

Biol Trace Elem Res. 2020 Oct;197(2):405-410. doi: 10.1007/s12011-019-02019-4. Epub 2020 Feb 14.

Abstract

It has been defined that deficiency of trace elements plays an important role in the progression of asthma. However, the relationship between blood zinc (Zn), selenium (Se), and magnesium (Mg) and pulmonary functions in children remains to be clarified. A cross-sectional study was conducted in Wuxi, China, and a total of 202 healthy children were recruited. The forced vital capacity volume (FVC) and forced expiratory volume in the 1 s (FEV1) were measured. Blood samples were collected, and the levels of blood zinc, selenium, and magnesium were measured by inductively coupled plasma mass spectrometry (ICP-MS). Meanwhile, the concentrations of serum total IgE was also determined. The associations between trace elements and pulmonary functions were analyzed by multiple linear regression models. After stratified by sex, there was a positive association between blood Zn and pulmonary functions in boys. In addition, blood Zn was also negatively associated with serum total IgE concentrations in boys, but not in girls after adjusting for potential confounders. Our findings indicated that zinc deficiency was significantly related to children's pulmonary functions and that screening of trace elements may be a potential solution to decrease the risks of asthma in children.

摘要

已有研究表明,微量元素缺乏在哮喘进展中起重要作用。然而,儿童血液中锌(Zn)、硒(Se)和镁(Mg)与肺功能之间的关系仍有待阐明。在中国无锡进行了一项横断面研究,共招募了202名健康儿童。测量了用力肺活量(FVC)和第1秒用力呼气量(FEV1)。采集血样,采用电感耦合等离子体质谱法(ICP-MS)测定血液中锌、硒和镁的水平。同时,还测定了血清总IgE的浓度。采用多元线性回归模型分析微量元素与肺功能之间的关联。按性别分层后,男孩血液锌与肺功能呈正相关。此外,在调整潜在混杂因素后,男孩血液锌与血清总IgE浓度也呈负相关,而女孩则无此关联。我们的研究结果表明,锌缺乏与儿童肺功能显著相关,筛查微量元素可能是降低儿童哮喘风险的潜在解决方案。

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