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印度青少年维生素 D 缺乏症(VDD)的患病率及其相关因素。

Prevalence and Covariates of Vitamin D Deficiencies (VDD) among Adolescents in India.

机构信息

Department of Anthropology, Mrinalini Datta Mahavidyapith, Birati, Kolkata, West Bengal, 700051, India.

出版信息

Indian J Pediatr. 2022 Aug;89(8):751-758. doi: 10.1007/s12098-021-04007-w. Epub 2021 Nov 27.

Abstract

OBJECTIVE

To estimate the overall burden of vitamin D deficiencies (VDD) among Indian adolescents aged 10-19 y and to explore some selected covariates to determine a comprehensive guide to explore the vulnerable segments its guiding factors of VDD.

METHODS

The study used secondary data of 11,822 adolescent children from the Community National Nutrition Survey (CNNS), undertaken in 2016-18. The data were analyzed by using STATA version 17.0. The multinomial logistic regression model was used to explore the covariates of VDD after adjusting all multicollinearity and giving analytical as well as sampling weights.

RESULTS

The results revealed that nearly one-fourth of adolescent children have VDD (23.46%, 95% CI: 22.69%-24.22%) across India. Children belonging to the Hindu caste population, children who occasionally (and not weekly), or never, consume eggs, children living in north Indian states specifically in Punjab, Haryana, and Uttarakhand, children belonging to the richest households (wealth index-wise), and children suffering from overweight and obesity were more inclined to VDD. In the final adjusted multinomial regression model, the odds of VDD were significantly higher among urban living children.

CONCLUSIONS

Findings concluded that proper intervention programs targeting specific population groups and/or regions of India are essential to combat the burden of VDD for enriching India's sustainable development goal of eradicating hunger by 2030.

摘要

目的

估计印度 10-19 岁青少年维生素 D 缺乏症(VDD)的总体负担,并探讨一些选定的协变量,以确定全面的指南,探索 VDD 的脆弱群体及其指导因素。

方法

本研究使用了 2016-18 年进行的社区国家营养调查(CNNS)中 11822 名青少年儿童的二次数据。使用 STATA 版本 17.0 分析数据。在调整所有多重共线性并提供分析和抽样权重后,使用多项逻辑回归模型探讨 VDD 的协变量。

结果

结果显示,印度近四分之一的青少年儿童患有 VDD(23.46%,95%CI:22.69%-24.22%)。属于印度教种姓群体的儿童、偶尔(而非每周)或从不食用鸡蛋的儿童、居住在印度北部特定州(特别是旁遮普邦、哈里亚纳邦和北阿坎德邦)的儿童、属于最富裕家庭(按财富指数划分)的儿童以及超重和肥胖的儿童更容易患有 VDD。在最终调整的多项逻辑回归模型中,城市居住儿童发生 VDD 的几率显著更高。

结论

研究结果表明,针对印度特定人群和/或地区的适当干预计划对于减轻 VDD 的负担至关重要,这对于实现印度到 2030 年消除饥饿的可持续发展目标具有重要意义。

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