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血清铁蛋白水平与肯尼亚楠迪县育龄妇女频繁食用富含铁和抗坏血酸的食物有关。

Serum ferritin levels are associated with frequent consumption of iron- and ascorbate-rich foods among women of childbearing age in Nandi County, Kenya.

机构信息

Department of Food, Nutrition and Dietetics, Kenyatta University, Nairobi, Kenya.

出版信息

J Nutr Sci. 2022 Feb 8;11:e6. doi: 10.1017/jns.2022.5. eCollection 2022.

Abstract

Information on consumption patterns of iron- and ascorbate-rich foods and their influence on iron status among women of childbearing age (WCA) is scarce in Kenya despite iron deficiency being rampant. The present study investigated consumption patterns of iron- and ascorbate-rich foods on iron status among WCA in Kapsabet Ward, Kenya. The study adopted a cross-sectional analytical design. A sample of 160 respondents was systematically selected proportionately in the eight villages. Consumption patterns of iron- and ascorbate-rich foods were assessed using a modified 7-d Food Frequency Questionnaire. Venous blood (2 ml) was drawn from participants. Serum ferritin and C-reactive proteins were measured by enzyme immunoassay. Consumption patterns of iron- and ascorbate-rich foods were analysed using descriptive statistics. Multivariable regression was conducted to investigate the association between iron- and ascorbate-rich foods consumption and iron status. Confounding variables such as consumption of foods high phytate levels, milk and milk products, recent major blood losses and parasitic infections were controlled for during analysis. The prevalence of iron deficiency among the WCA was 45⋅0 %. Iron-rich foods were rarely (<2 times/week) consumed by the respondents with the majority reporting infrequent consumption: meat (61⋅3 %), sardines (61⋅9 %), oranges (54⋅4 %) and fortified breakfast cereals (94⋅4 %), except for kale and beans. Iron- (iron-fortified porridge, meat, sardines, beans, amaranth and spider plants) and ascorbate- (oranges and mangoes) rich foods positively predicted (AOR = 4⋅851, = 0⋅021) the normal iron status of WCA. WCA should consume above 2 intakes per week of each iron- and ascorbate-rich food for better iron status outcomes.

摘要

尽管缺铁现象普遍存在,但肯尼亚有关生育年龄段妇女(WCA)铁和抗坏血酸丰富的食物消费模式及其对铁状态影响的信息却很匮乏。本研究调查了凯萨贝特区 WCA 铁和抗坏血酸丰富的食物消费模式对铁状态的影响。该研究采用了横断面分析设计。在八个村庄中,按比例系统选择了 160 名受访者作为样本。使用改良的 7 天食物频率问卷评估铁和抗坏血酸丰富的食物的消费模式。从参与者中抽取 2 毫升静脉血。通过酶免疫测定法测量血清铁蛋白和 C 反应蛋白。使用描述性统计方法分析铁和抗坏血酸丰富的食物的消费模式。进行多变量回归分析以调查铁和抗坏血酸丰富的食物消费与铁状态之间的关联。在分析过程中,控制了摄入高植酸水平的食物、牛奶和奶制品、近期大量失血和寄生虫感染等混杂变量。WCA 缺铁的患病率为 45 ⋅ 0%。受访者很少食用富含铁的食物(每周<2 次),大多数人报告的食用频率较低:肉类(61 ⋅ 3%)、沙丁鱼(61 ⋅ 9%)、橙子(54 ⋅ 4%)和强化早餐麦片(94 ⋅ 4%),除了羽衣甘蓝和豆类。铁(铁强化粥、肉类、沙丁鱼、豆类、苋菜和蜘蛛植物)和抗坏血酸(橙子和芒果)丰富的食物对 WCA 的正常铁状态有积极的预测作用(AOR = 4 ⋅ 851, = 0 ⋅ 021)。WCA 应该每周食用 2 次以上的每种铁和抗坏血酸丰富的食物,以获得更好的铁状态结果。

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