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卡塔尔 10-19 岁青少年铁缺乏症的流行病学:一项横断面研究。

Epidemiology of iron deficiency among adolescents aged 10-19 years old in Qatar: a cross-sectional study.

机构信息

Medical Education, Hamad Medical Corporation, Doha, Qatar

Hamad Medical Corporation, Doha, Ad Dawhah, Qatar.

出版信息

BMJ Open. 2022 Dec 7;12(12):e061666. doi: 10.1136/bmjopen-2022-061666.

Abstract

OBJECTIVE

To estimate the magnitude and the determinants of iron deficiency among adolescents aged 10-19 years in the State of Qatar.

DESIGN

A cross-sectional study design was used to conduct the study.

SETTING

Primary healthcare centres covering the three main geographical areas. One health centre was selected randomly from each region catchment areas: Northern, Central and Western.

PARTICIPANTS

Four hundred and fifty adolescents aged 10-19 years of all nationalities were enrolled in the study.

OUTCOME MEASURES

Serum ferritin cut-off level used to diagnose iron deficiency (<15 µg/L), with normal C reactive protein.

RESULTS

The mean age of the participants was 14.00±2.920, and more than half of the participating adolescents were among 10-14 years old age group (56.9%). Fifty-five per cent of the study participants were Non-Qatari, and females consisted of 70.0% of the participants. The prevalence of iron deficiency was 26.4%. Iron deficiency was significantly associated with gender, nationality, attaining menarche and consumption of iron absorption enhancers (citrus fruits and juice).

CONCLUSION

Iron deficiency among adolescents is of moderate public health concern in the country, according to the classification of the WHO. The estimated prevalence of iron deficiency was close to what was found in other low-income and middle-income countries; however, it is still behind the developed countries. Gender, attaining menarche and dietary habits are among the important factors that are associated with iron deficiency. Thus, there is a need to coordinate efforts and resources to address this issue by implementing effective strategies at the community and primary healthcare levels.

摘要

目的

估计卡塔尔 10-19 岁青少年铁缺乏的程度和决定因素。

设计

使用横断面研究设计进行研究。

地点

覆盖三个主要地理区域的初级保健中心。从每个地区的服务区(北部、中部和西部)中随机选择一个卫生中心。

参与者

450 名 10-19 岁的不同国籍的青少年参加了这项研究。

结局指标

用于诊断铁缺乏症的血清铁蛋白截断值(<15μg/L),正常 C 反应蛋白。

结果

参与者的平均年龄为 14.00±2.920,超过一半的参与青少年年龄在 10-14 岁之间(56.9%)。55%的研究参与者是非卡塔尔人,女性占参与者的 70.0%。铁缺乏的患病率为 26.4%。铁缺乏与性别、国籍、初潮和铁吸收增强剂(柑橘类水果和果汁)的消费显著相关。

结论

根据世界卫生组织的分类,该国青少年铁缺乏症具有中等程度的公共卫生关注。估计的铁缺乏症患病率接近其他低收入和中等收入国家的发现;然而,它仍落后于发达国家。性别、初潮和饮食习惯是与铁缺乏相关的重要因素。因此,需要协调社区和初级保健层面的努力和资源,通过实施有效的策略来解决这一问题。

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