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城市低收入家庭中以黑人为主的老年人的叶酸和铁状况以及血液学检查结果

Folacin and iron status and hematological findings in predominately black elderly persons from urban low-income households.

作者信息

Bailey L B, Wagner P A, Christakis G J, Araujo P E, Appledorf H, Davis C G, Masteryanni J, Dinning J S

出版信息

Am J Clin Nutr. 1979 Nov;32(11):2346-53. doi: 10.1093/ajcn/32.11.2346.

DOI:10.1093/ajcn/32.11.2346
PMID:495552
Abstract

The folacin and iron status and hemotological parameters of 193 persons 60 years of age and older from urban low-income households were evaluated. Of the serum folacin values 30% were between 3 and 6 ng/ml and 8% were below 3 ng/ml. Of these subjects 60% could be classified as "high risk" (less than 140 ng/ml) and 11% as "medium risk" (140 to 160 ng/ml) based on red blood cell folacin concentrations. Serum iron was normal (greater than 50 micrograms/dl) for all subjects as was transferrin saturation (greater than 15%). Hematological indices showed a 14% incidence of anemia (hemaglobin less than 12 g/dl), and 32% incidence of leukopenia (leukocytes less than 4.8 X 10(3)). These findings demonstrate widespread folacin deficiency and no evidence of iron deficiency in these elderly people.

摘要

对193名来自城市低收入家庭的60岁及以上老人的叶酸和铁状况以及血液学参数进行了评估。血清叶酸值中,30%在3至6纳克/毫升之间,8%低于3纳克/毫升。根据红细胞叶酸浓度,这些受试者中60%可归类为“高风险”(低于140纳克/毫升),11%为“中度风险”(140至160纳克/毫升)。所有受试者的血清铁均正常(大于50微克/分升),转铁蛋白饱和度也正常(大于15%)。血液学指标显示贫血发生率为14%(血红蛋白低于12克/分升),白细胞减少症发生率为32%(白细胞低于4.8×10³)。这些发现表明这些老年人中存在广泛的叶酸缺乏,且无缺铁证据。

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