Ozgür S, Sümer H, Koçoğlu G
Department of Public Health, Faculty of Medicine, Gaziantep University, Turkey.
Arch Dis Child. 1996 Dec;75(6):524-6. doi: 10.1136/adc.75.6.524.
The subjects of this study were children aged 6-60 months living in villages in the Ulas Health Region, Sivas. The villages were divided into two groups according to the amount of strontium in the soil: region 1, > 350 ppm, 650 children; region 2, < 350 ppm, 1596 children. Overall, the prevalence of one or more clinical signs of rickets was 22.9%. The prevalence in region 1 was 31.5% and that in region 2, 19.5%. These values were significantly different (p < 0.001). When other variables which may be relevant to the occurrence of rickets were taken into account, the difference in prevalence persisted. The results suggest that in villages where nutrition is mainly based on grain cereals the presence of strontium in the soil will increase the prevalence of rickets significantly. As a preventive measure, a greater proportion of the foods given to children in these villages should be derived from animal origin, and cereals and drinking water supplies should be obtained from villages with a low soil strontium content, or calcium supplements should be given.
本研究的对象是居住在锡瓦斯省乌拉什健康区村庄的6至60个月大的儿童。这些村庄根据土壤中锶的含量分为两组：1区，锶含量>350 ppm，有650名儿童；2区，锶含量<350 ppm，有1596名儿童。总体而言，一种或多种佝偻病临床症状的患病率为22.9%。1区的患病率为31.5%，2区为19.5%。这些数值有显著差异（p<0.001）。当考虑到其他可能与佝偻病发生相关的变量时，患病率的差异依然存在。结果表明，在以谷物为主食的村庄，土壤中锶的存在会显著增加佝偻病的患病率。作为预防措施，这些村庄给儿童提供的食物中应有更大比例来自动物源，谷物和饮用水供应应取自土壤锶含量低的村庄，或者应给儿童补充钙。
