北京市通州区妊娠妇女维生素D营养状况及其影响因素

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摘要目的了解北京通州区妊娠妇女维生素D营养状况及其影响因素。方法分析2015—2017年通州区妇幼保健院电子信息系统中登记的单胎活产孕产妇30 193例,最终进行维生素D检测并纳入本研究17 351例,所占比例为57.5%,大部分产妇分娩年龄在25～35岁、初产、汉族、大学学历。判定孕产妇血清维生素D缺乏(≤20 ng/ml)、不足(20 ng/ml＜～＜30 ng/ml)或充足(≥30 ng/ml),分析孕产妇维生素D缺乏或不足检出率及相关的影响因素。结果维生素D缺乏占32.7%,不足占29.4%。分娩年龄<30岁、孕前超重(OR=1.21, 95% CI:1.11～1.31)和肥胖(OR=1.40, 95% CI:1.21～1.61)是维生素D缺乏或不足的危险因素。初产(OR=0.74, 95% CI:0.69～0.80)、检测在夏季(OR=0.39, 95% CI:0.36～0.43)和秋季(OR=0.48, 95% CI:0.44～0.53)是维生素D缺乏或不足的保护因素。结论北京市通州区孕妇维生素D不足或缺乏情况较严重,应引起重视。维生素D水平受分娩年龄、产次、孕前体重和检测季节影响。营养干预应重点关注年龄较小、孕前超重/肥胖的孕妇。

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	焦明远
	刘峥
	王海俊
	周倩龄

关键词 ：妊娠妇女, 维生素D, 营养状况, 不足, 缺乏

Abstract：Objective To investigate Vitamin D deficiency or insufficiency, and its influential factors among pregnant women in Tongzhou District of Beijing. Methods A total of 30 193 single live births were selected from the electronic information system of Tongzhou Maternal and Child Health Hospital from 2015 to 2017, Vitamin D testing was carried out in 17 351 births (57.5%). Most of the pregnant were 25-35 years, Han ethnicity, primiparity and had obtained college degree. Serum vitamin D> 30 ng/ml was regarded as adequacy. The prevalence of serum Vitamin D deficiency (≤ 20 ng/ml), insufficiency (20<~<30 ng/ml) in pregnant women was analyzed. Potential factors that would influence Vitamin D status were also analyzed. Results Among 17, 351 pregnant women, 32.7% of them were Vitamin D deficiency and 29.4% were vitamin D insufficiency. The risk factors for Vitamin D deficiency/insufficiency were age < 30 years, pre-pregnancy overweight [OR=1.21, 95%CI (1.11,1.31)] and obesity [OR=1.40, 95%CI (1.21, 1.61)]. The protective factors for Vitamin D deficiency/insufficiency were primiparous [OR=0.74, 95%CI (0.69, 0.80)], examination conducted in summer [OR=0.39, 95%CI (0.36, 0.43)] and autumn [OR=0.48, 95%CI (0.44, 0.53)]. Conclusion Vitamin D deficiency or insufficiency was prevalent among pregnant women in Tongzhou District which should be paid attention. Age of delivery,parity, pre-pregnancy weight status, and detection season were associated with Vitamin D status. Nutrition intervention should target at young pregnant women and women with pre-pregnancy overweight/obesity.

Key words： pregnant women Vitamin D nutrition status insufficiency deficiency

收稿日期: 2018-12-17

基金资助:国家自然科学基金(81573170)

通讯作者: 周倩龄 (qianling.zhou@bjmu.edu.cn)
^▲共同第一作者

引用本文:

焦明远，刘峥，王海俊，周倩龄. 北京市通州区妊娠妇女维生素D营养状况及其影响因素[J]. 中国生育健康杂志, 2019, 30(4): 301-305.
JIAO Mingyuan, LIU Zheng, WANG Haijun, ZHOU Qianling. Vitamin D status and its influential factors among pregnant women in Tongzhou District of Beijing. Chinese Journal of Reproductive Health, 2019, 30(4): 301-305.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2019/V30/I4/301

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