铁缺乏症儿童的微量营养素缺乏症
Fatih Mete1, Gül Nihal Özdemir2, Beril Kara Esen3
1Department of Pediatrics, University of Health Sciences Istanbul Bağcılar Research and Training Hospital, İstanbul, Turkey.
概括
患有缺铁 (ID) 和缺铁性贫血 (IDA) 的儿童往往同时存在其他必需微量营养素的缺乏. 这项研究发现,ID和IDA儿童的和叶酸水平显著降低,强调需要全面的营养评估.
科学领域:
- 儿童营养学 儿童营养学
- 临床微量营养素研究临床微量营养素研究
- 公共卫生 儿科 儿科
背景情况:
- 铁缺乏症 (ID) 和微量营养素缺乏症 (MND) 是关键的儿科公共卫生问题.
- 识别障碍经常被诊断出来,但同时发生的MND往往被忽视.
- 这项研究调查了与儿童ID和缺铁性贫血 (IDA) 相关的MND.
研究的目的:
- 在被诊断为ID或IDA的儿童中识别和量化其他微量营养素缺乏.
- 评估特定的MNDs与ID和IDA一起的流行率.
- 了解同时出现的缺陷的临床影响.
主要方法:
- 对157名怀疑患有ID/IDA的儿童 (6个月18岁) 进行前性单中心研究.
- 具有和没有ID/IDA的儿童之间的微量营养素水平 (包括,叶酸,维生素A,D,E,B12) 的比较.
- 统计分析以确定缺陷的风险和重要性.
主要成果:
- 48%的孩子有ID,17%的孩子有IDA.
- 患有ID的儿童的含量显著降低 (p=0.020) 和缺乏率更高 (p<0.001).
- 患有IDA的儿童的风险明显更高,叶酸 (p=0.018) 和 (p<0.001) 的水平更低.
结论:
- 患有ID/IDA的儿童,除了缺铁之外,还存在缺铁的风险.
- 和叶酸缺乏是特别常见的并发症.
- 对于患有ID/IDA的儿科患者来说,全面的营养查至关重要.
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