在混合年龄的住院队列中,维生素D缺乏的患病率和相关值
Zan Zhou1, Si Chen1, Fen Yang1
1Department of Laboratory Medicine, Liuyang Maternal and Child Health Hospital, Changsha, Hunan, China.
Frontiers in public health
|March 9, 2026
概括
维生素D缺乏影响了中国亚热带地区超过10%的患者,青少年和妇女是最容易受到影响的. 针对性干预对这些群体和春季期间至关重要.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 维生素D缺乏是一个广泛的全球健康问题,影响骨和非骨健康.
- 关于来自中国亚热带地区的大型混合年龄医院队列中维生素D状况的数据有限.
- 这项研究通过调查多元化的中国患者群体中维生素D的患病率和相关性来弥补这一差距.
研究的目的:
- 为了确定维生素D缺乏症在中国亚热带地区的大型医院队列中的患病率.
- 确定与维生素D状况相关的主要人口和季节性因素.
- 确定需要有针对性的干预措施的脆弱子组.
主要方法:
- 从2024年3月到2025年9月,对22,484个血清25-基维生素D [25(OH) D]的回顾性分析结果.
- 维生素D状态的分类:缺乏 (≤20 ng/mL),低 (21-29 ng/mL) 和最佳 (≥30 ng/mL).
- 使用千平方测试和斯皮尔曼等级相关性进行统计分析,以评估群体差异和关系.
主要成果:
- 总体而言,维生素D缺乏的患病率为10.3%,其中27.7%具有低水平和62.0%具有最佳水平.
- 平均25 (((OH) D度为33.8±11.9 ng/mL. 这一值为25 (((OH) D度的平均值.
- 在青少年 (18.2%) 和18-39岁的成年人 (17.2-17.3%) 中观察到较高的缺乏率,特别是女性 (13.1%对男性5.8%). 短缺率在春季达到峰值 (19.5%),在秋季最低 (4.5%).
结论:
- 在这个亚热带中国人群中,维生素D缺乏的负担很大,年龄,性别和季节都有显著差异.
- 青少年,年轻人 (尤其是女性) 和春季接受测试的个人代表高风险群体.
- 针对性查和干预策略对于类似环境中的这些脆弱子组至关重要.
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