Akmaral Zhumalina, Irina Kim, Balash Tusupkaliev, Mairamkul Zharlykasinova, Botagoz Zhekeyeva
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引用次数: 0
Abstract
Objective: Aim: The purpose of the article is to form the parameters of vitamin D status in young children in the ethnic group of Kazakh nationality with the factor of highlighting the necessary recommendations for the prevention of hypovitaminosis D.
Patients and methods: Materials and Methods: Methods for the study of the highlighted problem are the diagnosis of young children in the parameter of clinical and anamnestic research, which includes the collection of anamnestic data of children of Kazakh nationality within the framework of the identified data based on a questionnaire of parents, an evaluation component in the child's health factor at the level of his initial state, and laboratory analysis to determine 25(OH)D to identify the content of vitamin D using the method of electrochemiluminescent immunoassay.
Results: Results: Analysis of vitamin D levels revealed significant differences among age groups. In the 0-28-day group, average vitamin D was 13.35 ng/ml, with 92.8% deficient. In the 1-6-month group, it was 21.47 ng/ml, with 84% deficient. In the over 6-month group, it was 33.58 ng/ml, with 40% sufficient. Formula-fed children had the lowest levels (average 15.21 ng/ml), while breastfed children had insufficiency (average 23.91 ng/ml). Children with vitamin D supplementation averaged 25.9 ng/ml, compared to 19.01 ng/ml without supplementation.
Conclusion: Conclusions: The results point to a widespread deficiency of vitamin D and offer practical recommendations for its prevention, such as creating a unified system of timely diagnosis, implementing preventive measures in pregnant women and young children, including a balanced diet enriched with vitamin D, staying outdoors in the bright hours of the day.
目的目的:本文旨在制定哈萨克族幼儿维生素 D 状态参数,突出预防维生素 D 不足的必要建议:材料与方法研究突出问题的方法是在临床和异常研究参数中对幼儿进行诊断,其中包括在根据家长问卷确定的数据框架内收集哈萨克族儿童的异常数据,在儿童初始状态水平上对其健康因素进行评估,以及使用电化学发光免疫测定法进行实验室分析以确定 25(OH)D,从而确定维生素 D 的含量:结果:结果:对维生素 D 水平的分析表明,各年龄组之间存在显著差异。在 0-28 天组,维生素 D 平均值为 13.35 ng/ml,92.8% 缺乏。1-6 个月组的维生素 D 平均值为 21.47 纳克/毫升,84%的人缺乏维生素 D。6 个月以上组的平均值为 33.58 纳克/毫升,40%的儿童体内维生素 D 充足。配方奶喂养的儿童体内维生素 D 含量最低(平均为 15.21 纳克/毫升),而母乳喂养的儿童体内维生素 D 含量不足(平均为 23.91 纳克/毫升)。补充维生素 D 的儿童平均水平为 25.9 纳克/毫升,而未补充维生素 D 的儿童平均水平为 19.01 纳克/毫升:结论:结论:研究结果表明,维生素 D 缺乏是一个普遍现象,并为预防维生素 D 缺乏提出了切实可行的建议,如建立一个统一的及时诊断系统,在孕妇和幼儿中实施预防措施,包括富含维生素 D 的均衡饮食,在一天中光线明亮的时段在户外活动等。