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The Potential Role of Xanthohumol in SARS-CoV-2 Treatment—Globally Accessible and Economically Viable 黄腐醇在严重急性呼吸系统综合征冠状病毒2型治疗中的潜在作用——全球可及且经济可行
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-10-01 DOI: 10.2147/nds.s265857
M. Caplin, Luohai Chen
Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in significant global morbidity and mortality and there are a lack of effective therapies There is a need for treatment which could be available for all in the global community, as well as within hospital, which is efficacious, affordable and safe Xanthohumol from hop extract has been shown in vitro and in vivo to have antiviral properties against RNA and DNA viruses but also importantly anti-inflammatory properties against severe respiratory syndrome via inhibition of NF kappa B dependent pathways We review the evidence for xanthohumol to be considered as a treatment for SARS-CoV- 2 infection We need an economic and globally available therapy and thinking beyond the traditional is important;thus, studies are warranted to assess efficacy of xanthohumol against SARS-CoV-2
严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒冠状病毒2型)的感染已导致全球显著的发病率和死亡率,而且缺乏有效的治疗方法,啤酒花提取物中价格合理且安全的黄腐酚已在体外和体内显示出对RNA和DNA病毒具有抗病毒特性,但重要的是,通过抑制NF-κB依赖性途径对严重呼吸综合征具有抗炎特性全球可用的治疗和超越传统的思维是重要的;因此,有必要进行研究来评估黄腐酚对严重急性呼吸系统综合征冠状病毒2型的疗效
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引用次数: 2
Magnitude and Its Predictors of Minimum Dietary Diversity Feeding Practice Among Mothers Having Children Aged 6–23 Months in Goba Town, Southeast Ethiopia, 2018: A Community-Based Cross-Sectional Study 2018年埃塞俄比亚东南部戈巴镇6-23月龄儿童母亲最低饮食多样性程度及其预测因素:一项基于社区的横断面研究
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-10-01 DOI: 10.2147/nds.s243521
H. Gezahegn, Mekonnen Tegegne
Background: Diversified foods are considered key indicators of a balanced diet. Consumption of a minimum of four from the seven food groups is described as a minimum for dietary diversity. Nearly two-thirds of malnutrition-related child mortality is due to inappropriate feeding practice during the first two years of life. In Ethiopia, only five percent of children aged 6–23 months received a minimum diversity diet. Therefore, this study was intended to assess the predictors of minimum diversified diet feeding practice among mothers having children aged 6–23 months, in Goba Town, Southeast Ethiopia. Methods: A community-based survey was employed in Bale-Goba town, Southeast Ethiopia from April to May 2018. A total of 517 study subjects were selected using systematic random sampling technique. A pretested interviewer administered questionnaire was used to collect the data. Ethical clearance was obtained from Madda Walabu University, Goba Referral Hospital. Data were entered to EpiData3.02 and analyzed using SPSS version 20, and the association between dependent and independent variables was assessed using bi-variable and multiple logistic regression. Statistical significance was considered with 95% confidence interval and p-value of less than 0.05. Results: The proportion of children receiving minimum dietary diversity was 39.8% (95% CI 35.52, 44.08). Postnatal care visit (AOR=1.9 95% CI 1.3, 2.8) and attending growth-monitoring follow-up (AOR=1.5 95% CI 1.001, 2.2) were independent predictors, statically significant with dependent variable. Conclusion: Almost forty percent received minimum dietary diversity among the study subjects. Attending postnatal visit and having growth-monitoring follow-up were factors associated with minimal meal frequency practice. Encouraging mothers to attend postnatal care visits and fre-quently bring their children to growth-monitoring follow-up is highly recommended. http://doi.org/10.2147/NDS.S243521
背景:多样化的食物被认为是均衡饮食的关键指标。从7种食物中至少摄入4种被认为是饮食多样性的最低要求。在与营养不良有关的儿童死亡中,近三分之二是由于在生命的头两年不适当的喂养方式造成的。在埃塞俄比亚,只有5%的6-23个月大的儿童获得了最低限度的多样化饮食。因此,本研究旨在评估埃塞俄比亚东南部戈巴镇6-23个月孩子的母亲最低多样化饮食喂养习惯的预测因素。方法:2018年4 - 5月在埃塞俄比亚东南部的Bale-Goba镇进行社区调查。采用系统随机抽样方法,共选取517名研究对象。采用预测问卷收集数据。获得了麦达瓦拉布大学戈巴转诊医院的道德许可。数据输入EpiData3.02,使用SPSS version 20进行分析,采用双变量和多元逻辑回归评估因变量和自变量之间的相关性。以95%置信区间和p值小于0.05认为有统计学意义。结果:接受最低膳食多样性的儿童比例为39.8% (95% CI 35.52, 44.08)。产后护理访视(AOR=1.9 95% CI 1.3, 2.8)和参加生长监测随访(AOR=1.5 95% CI 1.001, 2.2)是独立预测因子,与因变量有统计学意义。结论:在研究对象中,近40%的人饮食多样性最低。参加产后随访和生长监测随访是与最少进食频率实践相关的因素。强烈建议鼓励母亲参加产后护理访问,并经常带孩子进行生长监测随访。http://doi.org/10.2147/NDS.S243521
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引用次数: 0
Prevalence and Factors Associated with Child Feeding Practice Among Mothers of Woldia Town, Northeast Ethiopia 埃塞俄比亚东北部沃尔迪亚镇母亲中儿童喂养习惯的流行程度及其相关因素
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-10-01 DOI: 10.2147/nds.s264282
Lidiya Dagne Asmare, Mesfin Wudu Kassaw, A. Abebe, B. Abate, Kirubel Dagnaw Tegegne
Background: Improving infant and young child feeding practices in children aged 6 to 24 months is crucial to improved nutritional status, and growth and development. Ethiopia had practiced infant and young child feeding through health extension package. Nevertheless, the prevalence of malnutrition, particularly stunting, is still notorious for the Amhara region of Ethiopia. The aim of this study was to assess complementary feeding practice and associated factors among mothers, who had children aged 6 to 24 months old in Woldia town, Ethiopia. Methods: A community-based cross-sectional study was carried out on 415 mothers who had children aged 6 to 24 months old in Woldia town. A simple random sampling technique was used to select the required sample in house-to-house level. Interview was used to collect data using a pretested and validated questionnaire. The practice was considered using timely introduction, minimum dietary diversity, and meal frequency. The data was entered to EpiData version 4.2.0.0 and imported to SPSS version 23 for analysis. A descriptive statistic to present categorical variables, and bivariable and multivariable logistic regressions to assess the associations were computed. A variable with P -value <0.05 was considered as statistically significant. Results: The optimal complementary feeding practice among early children was 49.6% (95%CI: 44.7–54.4%).The educational status of mothers (AOR: 0.37,95%CI: 0.18–0.75), number of children in the family (AOR: 3.50,95%CI: 1.57–7.83), and place of delivery (AOR: 3.24,95%CI: 1.33–8.07) had association with complementary feeding practice. Conclusion: The prevalence of optimum complementary feeding practice is low. Thus, mothers need to consider all components of food diversification like meat/fish/chicken while preparing their infants’ and young children’s meal. For this purpose, health education should be delivered for mothers to promote utilization of varied food groups, as well as to improve the content of complementary food.
背景:改善6至24个月儿童的婴幼儿喂养习惯对改善营养状况、生长发育至关重要。埃塞俄比亚已通过健康推广包实施婴幼儿喂养。然而,埃塞俄比亚阿姆哈拉地区营养不良,特别是发育迟缓的普遍现象仍然臭名昭著。本研究的目的是评估埃塞俄比亚沃尔迪亚镇有6至24个月大孩子的母亲的补充喂养做法和相关因素。方法:对沃尔迪亚镇415名有6至24个月大孩子的母亲进行了一项基于社区的横断面研究。使用一种简单的随机抽样技术在挨家挨户的水平上选择所需的样本。采用访谈法,通过预测试和验证问卷收集数据。这一做法被认为采用了及时的介绍、最低限度的饮食多样性和用餐频率。将数据输入EpiData 4.2.0.0版,并导入SPSS 23版进行分析。计算描述性统计数据来呈现分类变量,并计算双变量和多变量逻辑回归来评估相关性。P值<0.05的变量被认为具有统计学意义。结果:早期儿童的最佳补充喂养实践为49.6%(95%CI:44.7-54.4%)。母亲的教育状况(AOR:0.37,95%CI:0.18-0.75)、家庭子女数量(AOR:3.50,95%CI:1.57-7.83)和分娩地点(AOR=3.24,95%CI:1.33-8.07)与补充喂养实践有关。结论:最佳补充喂养方式的流行率较低。因此,母亲在准备婴幼儿餐时,需要考虑食物多样化的所有组成部分,如肉/鱼/鸡。为此,应向母亲提供健康教育,以促进不同食物组的利用,并提高补充食品的含量。
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引用次数: 5
Knowledge and Dietary Practices on Vitamin A and Iron Among Maasai Pregnant Women: A Mixed-Method Study, Ngorongoro, Tanzania 马赛孕妇关于维生素A和铁的知识和饮食习惯:一项混合方法研究,坦桑尼亚恩戈罗恩戈罗
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-09-01 DOI: 10.2147/NDS.S264592
N. Mshanga, H. Martin, P. Petrucka
Background: Provision of micronutrients knowledge is important during pregnancy as it informs mothers what to eat and avoid, to ensure sufficient micronutrient absorption by the mothers and fetuses. Most studies focus on general nutrition knowledge and dietary practices, but there is minimal known about micronutrient knowledge especially in pastoral societies. Therefore, the aim of this study was to explain the current micronutrient knowledge and dietary practices of pregnant women in this unique pastoral society. Methods: This is a mixed-method study that involves focus group discussions and questionnaires in assessing the micronutrient knowledge and frequency micronutrients dietary practices of Maasai pregnant women from one week to thirty-six weeks pregnant. Chi-square test and descriptive statistics, such as percentages, frequency distribution and measures of central tendency, were used to assess socio-demographic data, micronutrients knowledge and frequency of micronutrients dietary practices and the comparison between knowledge and dietary practices, while inductive thematic content analysis was used to analyze qualitative data. Results: In total, 140 questionnaires were completed with a response rate of 100% and 32 participants drawn from this group attended one of four focus group discussions. The study found that most participants had good knowledge of dietary iron, while less than a quarter (24.3%) had good knowledge of vitamin A. Moreover, there was a statistical significance difference (P=0.043) between knowledge and dietary practices. Low dietary micronutrient intake was primarily due to cultural restrictions, prohibition in cultivating and unavailability of micronutrients rich foods in this geographical area. Conclusion: The majority of the study participants had good knowledge of iron compared to vitamin A; however, they do not translate the knowledge in dietary practices. Therefore, the Government of Tanzania through Ministry of Education and Health should introduce different interventions to increase micronutrients knowledge and practices in pastoral societies.
背景:提供微量营养素知识在怀孕期间很重要,因为它可以告诉母亲该吃什么和避免吃什么,以确保母亲和胎儿充分吸收微量营养素。大多数研究侧重于一般营养知识和饮食实践,但对微量营养素知识知之甚少,尤其是在牧区。因此,本研究的目的是解释在这个独特的田园社会中孕妇目前的微量营养素知识和饮食习惯。方法:这是一项混合方法研究,包括焦点小组讨论和问卷调查,以评估马赛孕妇在怀孕一周到三十六周期间的微量营养素知识和频率微量营养素饮食实践。卡方检验和描述性统计,如百分比、频率分布和中心趋势测量,用于评估社会人口统计数据、微量营养素知识和微量营养素饮食实践的频率,以及知识和饮食实践之间的比较,而归纳主题内容分析用于分析定性数据。结果:总共完成了140份问卷,回复率为100%,来自该小组的32名参与者参加了四个焦点小组讨论中的一个。研究发现,大多数参与者对膳食铁有很好的了解,而只有不到四分之一(24.3%)的人对维生素a有很好了解。此外,知识和饮食习惯之间存在统计学显著性差异(P=0.043)。膳食微量营养素摄入量低主要是由于该地理区域的文化限制、禁止种植和缺乏富含微量营养素的食物。结论:与维生素A相比,大多数研究参与者对铁有很好的了解;然而,他们并没有将这些知识转化为饮食实践。因此,坦桑尼亚政府应通过教育和卫生部采取不同的干预措施,增加牧民社会的微量营养素知识和做法。
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引用次数: 2
Determinants of Acute Malnutrition Among Children Aged 6–59 Months Visiting Public Health Facilities in Gambella Town, Southwest Ethiopia: Unmatched Case–Control Study 在埃塞俄比亚西南部甘贝拉镇访问公共卫生机构的6-59个月儿童急性营养不良的决定因素:无与伦比的病例对照研究
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-08-01 DOI: 10.2147/nds.s256000
Gatjiek Tut, Dereje Tsegaye
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引用次数: 1
Anti-Cancer and Other Biological Effects of a Dietary Compound 3,3ʹ-Diindolylmethane Supplementation: A Systematic Review of Human Clinical Trials 膳食化合物3,3-二吲哚甲烷补充剂的抗癌和其他生物学效应:人类临床试验的系统回顾
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-08-01 DOI: 10.2147/nds.s261577
Dagnachew Eyachew Amare
Objective: To systematically review the human clinical trial published studies regarding a dietary compound 3,3 ʹ -diindolylmethane (DIM) clinical ef fi cacy towards the prevention and treatment of cancer and other diseases, its bioavailability, safety, and consistency of the results. Methods: An electronic literature search of PubMed database (14), Cochrane Clinical Trials library (3), and Google Scholar (5) from inception to Feb 2020 was conducted. All the in vitro, animal, epidemiological, and review studies of DIM were excluded. Twenty-two randomized or controlled human clinical trials with prospective/retrospective studies published in the English language and that involved DIM intervention on human participants were extracted. Results: DIM has increased estrogen metabolism, decreased androgen-speci fi c antigen, up-regulated BRCA1 expression, and increased androgen hormone-binding globulin. This suggests that DIM may have a promising bene fi cial role as a chemo-preventive supplement for breast and prostate cancers. DIM has shown some clinical ef fi cacy to treat cervical/ prostate dysplasia, human papilloma-virus, and warts. Conclusion: The absence of clinical evidence about DIM ef fi cacy to treat prostate or breast cancer patients is the concern as this dietary compound is being advocated as a supplement in the market to treat these disease conditions. The maximum DIM intervention time for breast and prostate cancer patients was 28 days and 12 months, respectively, and most of the prospective trials were targeting DIM biological fate, than adequately addressing DIM ef fi cacy in treating breast or prostate cancer.
目的:系统回顾已发表的关于膳食化合物3,3-二吲哚基甲烷(DIM)预防和治疗癌症和其他疾病的临床功效、生物利用度、安全性和结果一致性的人类临床试验研究。方法:从成立到2020年2月,对PubMed数据库(14)、Cochrane临床试验库(3)和Google Scholar(5)进行电子文献检索。排除所有DIM的体外、动物、流行病学和回顾性研究。提取了22项随机或对照的人类临床试验,这些试验以英语发表,涉及对人类参与者的DIM干预。结果:DIM增加了雌激素代谢,降低了雄激素特异性抗原,上调了BRCA1的表达,并增加了雄激素结合球蛋白。这表明,DIM作为乳腺癌和前列腺癌的化学预防补充剂,可能具有很有前景的有益作用。DIM已显示出一些治疗宫颈/前列腺发育不良、人类乳头状瘤病毒和疣的临床疗效。结论:缺乏关于DIM治疗前列腺或乳腺癌症患者有效性的临床证据令人担忧,因为市场上提倡将这种膳食化合物作为治疗这些疾病的补充剂。乳腺癌和前列腺癌癌症患者的最大DIM干预时间分别为28天和12个月,大多数前瞻性试验都是针对DIM的生物命运,而不是充分解决DIM在治疗乳腺癌或前列腺癌癌症方面的作用。
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引用次数: 11
Nutrition Interventions Deliver Value in Healthcare: Real-World Evidence 营养干预在医疗保健中发挥价值:真实世界的证据
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-08-01 DOI: 10.2147/nds.s262364
S. Sulo, L. Gramlich, J. Benjamin, S. McCauley, J. Powers, K. Sriram, Kristi R. Mitchell
: Value is a key guiding principle in healthcare, yet value is defined in varying ways by different stakeholders. In this paper, we review evidence of the health and financial tolls of malnutrition or poor nutrition, report positive results from recent nutrition-focused quality improvement programs in hospitals, and discuss clinical and policy implications of realizing best-practice nutrition care. Hospitalized patients with malnutrition diagnoses have up to two-fold greater hospital costs for care compared to inpatient stays for adequately nourished patients. By contrast, implementation of nutrition care programs for hospitalized adults (nutrition status screening, assessment and diagnosis of malnutrition, oral nutritional supplements provided when indicated) is associated with substantial per-patient, per-episode healthcare savings approaching $4,000. Improved nutrition care has also been associated with fewer complications and faster recovery (shortened lengths of stay, lower readmission rates). Nutrition care thus delivers value, which is evidenced by better patient outcomes at cost savings to healthcare systems.
价值是医疗保健的关键指导原则,但不同的利益相关者以不同的方式定义价值。在本文中,我们回顾了营养不良或营养不良造成的健康和经济损失的证据,报告了最近医院以营养为重点的质量改进计划的积极结果,并讨论了实现最佳实践营养护理的临床和政策意义。诊断为营养不良的住院患者的护理费用比营养充足的住院患者高出两倍。相比之下,对住院成人实施营养护理方案(营养状况筛查、评估和诊断营养不良,在有需要时提供口服营养补充剂),每位患者每次发作可节省近4,000美元的医疗费用。改善的营养护理也与更少的并发症和更快的恢复(缩短住院时间,降低再入院率)有关。因此,营养护理带来了价值,这可以通过改善患者的治疗结果和为医疗保健系统节省成本来证明。
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引用次数: 3
Effect of Iodine Deficiency on Academic Performance of School Children in Dawro Zone, Southwest Ethiopia: A Prospective Cohort Study 碘缺乏对埃塞俄比亚西南部达罗地区学龄儿童学习成绩的影响:一项前瞻性队列研究
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-08-01 DOI: 10.2147/nds.s259104
Agize Asfaw, T. Belachew
Background: The most visible effect of iodine deficiency (ID) is goiter, but the worst and much greater public health problem is its impact on the developing brain. Despite relatively increased attention to the consequences of ID on physical health, there are only a few studies on the influence of ID on schooling in Ethiopia. The main objective of this study was to determine the effect of chronic ID on academic performance of school children in southwest Ethiopia. Methods: This study was conducted on 652 schoolchildren selected from six primary schools in southwest Ethiopia. Using prospective cohort study design, 362 iodine-deficient and 290 iodine-sufficient children were followed for the difference in academic grade scores for a period of 18 months. Results: Average grade score of children for both groups was 72.5%. Among iodine-deficient children, about two-thirds (65.8%) performed below the mean grade score (χ 2 (df), 46.86 (1), p <0.001). Both school absenteeism and dropout from school were sign-ificantly higher for iodine-deficient children. For example, for a single day's absence from a class, the average grade score declined by 1.1 points (β=−1.10, 95% CI, −1.52, −0.70). Conclusion: Despite the efforts made by the Ethiopian government on universal salt iodization and other iodine deficiency disorder prevention programs for the last decade, many south Ethiopian children were unable to utilize their full academic potential due to chronic iodine deficiency. Trial Registration:
背景:碘缺乏(ID)最明显的影响是甲状腺肿大,但最严重和更大的公共卫生问题是它对发育中的大脑的影响。尽管对身份证对身体健康的影响的关注相对增加,但关于身份证对埃塞俄比亚学校教育影响的研究却很少。本研究的主要目的是确定慢性ID对埃塞俄比亚西南部学龄儿童学习成绩的影响。方法:本研究以埃塞俄比亚西南部6所小学652名学童为研究对象。采用前瞻性队列研究设计,对362名缺碘儿童和290名足碘儿童进行为期18个月的学业成绩差异随访。结果:两组患儿平均年级得分均为72.5%。缺碘儿童中,约三分之二(65.8%)低于平均年级评分(χ 2 (df), 46.86 (1), p <0.001)。缺碘儿童的缺勤率和辍学率都明显高于缺碘儿童。例如,缺课一天,平均成绩下降1.1分(β= - 1.10, 95% CI, - 1.52, - 0.70)。结论:尽管埃塞俄比亚政府在过去十年中为普及食盐加碘和其他碘缺乏症预防项目做出了努力,但由于慢性碘缺乏症,许多南埃塞俄比亚儿童无法充分发挥其学业潜力。试验注册:
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引用次数: 5
Factors Associated with Dietary Practice and Nutritional Status of Pregnant Women in Rural Communities of Illu Aba Bor Zone, Southwest Ethiopia 埃塞俄比亚西南部Illu Aba Bor地区农村社区孕妇饮食习惯和营养状况的相关因素
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-07-01 DOI: 10.2147/nds.s257610
Dereje Tsegaye, Dessalegn Tamiru, T. Belachew
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引用次数: 2
Prevalence of Vitamin D Deficiency Among Iranian Pregnant Women 伊朗孕妇维生素D缺乏症的患病率
IF 1.5 Q4 NUTRITION & DIETETICS Pub Date : 2020-07-01 DOI: 10.2147/nds.s261229
M. Sepandi, S. Esmailzadeh, M. Hosseini, S. Hashemi, S. Abbaszadeh, Y. Alimohamadi, M. Taghdir
Background: Vitamin D de fi ciency (VDD) is a common concern. A high prevalence of VDD has been reported among pregnant women in different countries. The aim of this study was to assess the prevalence of VDD in the fi rst trimester of pregnancy. Methods: This cross-sectional study was conducted on 267 pregnant women (before 14 weeks of gestation). The level of 25-hydroxyvitamin D (25(OH)D) was measured. Demographic data (age, educational level, season of blood sampling, and vitamin D supplementation intake) were collected using a questionnaire. Results: Based on the results of the study, 205 out of 267 subjects (76.8%) had de fi cient vitamin D levels (<20 ng/mL), 39 (14.6%) had insuf fi cient levels (20 – 29 ng/mL), and 23 (8.6%) had suf fi cient levels ( ≥ 30 ng/mL). In addition, 133 women (49.8%) had severe VDD. VDD The prevalence of VDD was higher among the younger age group than in the older group ( P =0.04). In multivariate analysis, the only variable that was signi fi cantly associated with low vitamin D status was taking supplements. Those who were not receiving vitamin D supplements had higher odds of VDD status (adjusted odds ratio=77.3, 95% CI 23.9 – 249.6). Conclusion: VDD is a public health problem in the fi rst trimester of pregnancy. Greater awareness among healthcare providers and the community is required for prevention and appropriate treatment.
背景:维生素D缺乏(VDD)是一个普遍关注的问题。据报道,在不同国家的孕妇中,VDD的发病率很高。本研究的目的是评估VDD在妊娠前三个月的患病率。方法:对267例妊娠14周前孕妇进行横断面研究。测定25-羟基维生素D (25(OH)D)水平。人口统计数据(年龄、教育水平、采血季节和维生素D补充摄入量)通过问卷调查收集。结果:267名受试者中有205人(76.8%)维生素D含量不足(<20 ng/mL), 39人(14.6%)维生素D含量不足(20 - 29 ng/mL), 23人(8.6%)维生素D含量充足(≥30 ng/mL)。此外,133名妇女(49.8%)有严重的VDD。青壮年组VDD患病率高于老年组(P =0.04)。在多变量分析中,唯一与维生素D水平低显著相关的变量是服用补充剂。未服用维生素D补充剂的患者患VDD的几率更高(调整后的优势比=77.3,95% CI 23.9 - 249.6)。结论:VDD是妊娠前三个月的一个公共卫生问题。需要医疗保健提供者和社区提高对预防和适当治疗的认识。
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引用次数: 8
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Nutrition and Dietary Supplements
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