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CN 34-1304/RISSN 1674-3679

Volume 28 Issue 5
May  2024
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SUN Wenxin, XU Peipei, GAN Qian, XU Juan, YANG Titi, CAO Wei, WANG Hongliang, LUO Ruihe, PAN Hui, WANG Zhifang, FU Yimeng, ZHANG Qian. Analysis of vitamin A level and its influencing factors among students in monitoring area of nutritional health status of students in 2021[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(5): 523-529. doi: 10.16462/j.cnki.zhjbkz.2024.05.005
Citation: SUN Wenxin, XU Peipei, GAN Qian, XU Juan, YANG Titi, CAO Wei, WANG Hongliang, LUO Ruihe, PAN Hui, WANG Zhifang, FU Yimeng, ZHANG Qian. Analysis of vitamin A level and its influencing factors among students in monitoring area of nutritional health status of students in 2021[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(5): 523-529. doi: 10.16462/j.cnki.zhjbkz.2024.05.005

Analysis of vitamin A level and its influencing factors among students in monitoring area of nutritional health status of students in 2021

doi: 10.16462/j.cnki.zhjbkz.2024.05.005
Funds:

The Operation of Public Health Emergency Response Mechanisms of Chinese Center for Disease Control and Prevention 131031107000180006

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  • Corresponding author: ZHANG Qian, E-mail: zhangqian7208@163.com
  • Received Date: 2023-06-15
  • Rev Recd Date: 2023-09-20
  • Available Online: 2024-06-05
  • Publish Date: 2024-05-10
  •   Objective  To analyze the vitamin A levels and influencing factors among students in the monitoring areas of the Nutritional Improvement Program for Rural Compulsory Education Students in 2021.  Methods  Serum vitamin A concentration 0.2-0.3 μg/mL is defined as marginal vitamin A deficiency, < 0.2 μg/mL is defined as vitamin A deficiency, > 0.3 μg/mL is defined as vitamin A insufficient. In the monitoring area of the Nutritional Improvement Program, questionnaire surveys, physical examinations, and laboratory tests were conducted on primary and secondary school students aged 6-17 and their vitamin A levels and influencing factors were analyzed.  Results  Totally 45 702 primary and secondary school students were included in this study. The average of serum vitamin A level was 0.37 (0.31-0.44) μg/mL, the marginal deficiency rate was 18.3%, and the deficiency rate was 1.0%. Differences in vitamin A nutritional status were observed across different genders, ages, and school locations. Logistic regression model revealed that students aged 6- < 9 years (OR=3.892, 95% CI: 3.303-4.587, P < 0.001), whose schools are located in rural areas (OR=1.148, 95% CI: 1.072-1.229, P < 0.001), parents working outside (OR=1.234, 95% CI: 1.153-1.321, P < 0.001) and students with lower maternal education levels (OR=1.169, 95% CI: 1.046-1.306, P=0.006), students who could not guarantee to drink milk every day (OR=1.155, 95% CI: 1.075-1.240, P < 0.001) and consume less than 4 kinds of vegetables per day (OR=1.081, 95% CI: 1.006-1.163, P=0.034) have an increased risk of vitamin A deficiency.  Conclusions  The prevalence of marginal vitamin A deficiency among students in monitoring areas in 2021 was still high, especially among younger children. Maternal education level, intake of milk and vegetables are potential influencing factors of vitamin A deficiency, which need to be paid attention to by all sectors of society.
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