CAJ | 학술논문

目的分析安徽省休宁县农村地区50～75岁妇女贫血的相关危险因素.方法以休宁县农村50～75岁妇女为研究对象,进行血红蛋白(Hb)筛查和基本健康状况询问,年龄1:1配对,最终病例组、对照组各204人完成一般状况、饮食情况的问卷调查和相关血液生化指标测定及数据分析.结果病例组和对照组的体重分别为(49.4±7.3)kg、(52.5±8.4)kg(t=3.97,P<0.01),腰围分别为(75.8±7.8)cm、(79.1±9.3)cm(t=3.85,P<0.01),BMI分别为(21.8±2.6)kg/m2、(22.9±3.2)kg/m2(t=3.775,P<0.01).病例组和对照组的总蛋白分别为(76.4±5.0)g/L、(78.4±5.6)g/L(t=3.83,P<0.01),白蛋白分别为(45.7±3.1)g/L、(47.3±2.9)g/L(t=5.24,P<0.01),血清铁分别为(10.3±4.1)μmol/L、(12.7±4.6)μmol/L(t=5.48,P<0.01),转铁蛋白饱和度分别为(19.0±7.6)%、(23.1±9.1)%(t=4.90,P<0.01).多因素条件logistic回归分析显示,BMI、主食、动物性食物、碳水化合物和维生素A的OR值(95%C1)分别为2.0(1.3～2.9)、1.6(1.1～2.3)、1.6(1.0～2.3)、1.4(1.0～2.1)、1.6(1.1～2.4).结论休宁县农村地区贫血妇女的膳食质量、体格状况和相关血液指标均低于对照组,主食和动物性食物摄入量低、BMI低、碳水化合物和维牛素A摄入量低为贫血的危险因素.
목적 분석안휘성휴저현농촌지구50～75세부녀빈혈적상관위험인소.방법 이휴저현농촌50～75세부녀위연구대상,진행혈홍단백(Hb)사사화기본건강상황순문,년령1:1배대,최종병례조、대조조각204인완성일반상황、음식정황적문권조사화상관혈액생화지표측정급수거분석.결과 병례조화대조조적체중분별위(49.4±7.3)kg、(52.5±8.4)kg(t=3.97,P<0.01),요위분별위(75.8±7.8)cm、(79.1±9.3)cm(t=3.85,P<0.01),BMI분별위(21.8±2.6)kg/m2、(22.9±3.2)kg/m2(t=3.775,P<0.01).병례조화대조조적총단백분별위(76.4±5.0)g/L、(78.4±5.6)g/L(t=3.83,P<0.01),백단백분별위(45.7±3.1)g/L、(47.3±2.9)g/L(t=5.24,P<0.01),혈청철분별위(10.3±4.1)μmol/L、(12.7±4.6)μmol/L(t=5.48,P<0.01),전철단백포화도분별위(19.0±7.6)%、(23.1±9.1)%(t=4.90,P<0.01).다인소조건logistic회귀분석현시,BMI、주식、동물성식물、탄수화합물화유생소A적OR치(95%C1)분별위2.0(1.3～2.9)、1.6(1.1～2.3)、1.6(1.0～2.3)、1.4(1.0～2.1)、1.6(1.1～2.4).결론 휴저현농촌지구빈혈부녀적선식질량、체격상황화상관혈액지표균저우대조조,주식화동물성식물섭입량저、BMI저、탄수화합물화유우소A섭입량저위빈혈적위험인소.
Objective To study the risk factors on anemia among elderly women in rural areas of Xiuning county, Anhui province, China. Methods Xiuning county was selected as working field and elderly women aged 50-75y were selected as subjects. Finger hemoglobin (Hb) was measured and basic health survey was face-to-face interviewed. 220 elderly women with anemia entered into the ease group; and matched by age, another 220 women with normal Hb concentration entered the control group. Survey on diet, questionnaire regarding health and lifestyle and related blood indexes were studied and tested. Results When comparing the data from both case and control groups, weight was (49.4±7.3) kg vs. (52.5±8.4) kg (t= 3.97,P<0.01 ), waist circumference was (75.8±7.8) cm vs. (79.1±9.3) cm (t=3.85,P<0.01), BMI was (21.8±2.6) kg/m2 vs. ( 22.9±3.2) kg/m2 (t = 3.775, P< 0.01 ), respectively. The total protein was ( 76.4± 5.0) g/L vs. (78.4±5.6)g/L (t=3.83 ,P<0.01 ), albumin was (45.7±3.1 ) g/L vs. (47.3±2.9)g/L (t=5.24, P<0.01 ), serum iron was ( 10.3±4.1 ) μmol/L vs. ( 12.7±4.6) μmol/L (t=5.48, P<0.01 ), and saturation of transferrin was ( 19.0±7.6)% vs. (23.1±9.1 )% (t=4.90, P<0.01 ), respectively. Results from multifactor conditioned logistic regression analysis showed that the odd ratios (OR) for anemia with staple food, BMI and vitamin A were 1.54, 1.89, 1.69, and the OR for anemia with BMI, staple food, animal food, carbohydrate and vitamin A were 2.0, 1.6, 1.6, 1.4, 1.6, with their confidence intervals (CI) as 1.3-2.9, 1.1-2.3,1.0-2.3,1.0-2.1, 1.1-2.4, respectively. Conclusion The quality of diet, health status and related blood indexes on anemia among elderly women were lower than that in control group. Lower BMI, less staple food and animal food, less carbohydrate and vitamin A intake appeared to be risk factors of anemia.