CAJ | 학술논문

目的：分析浙江省城乡居民膳食硒摄入状况，探讨影响膳食硒摄入低的相关因素。方法对浙江省2010-2012年大城市、中小城市和农村中抽取的2659名居民进行3天24小时膳食调查，分析浙江省城乡居民膳食硒摄入水平。结果1岁~、4岁~、7岁~、11岁~、14岁~、18岁~、45岁~和60岁~各年龄组平均每日膳食硒摄入量分别为21.96、26.39、31.62、35.26、29.39、41.78、39.12和38.40μg，其中有42.56%的未成年人和52.09%的成年人膳食摄入的硒含量未达到平均需要量（ EAR）。单因素分析显示：膳食硒摄入正常组与低于EAR组的年龄、性别、地区、文化程度、年人均收入、体育锻炼和吸烟因素差异均有统计学意义（ P<0.01）。多因素Logistic回归分析表明，女性（OR=1.86，95%CI：1.59~2.63）、农村（OR=1.46，95%CI：1.23~1.73）、低文化（OR=0.70，95%CI：0.57~0.86）和低收入（OR=0.72，95%CI：0.60~0.88）是影响浙江省城乡膳食硒未达到EAR的相关因素。结论浙江省城乡居民膳食硒未达到EAR的影响因素可能是性别、地区、文化程度和人均收入，应倡导重点人群通过多种途径补充微量元素硒。
목적：분석절강성성향거민선식서섭입상황，탐토영향선식서섭입저적상관인소。방법대절강성2010-2012년대성시、중소성시화농촌중추취적2659명거민진행3천24소시선식조사，분석절강성성향거민선식서섭입수평。결과1세~、4세~、7세~、11세~、14세~、18세~、45세~화60세~각년령조평균매일선식서섭입량분별위21.96、26.39、31.62、35.26、29.39、41.78、39.12화38.40μg，기중유42.56%적미성년인화52.09%적성년인선식섭입적서함량미체도평균수요량（ EAR）。단인소분석현시：선식서섭입정상조여저우EAR조적년령、성별、지구、문화정도、년인균수입、체육단련화흡연인소차이균유통계학의의（ P<0.01）。다인소Logistic회귀분석표명，녀성（OR=1.86，95%CI：1.59~2.63）、농촌（OR=1.46，95%CI：1.23~1.73）、저문화（OR=0.70，95%CI：0.57~0.86）화저수입（OR=0.72，95%CI：0.60~0.88）시영향절강성성향선식서미체도EAR적상관인소。결론절강성성향거민선식서미체도EAR적영향인소가능시성별、지구、문화정도화인균수입，응창도중점인군통과다충도경보충미량원소서。
Objective To understand the dietary intake of selenium and its influencing factors among rural and urban residents in Zhejiang province. Methods From 2010 to 2012,a total of 2,659 residents were selected from large urban sites,small-medium urban sites and rural sites in Zhejiang. Using 24 -hour dietary recall method,a 3 -day household dietary survey to analysis the dietary intake of selenium. Results The average daily dietary intake of selenium for residents aged 1-,4-,7 -,11 -,14 -,18 -,45 - and 60 - was 21. 96,26. 39,31. 62,35. 26,29. 39,41. 78,39. 12 and 38. 40 μg,respectively. According to formulation of Chinese Nutrition Society,the dietary selenium intake of 42. 56%juveniles and 52. 09% of adults was below the estimated average requirement( EAR). Significant statistical differences were found between normal group and insufficient dietary selenium intake group in terms of age,sex,region,level of education, per capita annual income,physical exercise and smoking status(all P<0. 01). Influencing factors of insufficient selenium intake were female(OR =1. 86,95%CI:1. 59 -2. 63),rural area( OR =1. 46,95%CI:1. 23 -1. 73),lower level of education(OR=0. 70,95%CI:0. 57 -0. 86)and lower income( OR =0. 72,95% CI:0. 60 -0. 88). Conclusion Influencing factors of dietary selenium intake are sex,region,level of education and per capita income. Dietary selenium supplement should be strengthened through a variety of ways,especially in target population.