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唐咏梅, 杨猛, 宁鸿珍, 周瑞华, 刘辉, 刘英莉, 李碧. 学龄儿童微量元素锌、铁膳食水平与感染易感性关系[J]. 中国公共卫生, 2013, 29(7): 975-978. DOI: 10.11847/zgggws2013-29-07-11
引用本文: 唐咏梅, 杨猛, 宁鸿珍, 周瑞华, 刘辉, 刘英莉, 李碧. 学龄儿童微量元素锌、铁膳食水平与感染易感性关系[J]. 中国公共卫生, 2013, 29(7): 975-978. DOI: 10.11847/zgggws2013-29-07-11
TANG Yong-mei, YANG Meng, NING Hong-zhen.et al, . Effects of trace elements of Zn,Fe intake on susceptibility of infectious diseases in children[J]. Chinese Journal of Public Health, 2013, 29(7): 975-978. DOI: 10.11847/zgggws2013-29-07-11
Citation: TANG Yong-mei, YANG Meng, NING Hong-zhen.et al, . Effects of trace elements of Zn,Fe intake on susceptibility of infectious diseases in children[J]. Chinese Journal of Public Health, 2013, 29(7): 975-978. DOI: 10.11847/zgggws2013-29-07-11

学龄儿童微量元素锌、铁膳食水平与感染易感性关系

Effects of trace elements of Zn,Fe intake on susceptibility of infectious diseases in children

  • 摘要: 目的了解学龄儿童铁(Fe)、锌(Zn)膳食水平及其对感染易感性的影响。方法选取1 023名1~6年级学生进行一般情况、膳食摄入和反复呼吸道感染(RRTI)患病情况调查和评价;每年级抽取1个班共262名学生经家长知情同意后采静脉血测定免疫功能指标。结果 学龄儿童Zn平均摄入量达到推荐摄入量(RNI的60%~80%,各年龄段摄入充足的仅占20%~30%,Fe的摄入量达适宜摄入量(AI)的100%~180%,但来源于血红素铁仅占9.9%;儿童免疫指标CD3+细胞百分比、CD4+/CD8+和IgA水平均低于参考值,患反复呼吸道感染率为13%;当Zn摄入水平分别达到80%RNI、80%RNI、60%RNI、40%RNI以上时,受其影响的CD4+ 、CD4+/CD8+、IgA、IgM等免疫指标水平分别达到正常值范围;当Fe摄入水平分别达到200%AI、120%AI、160%AI以上时,受其影响的CD3+、IgA和IgM水平分别达到正常值范围。结论 >50%学龄儿童Zn摄入不足,Fe食物来源较差;Zn、Fe摄入水平分别至少≥80%RNI和≥200%AI时,各免疫指标才能维持在正常水平。

     

    Abstract: Objective To examine the effects of children's nutrition condition of zinc (Zn) and iron(Fe) on status of immunization indicators.Methods A total of 1 023 students of 1-6 grades were investigated about their general state of health,5 days diet and 1 month food frequency,recurrent respiratory tract infection (RRTI) status and 262 children's immune indicators were determined after informing the consent to their parents.Results The average intakes of Zn,Fe were 60%-80% of the recommended nutrient intake (RNI) and the rates of adequate intake(AI) were 20%-30%.The intake of Fe was adequate,but only 9.9% of the Fe was from heme-iron.The results of immunization indicators detects showed that the percentages of CD3+ cells,the ratio of CD4+/CD8+,IgA,and IgM were all below the reference value among the students.The incidence of RRTI was 12.6 %.The CD4+,CD4+/CD8+,IgA and IgM were at the normal level for the students with the Zn intake level of ≥80% OF RNI or the Fe intake level of ≥200% OF AI.Conclusion The intakes of Zn and hme-iron were lower for the most of the students.The studetns immune levels are normal when their Zn intake ≥80% of RNI or their Fe intake ≥200% of AI.

     

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