安徽省休宁县农村地区50～75岁妇女贫血危险因素分析

张坚; 王春荣; 金少华; 宋鹏坤; 孟丽苹; 满青青; 贾尚春

Abstract

张坚,王春荣,金少华,宋鹏坤,孟丽苹,满青青,贾尚春.安徽省休宁县农村地区50～75岁妇女贫血危险因素分析[J].Chinese journal of Epidemiology,2009,30(3):227-230

安徽省休宁县农村地区50～75岁妇女贫血危险因素分析

Risk factors on anemia among rural elderly women aged 50-75 y in Xiuning county, Anhui province,China

Received:July 11, 2008

DOI：10.3760/cma.j.issn.0254-6450.2009.03.005

KeyWord: 贫血危险因素农村妇女病例对照研究

English Key Word: Anemia Risk factors Elderly women Case-control study???

FundProject:中目营养学会科研基金资助项目(05038);雀巢基金资助项目(2004)

Author Name	Affiliation
ZHANG Jian	中国疾病预防控制中心营养与食品安全所, 北京 100050
WANG Chun-rong	中国疾病预防控制中心营养与食品安全所, 北京 100050
JIN Shao-hua	安徽省疾病预防控制中心
SONG Peng-kun	中国疾病预防控制中心营养与食品安全所, 北京 100050
MENG Li-ping	中国疾病预防控制中心营养与食品安全所, 北京 100050
MAN Qing-qing	中国疾病预防控制中心营养与食品安全所, 北京 100050
JIA Shang-chun	安徽省疾病预防控制中心

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Abstract:

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.

English Abstract:

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.

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