Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province, China.

Autor: Zhang Y, Tao F, Yin H, Zhu X, Ji G, Kong S, Song Q, Chen J, Chu C, Li Z, Zhang, Yewu, Tao, Fangbiao, Yin, Huiping, Zhu, Xiaoming, Ji, Guoping, Kong, Shenghua, Song, Qinhua, Chen, Jianhua, Chu, Chengzhi, Li, Zhu
Zdroj: Public Health Nutrition; Jul2007, Vol. 10 Issue 7, p733-738, 6p
Abstrakt: Objective: This study aimed to explore the associations between breast-feeding, dietary intakes and other related factors and subclinical vitamin A deficiency (SVAD) in children aged 0-5 years in an area in China where mild vitamin A deficiency (VAD) is found.Methods: Data were from a population-based cross-sectional study with 1052 children aged 0-5 years. SVAD cases were identified by the indicator of serum retinolResults: The prevalence of SVAD in children aged 0-5 years was 6.9%. Logistic regression analysis showed that the odds ratio of SVAD for breastfeeding was 3.56 (95% confidence limits (95% CL) 2.17-5.82). After adjustment for sex, age in categories, residence, mother's education, mother's occupation, vitamin A preparation supplements, rank in siblings and diarrhoea, the odds ratio for breast-feeding fell to 2.38 (95% CL 1.13-4.95). The odds ratios for breast-feeding within children aged 1 year were 5.46 (95% CL 2.07-15.03) and 4.6 (95% CL 1.72-12.82) before and after adjustment of other confounders, respectively. The odds ratios for breast-feeding did not show statistical significance within children aged 0 or 2 years. The odds ratios decreased, but remained statically significant after further adjustments for individual dietary factor or all dietary factors.Conclusion: Breast-feeding was a risk factor of SVAD for children, especially for those aged 1 year. The differences in dietary intakes and other established risk factors could not fully explain the increased risk. This finding implies that prolonged breast-feeding alone may not ensure protection of children from VAD in an area with mild SVAD. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index