A high prevalence of zinc- but not iron-deficiency among women in rural Malawi: a cross-sectional study.

A high prevalence of zinc- but not iron-deficiency among women in rural Malawi: a cross-sectional study.
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马拉维农村妇女缺锌但不缺铁的患病率很高:一项横断面研究。

DOI:
10.1024/0300-9831/a000158
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发表时间:
2013
期刊:
International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition
影响因子:
--
通讯作者:
Siyame EW
Siyame EW
中科院分区:
--
文献类型:
--
作者:
Siyame EW

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背景:锌缺乏通常与营养性铁缺乏(ID)有关,并且可能因低硒状态而加剧。目的:探讨不同硒水平妇女铁锌缺乏的风险。方法:在一项横断面研究中,收集了来自低(Zombwe)(n= 60)和高植物有效土壤硒(Mikalango)(n= 60)地区的18 - 50岁马拉维妇女的1天膳食组合和血液样本。分析饮食中的微量元素和血液中的生物标志物。结果:锌缺乏症(bbb90 %)大于ID贫血(6%)或ID贫血(5%),归因于高植酸锌摩尔比(20.0)的低锌(中位5.7 mg/天)饮食,但高铁(21.0 mg/天)来自土壤污染物铁。与Mikalango女性相比,Zombwe女性的硒(6.5 vs. 55.3 μmol/ d)、锌(4.8 vs. 6.4 mg/d)、铁(16.6 vs. 29.6 mg/d)摄入量较低(p< 0.05),血浆硒含量较低(0.72 vs. 1.60 μmol/L),体铁含量较高(5.3 vs. 3.8 mg/kg),血浆锌含量相似(8.60 vs. 8.87 μmol/L)。体内铁和血浆锌是血红蛋白的阳性决定因素。结论:锌缺乏症的风险高于碘缺乏症,且与硒状态无关。作为血红蛋白的决定因素,血浆锌几乎和体内铁一样重要。
Background: Zinc deficiency is often associated with nutritional iron deficiency (ID), and may be exacerbated by low selenium status. Aim: To investigate risk of iron and zinc deficiency in women with contrasting selenium status. Methods: In a cross-sectional study, 1-day diet composites and blood samples were collected from self-selected Malawian women aged 18− 50 years from low-(Zombwe)(n= 60) and high-plant-available soil selenium (Mikalango)(n= 60) districts. Diets were analyzed for trace elements and blood for biomarkers. Results: Zinc deficiency (> 90%) was greater than ID anemia (6%), or ID (5%), attributed to diets low in zinc (median 5.7 mg/day) with high phytate: zinc molar ratios (20.0), but high in iron (21.0 mg/day) from soil contaminant iron. Zombwe compared to Mikalango women had lower (p< 0.05) intakes of selenium (6.5 vs. 55.3 μg/day), zinc (4.8 vs. 6.4 mg/day), iron (16.6 vs. 29.6 mg/day), lower plasma selenium (0.72 vs. 1.60 μmol/L), and higher body iron (5.3 vs. 3.8 mg/kg), although plasma zinc was similar (8.60 vs. 8.87 μmol/L). Body iron and plasma zinc were positive determinants of hemoglobin. Conclusion: Risk of zinc deficiency was higher than ID and was shown not to be associated with selenium status. Plasma zinc was almost as important as body iron as a hemoglobin determinant.
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发表时间: 2001-07-01
期刊: BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
影响因子: --
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