Intra-individual double burden of overweight and micronutrient deficiencies among Vietnamese women.
Intra-individual double burden of overweight and micronutrient deficiencies among Vietnamese women.
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DOI：
10.1371/journal.pone.0110499
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Berger J
中科院分区：
文献类型：
--
作者：
Laillou A;Yakes E;Le TH;Wieringa FT;Le BM;Moench-Pfanner R;Berger J
越南生活水平调查显示，越南成年人超重和肥胖率在1992年至2002年期间翻了一番，分别从2%增加到5.5%，男女之间超重/肥胖的比例没有显著差异。考虑到越南营养不良的双重负担日益增加的公共卫生问题，我们根据体重指数调查了育龄妇女的微量营养素缺乏症。2010年对来自19个省的1 530名育龄妇女进行了一项横向研究。参与的妇女被要求提供非空腹血液样本，用于血浆铁，维生素A，叶酸，维生素B12和锌评估。虽然%体脂与血红蛋白、铁蛋白、视黄醇和锌浓度相关，但BMI类别仅与边缘维生素A状态相关（体重不足者为19%，超重/肥胖者为7%; p<0.0001），而与缺铁性贫血、锌缺乏、维生素B12缺乏或叶酸状态无关。在20%的超重/肥胖妇女中，铁和维生素B12缺乏的患病率分别为11.4%和15%;锌缺乏和边缘/缺乏叶酸状态的患病率更高，分别影响61.1%和25.8%。观察到个体内营养不良（超重/肥胖（OW）和微量营养素缺乏）的双重负担，其中2.0%的OW-贫血，2.3%的OW-铁缺乏，3.0%的OW-维生素B12缺乏，12.2%的OW-锌缺乏和5.2%的OW-边缘/缺乏叶酸状态。这项大型的横断面调查表明，微量营养素缺乏是越南妇女体重范围内的一个问题，只有维生素A状况在超重妇女中比体重不足妇女更好。因此，越南必须积极预防育龄妇女超重/肥胖，同时控制这一人群的微量营养素缺乏症，以限制其经济和健康后果。
Vietnamese Living Standard Surveys showed that the rate of overweight and obese in Vietnamese adults doubled between 1992 and 2002, from 2% to 5.5%, respectively with no significant difference in the proportions of overweight/obesity between men and women. Considering the increasing public health concern over the double burden of malnutrition in Vietnam, we investigated micronutrient deficiencies among women of reproductive age according to their Body Mass Index. A transversal study was conducted in 2010 among 1530 women of reproductive age from 19 provinces. Participating women were asked to give a non-fasting blood sample for plasma iron, vitamin A, folate, vitamin B12 and zinc assessment. Although % body fat was associated with haemoglobin, ferritin, retinol and zinc concentrations, BMI category was only associated with marginal vitamin A status (19% among underweight vs 7% among overweight/obese; p<0.0001) and not with iron deficiency anemia, zinc deficiency, vitamin B12 deficiency or folate status. The prevalence of iron, and vitamin B12 deficiencies was respectively 11.4% and 15% among the 20% overweight/obese women; prevalence of zinc deficiency and marginal/deficient folate status was much higher, affecting respectively 61.1% and 25.8%. Intra-individual double burden of malnutrition (overweight/obesity (OW) and micronutrient deficiency) was observed among 2.0% for OW-anemia, 2.3% OW-iron deficient, 3.0% for OW-Vitamin B12 deficiency, 12.2% for OW-Zinc deficiency and 5.2% for OW-marginal/deficient folate status. This large, cross-sectional survey demonstrated that micronutrient deficiencies are an issue across the weight spectrum among women in Vietnam, with only vitamin A status being better among overweight than underweight women. It is therefore essential for Vietnam to actively prevent women of reproductive age from overweight/obesity and at same time to control micronutrient deficiencies in this population to limit their economic and health consequences.
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影响因子：
4.5
作者：
Ha do TP;Feskens EJ;Deurenberg P;Mai le B;Khan NC;Kok FJ
通讯作者：
Kok FJ
影响因子：
7.1
作者：
Gartner, Agnes;Berger, Jacques;Delpeuch, Francis
通讯作者：
Delpeuch, Francis
影响因子：
4.2
作者：
Jones, Katharine M.;Ramirez-Zea, Manuel;Allen, Lindsay H.
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影响因子：
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作者：
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通讯作者：
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影响因子：
4.7
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Khan, N. C.;Mai, L. B.;Hautvast, J. G. A. J.
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Hautvast, J. G. A. J.