Document Detail


Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province, China.
MedLine Citation:
PMID:  17381925     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 retinol<or=20 microg dl(-1). Breast-feeding status, dietary intakes and other factors were collected through a pre-designed questionnaire. RESULTS: 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.
Authors:
Yewu Zhang; Fangbiao Tao; Huiping Yin; Xiaoming Zhu; Guoping Ji; Shenghua Kong; Qinhua Song; Jianhua Chen; Chengzhi Chu; Zhu Li
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Publication Detail:
Type:  Journal Article     Date:  2007-03-05
Journal Detail:
Title:  Public health nutrition     Volume:  10     ISSN:  1368-9800     ISO Abbreviation:  Public Health Nutr     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-06     Completed Date:  2007-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  733-8     Citation Subset:  IM    
Affiliation:
Institute of Reproductive and Child Health, Health Science Center, Peking University, 38 Xueyuan Road, Haidan District, 100083 Beijing, PR China.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Breast Feeding* / adverse effects,  epidemiology
Child, Preschool
China / epidemiology
Cross-Sectional Studies
Female
Humans
Infant
Infant, Newborn
Logistic Models
Male
Nutritional Requirements
Nutritional Status*
Odds Ratio
Questionnaires
Risk Factors
Vitamin A / administration & dosage*,  blood*
Vitamin A Deficiency / blood,  epidemiology*
Vitamins / administration & dosage,  blood
Chemical
Reg. No./Substance:
0/Vitamins; 11103-57-4/Vitamin A

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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