Muherdiyatiningsih Muherdiyatiningsih, N. M. Kiptiyah, M. Muhilal, S. Martuti, Frank T. Wieringa, Marjoleine A. Dijkhuizen
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引用次数: 1

摘要

茂物地区婴儿维生素a缺乏症及其相关因素背景:根据临床指标,维生素A缺乏症在印度尼西亚不是一个公共卫生问题,因为干眼症的患病率已降至0.34%。但是,在弱势群体中,尤其是婴儿,维生素a缺乏的情况并没有随之减少。方法:横断面基线研究在茂物区进行。这项研究的目的是收集母乳喂养婴儿维生素A水平的信息,并寻找与之相关的许多因素之间的关系。样本为183名2-0个月的母乳喂养婴儿,无慢性疾病、先天性疾病、严重PEM和双胞胎。在95%置信区间使用卡方和患病率比值比(POR)来衡量变量之间的相关性。采用多元logistic回归分析测量与婴儿维生素A水平最接近的因素。结果:研究表明,54.1%的母乳喂养婴儿存在维生素A缺乏症的风险。基于双变量分析,与婴儿维生素A水平相关的独立变量有两个显著性变量,即母亲维生素A水平和婴儿感染状况。多元logistic回归分析显示,感染状况与婴儿维生素A缺乏关系最密切,其次是母亲维生素A状况和母乳喂养频率。补充喂养、年龄、营养状况与婴儿维生素A水平之间无显著关联。结论:2-10月龄婴幼儿边缘性维生素A缺乏症仍是研究地区的一个公共卫生问题。感染状况是与婴儿维生素A缺乏最接近的因素,其次是母亲维生素A状况和母乳喂养频率。关键词:维生素A缺乏症;母乳喂养;感染
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KEKURANGAN VITAMIN A PADA KELOMPOK BAYI DAN FAKTOR YANG BERHUBUNGAN DI KABUPATEN BOGOR
VITAMIN A DEFICIENCY AND ITS RELATED FACTORS IN INFANTS IN BOGOR DISTRICT. Background: Based on clinical indicators, vitamin A deficiency in Indonesia is not a public health problem because the prevalence of xerophthalmia has been decreased to 0.34%. But, this decrease has not been followed by a decrease of marginal deficiency of vitamin A in vulnerable groups, especially infants. Methods: The cross-sectional baseline study was conducted at Bogor District. The aim of the study was to collect information about the vitamin A status of the breastfed infant, and to look for a relationship between many factors related to it. The samples were 183 breastfed infants aged 2-0 months without chronic disease, congenital disease, severe PEM nor twins. The chi-square and the prevalence odds ratio (POR) at the 95% confidence interval were used to measure the association between variables. Multiple logistic regression analysis was used to measure the closest factors to infant's vitamin A status. Results: The study showed that 54.1% of breastfed infants were at risk of vitamin A deficiency. Based on bivariate analysis, there are two significant independent variables related to infants vitamin A status, which are maternal vitamin A status and infant infection status. Multiple logistic regression analysis showed that infection status is the closest factor to vitamin A deficiency in infants, followed by maternal vitamin A status and breast feeding frequency. There are no significant association between supplementary feeding, age, nutritional status and the infant's vitamin A status. Conclusions: Marginal vitamin A deficiency in infants aged 2-10 months is still a public health problem in the research area. The infection status is the closest factor to vitamin A deficiency in infants, followed by maternal vitamin A status and breast feeding frequency. Keywords: vitamin A deficiency, breast feeding, infection, complementary feeding, infant
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