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Serum Zinc Levels Amongst Pregnant Women in a Rural Block of Haryana State, India

印度Haryana州的鄉下地區懷孕婦女血清鋅含量

摘要


前言:在發展中國家,鋅缺乏普遍存在。有文獻指出,懷孕時期的鋅缺乏與胎兒生長遲滯、先天畸形及低出生體重有相關。在印度Haryana州,懷孕婦女血清鋅的基礎資料很有限,因此著手進行這個研究。方法:一個以社區為基礎的橫斷性研究,有283名妊娠週數在28週或以上的懷孕婦女參與。利用前測的半結構式問卷,詢問每名孕婦有關於他們的年齡、生產資料、社經狀況及其他的人口學參數。抽取前臂尺骨靜脈的血液,利用原子吸收光譜評估血清鋅含量。以標準24小時飲食回憶法評估營養素攝取量。用統計檢測收集的資料。結果:平均血清鋅濃度為61.1 ± 16.6 μg/dL,幾乎64.6%的婦女有鋅缺乏。飲食資料顯示58.9%的婦女熱量攝取低於建議量的75%,表示整體飲食攝取都差。有86.2%的婦女膳食鋅攝取少於建議量(15 mg)的一半。研究發現在這些孕婦中64.6%有鋅缺乏,這可能歸因於不足的膳食鋅攝取。需要在國內的不同地區的多個中心進行研究,以評估印度的孕婦血清鋅含量,釐清鋅缺乏的嚴重性及導致鋅缺乏的因子。

關鍵字

血清鋅量 鋅缺乏 孕婦 懷孕 印度鄉下

並列摘要


Introduction: Zinc deficiency is wide spread in developing countries. Its deficiency during pregnancy has been documented to be associated with growth retardation, congenital abnormalities, and low birth weight. Limited community based data is available on the serum zinc levels during pregnancy from Haryana State, India. Hence the present study was undertaken. Methods: A community based cross sectional study was conducted amongst 283 pregnant women with gestational age of 28 weeks or more. Each pregnant woman was inquired about her age, obstetric profile, socio-economic status, and other demographic parameters by utilizing a pre-tested semistructured questionnaire. Blood from the antecubital vein was drawn to assess the serum zinc levels utilizing the atomic absorption spectrophotometer. Nutrient intake was assessed by the standard 24-hr dietary recall method. Statistical tests were applied to the data collected. Results: Mean serum zinc level was 61.1 ± 16.6 μg/dL. Almost 64.6% of the women had zinc deficiency. The dietary data revealed that 58.9 % of the women were consuming calories less that 75% of the recommended, indicating an overall poor food intake. Dietary zinc intake revealed that 86.2 % of the women were consuming less than 50% of the recommended (15 mg). A high prevalence of zinc deficiency (64.6%) was found amongst the pregnant women possibly due to the low dietary intake of zinc. There is a need to undertake multi-centric studies in various parts of the country to assess the serum zinc levels, magnitude of zinc deficiency and factors leading to zinc deficiency amongst pregnant women in India.

被引用紀錄


Nguyen, V. Q., Goto, A., Nguyen, T. V. T., Vo, K. T., Ta, T. M. T., Nguyen, T. N. T., Nguyen, T. M., Ho, M. B. T., Phan, N. A. T., Vu, H. H. T., Truong, T. M., & Nguyen, H. T. (2013). Prevalence and Correlates of Zinc Deficiency in Pregnant Vietnamese Women in Ho Chi Minh City. Asia Pacific Journal of Clinical Nutrition, 22(4), 614-619. https://doi.org/10.6133/apjcn.2013.22.4.05

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