Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 12, Issue 12, Pages 15531-15539Publisher
MDPI
DOI: 10.3390/ijerph121214998
Keywords
vitamin A; body mass index; children; adolescents
Funding
- Special Fund for Health-scientific Research in the Public Interest from the National Health and Family Planning Commission of China [20120212]
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This study was conducted to examine the possible association between vitamin A status and overnutrition in Chinese urban children and adolescents. Weight, height and serum retinol were assessed in total 3457 children (7-9.9 years of age) and adolescents (10-17 years of age), using urban region data from the China National Nutrition and Health Survey 2010-2013 (CHNNS2010-2013) which is a nationally representative cross-sectional study. Prevalence of low serum concentration of retinol was 26.8% and 12.24% for overweight. Retinol inadequacy was significantly higher in children (32.13%) than in adolescents (24.48%). The average of retinol was significantly higher in overnutrified 42.32 g/dL versus non-overnutrified 41.05 g/dL (p = 0.00) children and adolescents. Overnutrified children and adolescents presented a greater chance of an increase in serum concentration of retinol (odds ratio 1.34, 95% confidence interval 1.10-1.63, and 1.48, 95% confidence interval (1.26-1.74) when compared with non-overnutrified children. An important correspondence between vitamin A deficiency and overnutrition was found. Non-overnutrified children and adolescents may have a greater chance of presenting low concentrations of retinol. Future public health strategies focused on the overnutrified population and vitamin A supplements should consider the effect of retinol on urban children and adolescents in China.
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