The phenomenon of micronutrient deficiency among children in China: a systematic review of the literature
The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China. A systematic review was performed to analyse the literature. Studies were identified through a search of PubMed and secondary references. Chi...
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Published in | Public health nutrition Vol. 17; no. 11; pp. 2605 - 2618 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Cambridge, UK
Cambridge University Press
01.11.2014
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Subjects | |
Online Access | Get full text |
ISSN | 1368-9800 1475-2727 1475-2727 |
DOI | 10.1017/S1368980013002978 |
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Abstract | The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China.
A systematic review was performed to analyse the literature.
Studies were identified through a search of PubMed and secondary references.
Children living in China aged less than 18 years.
Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B12 deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19·6-34·3 %). The degrees of deficiency for vitamin A, vitamin B12, Fe and Zn were more substantial in rural areas compared with urban areas.
The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. |
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AbstractList | The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China.
A systematic review was performed to analyse the literature.
Studies were identified through a search of PubMed and secondary references.
Children living in China aged less than 18 years.
Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B12 deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19·6-34·3 %). The degrees of deficiency for vitamin A, vitamin B12, Fe and Zn were more substantial in rural areas compared with urban areas.
The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China.OBJECTIVEThe present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China.A systematic review was performed to analyse the literature.DESIGNA systematic review was performed to analyse the literature.Studies were identified through a search of PubMed and secondary references.SETTINGStudies were identified through a search of PubMed and secondary references.Children living in China aged less than 18 years.SUBJECTSChildren living in China aged less than 18 years.Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B12 deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19·6-34·3 %). The degrees of deficiency for vitamin A, vitamin B12, Fe and Zn were more substantial in rural areas compared with urban areas.RESULTSSixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B12 deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19·6-34·3 %). The degrees of deficiency for vitamin A, vitamin B12, Fe and Zn were more substantial in rural areas compared with urban areas.The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children.CONCLUSIONSThe prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. Abstract Objective The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China. Design A systematic review was performed to analyse the literature. Setting Studies were identified through a search of PubMed and secondary references. Subjects Children living in China aged less than 18 years. Results Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B12 deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19·6-34·3 %). The degrees of deficiency for vitamin A, vitamin B12, Fe and Zn were more substantial in rural areas compared with urban areas. Conclusions The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China. A systematic review was performed to analyse the literature. Studies were identified through a search of PubMed and secondary references. Children living in China aged less than 18 years. Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995-2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B sub(12) deficiency was 10.5 % in Yunnan and 4.5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3.3 % in 1998-2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3.5-46 %). Anaemia rates ranged from 20 % to 40 % in 2007-2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50-70 %) in 1995-2006. Few studies reported Ca deficiency rates (19.6-34.3 %). The degrees of deficiency for vitamin A, vitamin B sub(12), Fe and Zn were more substantial in rural areas compared with urban areas. The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China. A systematic review was performed to analyse the literature. Studies were identified through a search of PubMed and secondary references. Children living in China aged less than 18 years. Sixty-one articles were included. The prevalence of vitamin A deficiency decreased to approximately 10 % in 1995–2009. It increased with age but no significant difference was found between genders. The prevalence of thiamin and vitamin B₁₂ deficiency was 10·5 % in Yunnan and 4·5 % in Chongqing provinces, respectively. Higher vitamin D deficiency rates were seen in spring and winter. The incidence of bleeding due to vitamin K deficiency was 3·3 % in 1998–2001 and more prevalent in rural areas. Both iodine deficiency and excess iodine intake were observed. Goitre rates were reported in Tibet, Jiangxi, Gansu and Hong Kong (3·5–46 %). Anaemia rates ranged from 20 % to 40 % in 2007–2011. High Se deficiency rates were found in Tibet, Shaanxi and Jiangsu. High Zn deficiency rates were also found (50–70 %) in 1995–2006. Few studies reported Ca deficiency rates (19·6–34·3 %). The degrees of deficiency for vitamin A, vitamin B₁₂, Fe and Zn were more substantial in rural areas compared with urban areas. The prevalence of micronutrient deficiency rates varied. Socio-economic status, environmental factors and the Chinese diet may influence micronutrient deficiency. Public health policies should consider implementing programmes of supplementation, food fortification and nutrition education to address these deficiencies among Chinese children. |
Author | Wong, Ian CK Chui, Celine SL Wong, Angel YS Chan, Esther W Sutcliffe, Alastair G |
AuthorAffiliation | 3 UCL School of Pharmacy , University College London , London , UK 1 Centre for Safe Medication Practice and Research , Department of Pharmacology and Pharmacy , Li Ka Shing Faculty of Medicine , The University of Hong Kong , 2/F Laboratory Block , 21 Sassoon Road , Hong Kong Special Administrative Region , People's Republic of China 2 General and Adolescent Paediatric Unit , UCL Institute of Child Health , University College London , London , UK |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25248458$$D View this record in MEDLINE/PubMed |
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Snippet | The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in China.... Abstract Objective The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among... The present study aimed to review the literature on micronutrient deficiency and other factors influencing a deficiency status among children living in... |
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SubjectTerms | Adolescent anemia Anemia, Iron-Deficiency - blood Anemia, Iron-Deficiency - epidemiology calcium Child Child, Preschool children China China - epidemiology Chinese people Diet Environmental factors food fortification goiter Health policy hemorrhage Humans Infant Infant, Newborn Iodine Iodine - blood Iodine - deficiency iron Literature reviews Malnutrition - blood Malnutrition - epidemiology Micronutrients - blood Micronutrients - deficiency Nutrient deficiency nutrition education Nutritional Status Prevalence Public Health Rural areas Rural Population Seasons Socioeconomic Factors socioeconomic status Socioeconomics Special Groups spring systematic review thiamin Urban areas vitamin A Vitamin A Deficiency - blood Vitamin A Deficiency - epidemiology Vitamin B 12 Deficiency - blood Vitamin B 12 Deficiency - epidemiology vitamin B12 Vitamin D vitamin D deficiency Vitamin D Deficiency - blood Vitamin D Deficiency - epidemiology vitamin K deficiency winter zinc Zinc - blood Zinc - deficiency |
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Title | The phenomenon of micronutrient deficiency among children in China: a systematic review of the literature |
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