Article(id=1220689490998379295, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1220689483859677846, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2025.19.018, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1741881600000, receivedDateStr=2025-03-14, revisedDate=1757347200000, revisedDateStr=2025-09-09, acceptedDate=null, acceptedDateStr=null, onlineDate=1768964653968, onlineDateStr=2026-01-21, pubDate=1760025600000, pubDateStr=2025-10-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1768964653968, onlineIssueDateStr=2026-01-21, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1768964653968, creator=13701087609, updateTime=1768964653968, updator=13701087609, issue=Issue{id=1220689483859677846, tenantId=1146029695717560320, journalId=1220038315760373764, year='2025', volume='39', issue='19', pageStart='3201', pageEnd='3376', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1768964652266, creator=13701087609, updateTime=1768965013333, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1220690998338961744, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1220689483859677846, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1220690998338961745, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1220689483859677846, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=3323, endPage=3325, ext={EN=ArticleExt(id=1220689493531739048, articleId=1220689490998379295, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Status quo and influencing factors of serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city, columnId=1220689488284668633, journalTitle=Chinese Nursing Research, columnName=Comprehensive Study, runingTitle=null, highlight=null, articleAbstract=

Objective To investigate the serum 25⁃hydroxyvitamin D levels and influencing factors in infants and young children aged 0⁃3 years in Yuncheng city. Methods A total of 1 803 infants and young children who underwent physical examinations at Yuncheng Maternal and Child Health Hospital from June 2019 to June 2023 were selected as the research subjects.Venous blood was collected and serum 25⁃hydroxyvitamin D levels were detected by using an AB company high⁃performance liquid chromatography tandem mass spectrometer(AB4500).Univariate analysis was used to investigate the influencing factors of serum 25⁃hydroxyvitamin D levels. Results The serum 25⁃hydroxyvitamin D level of 1 803 infants and young children was(35.256±9.090) ng/mL.Univariate analysis results showed that maternal education level,feeding method,outdoor activity duration,age,and daily 25 hydroxyvitamin D supplementation dose had an impact on the serum 25 hydroxyvitamin D levels of infants and young children(P<0.05). Conclusions Serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city are low⁃normal.The higher the mother's education level,the more reasonable outdoor activities,timely addition of complementary foods,and reasonable supplementation of 25 hydroxyvitamin D are beneficial for the healthy growth of infants and young children.

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SUN Lin, E⁃mail:
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目的 旨在调查运城市0~3岁婴幼儿血清25⁃羟维生素D水平以及影响因素。 方法 选取2019年6月—2023年6月在运城市妇幼保健院体检的1 803名婴幼儿为研究对象,采集静脉血,使用美国AB公司高效液相色谱串联质谱仪(AB4500)检测血清25⁃羟维生素D水平。采用单因素分析婴幼儿血清25⁃羟维生素D水平的影响因素。 结果 1 803名婴幼儿血清25⁃羟维生素D为(35.256±9.090) ng/mL。单因素分析结果显示,母亲文化程度、喂养方式、户外活动时长、年龄、每日25⁃羟维生素D补充剂量对婴幼儿血清25⁃羟维生素D水平有影响(P<0.05)。 结论 运城市0~3岁婴幼儿血清25⁃羟维生素D处于正常偏低水平,母亲文化程度越高、合理户外活动、及时添加辅食、合理补充25⁃羟维生素D有利于婴幼儿健康成长。

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孙琳,E⁃mail:
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赵娜,副主任医师,硕士研究生

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Reference(id=1220838945160610180, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, doi=null, pmid=null, pmcid=null, year=2022, volume=12, issue=4, pageStart=7, pageEnd=10, url=null, language=null, rfNumber=[21], rfOrder=20, authorNames=陈丽娜, 徐勇军, 苏玉萍, journalName=中国医药科学, refType=null, unstructuredReference=陈丽娜,徐勇军,苏玉萍.12 957名0~18岁儿童血清25-羟基维生素D水平调查分析[J].中国医药科学,2022,12(4):7-10;24., articleTitle=12 957名0~18岁儿童血清25-羟基维生素D水平调查分析, refAbstract=null)], funds=[Fund(id=1220838938621690159, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, awardId=Z2019LSXB001, language=CN, fundingSource=中华国际科学交流基金会(Z2019LSXB001), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1220838935887003850, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, xref=1., ext=[AuthorCompanyExt(id=1220838935895392459, tenantId=1146029695717560320, journalId=1220038315760373764, 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Affiliated Hospital of Xi'an Medical University), AuthorCompanyExt(id=1220838936004444369, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, companyId=1220838935987667149, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.西安医学院第二附属医院)])], figs=[ArticleFig(id=1220838938244202791, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, language=EN, label=Table 1, caption=

Univariate factor analysis results of influencing factors on serum 25⁃hydroxyvitamin D levels in infants and young children

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类人数血清25⁃羟维生素DP
年龄1~6月60635.056±8.786<0.05
7~12月62636.397±8.940
13~24月32635.318±9.233
25~36月24532.359±7.561
性别96735.250±9.190>0.05
83635.270±8.990
分娩方式剖宫产85434.996±9.067>0.05
顺产94935.619±9.096
母亲文化程度初中及以下18434.240±10.081<0.05
高中及专科88635.275±8.956
本科及以上73335.876±8.695
喂养方式纯母乳喂养1 30134.455±8.833<0.05
混合喂养50237.686±9.700
每日户外活动时长<2 h92034.281±8.983<0.05
≥2 h88335.934±9.067
每日25⁃羟维生素D补充剂量≤400 IU73634.524±8.362<0.05
400~800 IU1 06736.201±9.125
), ArticleFig(id=1220838938349060392, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1220689490998379295, language=CN, label=表1, caption=

婴幼儿血清25-羟维生素D水平影响因素的单因素分析结果 (ng/mL)

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类人数血清25⁃羟维生素DP
年龄1~6月60635.056±8.786<0.05
7~12月62636.397±8.940
13~24月32635.318±9.233
25~36月24532.359±7.561
性别96735.250±9.190>0.05
83635.270±8.990
分娩方式剖宫产85434.996±9.067>0.05
顺产94935.619±9.096
母亲文化程度初中及以下18434.240±10.081<0.05
高中及专科88635.275±8.956
本科及以上73335.876±8.695
喂养方式纯母乳喂养1 30134.455±8.833<0.05
混合喂养50237.686±9.700
每日户外活动时长<2 h92034.281±8.983<0.05
≥2 h88335.934±9.067
每日25⁃羟维生素D补充剂量≤400 IU73634.524±8.362<0.05
400~800 IU1 06736.201±9.125
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运城市0~3岁婴幼儿血清25⁃羟维生素D水平及影响因素
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赵娜 1 , 吴彤丽 1 , 靳建云 1 , 孙琳 2
护理研究 | 综合研究 2025,39(19): 3323-3325
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护理研究 | 综合研究 2025, 39(19): 3323-3325
运城市0~3岁婴幼儿血清25⁃羟维生素D水平及影响因素
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赵娜1, 吴彤丽1, 靳建云1, 孙琳2
作者信息
  • 1.山西省运城市妇幼保健院,山西 044000
  • 2.西安医学院第二附属医院
  • 赵娜,副主任医师,硕士研究生

通讯作者:

孙琳,E⁃mail:
Status quo and influencing factors of serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city
Na ZHAO1, Tongli WU1, Jianyun JIN1, Lin SUN2
Affiliations
  • 1.Shanxi Yuncheng Maternal and Child Health Hospital, Shanxi 044000 China
  • 2.The Second Affiliated Hospital of Xi'an Medical University
出版时间: 2025-10-10 doi: 10.12102/j.issn.1009-6493.2025.19.018
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目的 旨在调查运城市0~3岁婴幼儿血清25⁃羟维生素D水平以及影响因素。 方法 选取2019年6月—2023年6月在运城市妇幼保健院体检的1 803名婴幼儿为研究对象,采集静脉血,使用美国AB公司高效液相色谱串联质谱仪(AB4500)检测血清25⁃羟维生素D水平。采用单因素分析婴幼儿血清25⁃羟维生素D水平的影响因素。 结果 1 803名婴幼儿血清25⁃羟维生素D为(35.256±9.090) ng/mL。单因素分析结果显示,母亲文化程度、喂养方式、户外活动时长、年龄、每日25⁃羟维生素D补充剂量对婴幼儿血清25⁃羟维生素D水平有影响(P<0.05)。 结论 运城市0~3岁婴幼儿血清25⁃羟维生素D处于正常偏低水平,母亲文化程度越高、合理户外活动、及时添加辅食、合理补充25⁃羟维生素D有利于婴幼儿健康成长。

婴幼儿  /  25⁃羟维生素D  /  影响因素  /  护理

Objective To investigate the serum 25⁃hydroxyvitamin D levels and influencing factors in infants and young children aged 0⁃3 years in Yuncheng city. Methods A total of 1 803 infants and young children who underwent physical examinations at Yuncheng Maternal and Child Health Hospital from June 2019 to June 2023 were selected as the research subjects.Venous blood was collected and serum 25⁃hydroxyvitamin D levels were detected by using an AB company high⁃performance liquid chromatography tandem mass spectrometer(AB4500).Univariate analysis was used to investigate the influencing factors of serum 25⁃hydroxyvitamin D levels. Results The serum 25⁃hydroxyvitamin D level of 1 803 infants and young children was(35.256±9.090) ng/mL.Univariate analysis results showed that maternal education level,feeding method,outdoor activity duration,age,and daily 25 hydroxyvitamin D supplementation dose had an impact on the serum 25 hydroxyvitamin D levels of infants and young children(P<0.05). Conclusions Serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city are low⁃normal.The higher the mother's education level,the more reasonable outdoor activities,timely addition of complementary foods,and reasonable supplementation of 25 hydroxyvitamin D are beneficial for the healthy growth of infants and young children.

infants and young children  /  25⁃hydroxyvitamin D  /  influencing factors  /  nursing
赵娜, 吴彤丽, 靳建云, 孙琳. 运城市0~3岁婴幼儿血清25⁃羟维生素D水平及影响因素. 护理研究, 2025 , 39 (19) : 3323 -3325 . DOI: 10.12102/j.issn.1009-6493.2025.19.018
Na ZHAO, Tongli WU, Jianyun JIN, Lin SUN. Status quo and influencing factors of serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city[J]. Chinese Nursing Research, 2025 , 39 (19) : 3323 -3325 . DOI: 10.12102/j.issn.1009-6493.2025.19.018
25⁃羟维生素D在儿童健康中具有重要作用,不仅参与钙、磷代谢,维持骨骼健康,还涉及免疫、神经、生殖、内分泌、上皮及毛发生长等多个系统的生理功能[17]。近年来,随着儿童保健意识的增强和健康教育活动的有效开展,2岁以内婴幼儿佝偻病的发病率逐渐下降[89],但25⁃羟维生素D缺乏仍较为常见[1011]。目前,关于25⁃羟维生素D补充的时机、剂量、疗程等问题仍存在争议,给家长带来了诸多困惑[2,1213]。本研究通过调查运城市0~3岁婴幼儿血清25⁃羟维生素D水平及其影响因素,旨在加强人们对于25⁃羟维生素D缺乏的重视,为规范25⁃羟维生素D的补充提供科学依据,促进婴幼儿健康生长。
选取2019年6月—2023年6月在运城市妇幼保健院体检的1 834名0~3岁的婴幼儿为调查对象。纳入标准:1)年龄0~3岁;2)37~41周分娩;3)无先天性疾病、遗传代谢性疾病、内分系统疾病以及急慢性肝肾疾病;4)无25⁃羟维生素D抵抗性疾病及25⁃羟维生素D依赖性佝偻病等疾病[14]。本研究已通过运城市妇幼保健院医学伦理委员会审查(审查编号:FYSC2019002)。
婴幼儿空腹采集静脉血3 mL,使用美国AB公司高效液相色谱串联质谱仪(AB4500)检测血清25⁃羟维生素D水平[15]
在家长知情同意的情况下填写调查问卷,内容包括儿童性别、母亲分娩方式、母亲文化程度、喂养方式、户外活动时长、每日补充剂量等。共发放问卷1 834份,排除31份因信息不完整而无法分析的问卷,收回有效问卷1 803份,有效回收率为98.3%。
使用Excel建立数据库,采用SPSS 18.0软件进行统计学分析。符合正态分布的定量资料用均数±标准差($\bar{x}\pm s$)描述;定性资料采用频数、百分比(%)表示;婴幼儿血清25⁃羟维生素D水平影响因素的单因素分析采用独立样本t检验或方差分析,以P<0.05为差异有统计学意义。
1 803名婴幼儿血清25⁃羟维生素D为(35.256±9.090)ng/mL。单因素分析结果显示,母亲文化程度、喂养方式、每日户外活动时长、月龄、每日25⁃羟维生素D补充剂量对婴幼儿血清25⁃羟维生素D水平有影响(P<0.05)。详见表1
本研究通过调查运城市0~3岁婴幼儿血清25⁃羟维生素D水平及其影响因素,发现儿童血清25⁃羟维生素D水平受多种因素影响,但总体处于正常偏低水平。单因素分析结果显示,性别、母亲分娩方式对婴幼儿血清25⁃羟维生素D水平无显著影响(P>0.05);母亲文化程度、喂养方式、户外活动时长、年龄、每日25⁃羟维生素D补充剂量对婴幼儿血清25⁃羟维生素D水平有影响(P<0.05)。
本研究结果显示,母亲文化程度是0~3岁婴幼儿血清25⁃羟维生素D水平的影响因素(P<0.05),0~3岁婴幼儿母亲文化程度越高,婴幼儿血清25⁃羟维生素D水平越高。这可能与高学历母亲更关注婴幼儿健康、更了解25⁃羟维生素D的重要性以及更可能采取科学的补充方式有关。因此,提高母亲的健康知识水平对于改善婴幼儿25⁃羟维生素D营养状况具有重要意义[13,16]
本研究结果显示,喂养方式是0~3岁婴幼儿血清25⁃羟维生素D水平的影响因素(P<0.05),混合喂养的婴幼儿血清25⁃羟维生素D水平高于纯母乳喂养的婴幼儿。这可能是因为母乳中25⁃羟维生素D水平不稳定,而配方奶粉中通常添加了适量的25⁃羟维生素D。因此,建议纯母乳喂养的婴幼儿在医生指导下合理补充25⁃羟维生素D[1719]
本研究结果显示,户外活动时长是0~3岁婴幼儿血清25⁃羟维生素D水平的影响因素(P<0.05),户外活动时间≥2 h婴幼儿的血清25⁃羟维生素D水平高于每日活动时间<2 h的婴幼儿。这进一步证实了阳光暴露对25⁃羟维生素D合成的重要性。建议家长延长婴幼儿户外活动时间,以促进25⁃羟维生素D的自然合成[20]
本研究结果显示,每日25⁃羟维生素D补充剂量是0~3岁婴幼儿血清25⁃羟维生素D水平的影响因素(P<0.05),每日25⁃羟维生素D补充剂量400~800 IU婴幼儿的血清25⁃羟维生素D水平高于补充剂量小于400 IU的婴幼儿。这表明适量补充25⁃羟维生素D是提高儿童血清25⁃羟维生素D水平的有效手段[21]。建议家长在医生指导下,根据儿童的具体情况合理调整补充剂量。
本研究样本量有限,且可能存在地域偏差。未来研究可以扩大样本量,涵盖更多地区,以提高研究结果的普遍性。此外,可进一步探讨25⁃羟维生素D水平与基因多态性的关系,了解25⁃羟维生素D的吸收是否受不同个体相关基因的影响,为精准补充25⁃羟维生素D提供依据。
  • 中华国际科学交流基金会(Z2019LSXB001)
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2025年第39卷第19期
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doi: 10.12102/j.issn.1009-6493.2025.19.018
  • 接收时间:2025-03-14
  • 首发时间:2026-01-21
  • 出版时间:2025-10-10
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  • 收稿日期:2025-03-14
  • 修回日期:2025-09-09
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中华国际科学交流基金会(Z2019LSXB001)
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    1.山西省运城市妇幼保健院,山西 044000
    2.西安医学院第二附属医院

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2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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