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  • Title: Evaluating the micronutrient status of women of child-bearing age living in the rural disaster areas one year after Wenchuan Earthquake.
    Author: Dong C, Ge P, Ren X, Zhao X, Fan H, Yin SA, Weiderpass E.
    Journal: Asia Pac J Clin Nutr; 2014; 23(4):671-7. PubMed ID: 25516326.
    Abstract:
    Populations with special physiological state, such as pregnant, nursing and women of child-bearing age, have been identified as nutritionally vulnerable during natural disaster. The objective of this survey was to evaluate the prevalence of anaemia and micronutrient status of women of reproductive age in April 2009 one year after the Wenchuan Earthquake. The survey recruited 58 pregnant, 66 lactating and 242 women of child-bearing age from 19 to 45 years. The concentrations of haemoglobin in whole blood and ferritin and micronutrients in serum were assayed. Among the three groups (pregnant, nursing and child-bearing women), respectively, the prevalence of anaemia was 29.1%, 25.5% and 28.8%; that of iron deficiency was 45.4%, 49.0% and 52.9%; and that of zinc deficiency was 45.4%, 23.0% and 33.5%. The sum of vitamin D deficiency and insufficiency was more than 90% in each group, and the total vitamin B12 deficiency and marginal deficiency prevalence percentages were 47.3%, 17.7% and 35.7%, respectively. The prevalence of vitamin A deficiency and marginal deficiency was 1.8% and 9.1% in pregnant women, 6.1% and 15.2% in nursing women and 8.6% and 21.3% in women of child-bearing age, respectively. Our findings indicated that the micronutrient status of women of reproductive age was poor in the disaster areas. Therefore, improving the micronutrient status of these women should be an urgent priority in these areas. 在突发自然灾害状况下，处于特殊生理状况的妇女，如妊娠、哺乳以及准备怀 孕的妇女已经被确认为营养缺乏的易感人群。本次调查的目的是评价汶川地震 一年后（2009年4月）灾区育龄妇女的贫血率和微量营养素的状况。该调查招 募了年龄在19-45岁的孕妇58例、乳母66例和育龄妇女242例，测定了全血中血 红蛋白、血清中铁蛋白和微量营养素的浓度。在孕妇、乳母和育龄妇女这三个 人群中，贫血率分别为29.1%、25.5%和28.8%；铁缺乏率分别为45.4%、49.0% 和52.9%；锌缺乏率分别为45.4%、23.0%和33.5%；各组维生素D缺乏和不足 的总和均超过了90%；维生素B12缺乏和边缘缺乏的合计分别为47.3%、17.7% 和35.7%。维生素A缺乏和边缘缺乏率，孕妇为1.8%和9.1%，乳母为6.1%和 15.2%，育龄妇女为8.6%和21.3%。本研究结果提示，灾区育龄妇女的微量营 养素营养状况较差，因此改善这些地区育龄妇女的微量营养素的状况应该是优 先考虑的问题。
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