体性病変児におけるビタミンDとカルシウムの食事摂取量に関する調査研究

[Survey assesment of vitamin D and calcium dietary intake in children with somatic pathology].

• O R Boyarchuk
• L I Dobrovolska
• M I Kinash
• O M Shulhai
• K T Hlushko
• I M Horishnyi

抄録

ビタミン D とカルシウムだけでなく、骨格の完全性を維持するための重要な役割を果たすだけでなく、人体の他のシステムの機能にも重要です。.4～17歳の114人の子供たちが研究に参加した。彼らは体性病理のために入院治療を受けた。慢性胃十二指腸炎36名（第1群）、胆道機能障害25名（第2群）、視床下部思春期症候群30名（第3群）、1型糖尿病23名（第4群）の4群に分けた。カルシウムとビタミンDの食事摂取量は質問紙を用いて評価した。ビタミンDとカルシウムの摂取源を決定し，小児の1週間の食事におけるこれらの摂取量を評価した。次に、各子供の食事に含まれるビタミンDとカルシウムの合計と、各食品源でのこれらの栄養素の1日平均摂取量も評価した。すべての子供たちは健康診断を受けた。歯、爪、毛髪、骨格系の健康状態、アレルギー反応の有無に特別な注意を払った。血清カルシウム濃度は、アルカリ性媒体中のo-クレゾールフタレインを用いた比色法により、無機リンは酸性媒体中のモリブデン酸アルミニウムを用いたホスホモモリブデン酸塩法により決定された。.その結果、最も多い児童の食事は、焼き菓子（94.7％）、肉類（92.9％）、乳製品（90.4％まで）、卵（90.4％）であることが明らかになった。子どもたちは、魚（335.63±472.82IU）、バター（124.64±114.31IU）、卵（101.15±96.77IU）を1週間に摂取しており、ビタミンDの摂取量が最も多かった。乳製品、すなわち牛乳、ヨーグルト、チーズ、カッテージチーズがカルシウムの最大の供給源であった。カルシウムの摂取量は、患者の嗜好や健康に関連した食生活の推奨により、患者グループごとに異なっていた。また、123.98±53.52 IUの1日平均食事ビタミンD摂取量が不足していることが証明された。カルシウムの1日平均摂取量は524.53±248.38mgであった。ビタミンDおよび食物からのカルシウムの摂取不足は、臨床症状と相関していた。姿勢障害は48.2％、虫歯は40.4％、毛髪疾患は32.4％であった。これらの障害は、最も低いビタミンDの摂取量を持っていることが証明された第1グループの子供たちでより顕著であった。血清カルシウム値は79.8％の子供で基準値より低く、リン値は41.2％の子供で基準値より低かった。.異なる体性病理（消化器系と内分泌系）を持つ子供の食事は、様々な病理の下での子供の食事の違いにもかかわらず、カルシウムとビタミンDの摂取量が不足しており、ミネラル代謝障害の臨床徴候の出現につながり、その中でも特に姿勢障害と虫歯が最も多く見られた。

Vitamin D and calcium play a key role not only in maintaining skeletal integrity, but are also important in the functioning of other systems of the human body. of the study is to evaluate the dietary intake of calcium and vitamin D in the children with different somatic pathologies (gastroenterological and endocrine) and its impact on somatic health indicators. . 114 children, aged 4-17 years old, were involved in the study. They underwent inpatient treatment for somatic pathology. The patients were divided into 4 groups: 36 children with chronic gastroduodenitis (the 1st group); 25 children with functional disorders of biliary tract (the 2nd group); 30 children with hypothalamic pubertal syndrome (the 3rd group); 23 patients with type 1 diabetes mellitus (the 4th group). Dietary intake of calcium and vitamin D was evaluated using a questionnaire. The sources of vitamin D and calcium intake were determined and the amount of these sources in the weekly diet of a child was evaluated. Then the total of vitamin D and calcium in the diet of each child and the average daily consumption of these nutrients with each food source were evaluated as well. All children underwent physical examination; a special attention was paid to the health of their teeth, nails, hair, skeletal system, as well as the presence of allergic reactions. Serum calcium concentration was determined by the colorimetric method with o-cresolphthalein in an alkaline medium and inorganic phosphorus by the phosphomolybdate method with aluminum molybdate in an acidic medium. . It was established that the diet of the most children comprised baked goods (94.7%), meat (92.9%), dairy products (up to 90.4%), and eggs (90.4%). The children received most of their dietary vitamin D with fish (335.63±472.82 IU), butter (124.64±114.31 IU) and eggs (101.15±96.77 IU) per week. The dairy products, i.e. milk, yogurt, cheese, and cottage cheese, were the largest source of calcium. Calcium intake varied in different patient groups due to their food preferences and dietary recommendations related to their health. It was also proved that the average daily diet vitamin D intake at 123.98±53.52 IU was insufficient. The average daily intake of calcium with food was 524.53±248.38 mg. The insufficient intake of vitamin D and calcium with food correlated with clinical manifestations. Posture disorders were evidenced in 48.2% of children, tooth decay - in 40.4%, and hair illnesses - in 32.4%. These disorders were more significant in the children of the 1st group, who were proved to have the lowest vitamin D intake. The serum calcium level was lower than the reference values in 79.8% of children, the phosphorus level was lower than the reference values in 41.2% children. . The dietary intake of calcium and vitamin D in the children with different somatic pathologies (gastroenterological and endocrine) was insufficient, despite differences in children's diets under various pathologies, which led to the appearance of clinical signs of mineral metabolism disorders, among which posture disorders and tooth decay were most often observed.

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