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铁缺乏是世界上最常见、覆盖率最高的营养缺乏症之一,目前,用于评价个体铁储存和利用状况的检测手段和生物学指标很多,而基于人群的评估仍面临着很多的困难和挑战,而对人群的铁缺乏状况进行准确的评估对于降低人群缺铁和贫血患病率有着重要的意义。本文综述了目前国内外公共卫生研究中所采用的各种评估人群铁缺乏状况的策略和手段,主要包括使用人群膳食铁摄入量进行评估、使用单一的血液学或生物学指标进行评估、联合使用多个生物学指标进行评估、利用不同人群血红蛋白的分布进行评估和利用血红蛋白对铁剂干预的应答来确定铁缺乏人群等,这些方法各有优势和局限性,因此,对于不同经济发展水平和医疗卫生条件的地区和人群以及不同的研究目标或调查目的,应有针对性的选择不同的评估策略和手段,为公共卫生决策提供可靠依据。
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基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2012.02.042
中图分类号:R591.1
引用信息:
[1]俞丹,霍军生,孙静.公共卫生研究中人群铁缺乏状况的评估[J].卫生研究,2012,41(02):332-335.DOI:10.19813/j.cnki.weishengyanjiu.2012.02.042.
基金信息:
卫生部促进生长发育的营养强化食品的研究与开发项目(No.2010AA023004)
2012-03-30
2012-03-30