某部女军人铁缺乏和缺铁性贫血的患病率

Prevalence Study of Iron Deficiency and Iron Deficiency Anemia of Female Military Personnel in Certain Unit of Army

目的探讨女军人铁缺乏和缺铁性贫血的患病率。方法对608名女军人的铁营养状况进行调查,研究对象分为三组:初入伍新兵(A组),集训3个月(B组),驻地待命6个月以上(C组)。应用三种变量模式证实铁缺乏,包括血清铁蛋白、转铁蛋白饱和度和红细胞分布宽度(RDW)。结果铁缺乏的患病率在B组(32.8%)高于A组(13.4%)和C组(9.6%)。缺铁性贫血的患病率在B组(20.9%)高于A组(5.8%)和C组(4.8%)。结论研究结果提示女军人训练后铁营养状态减少,铁营养是女性军人面临的主要问题。而通过补充或饮食添加剂改善铁营养状态有待研究。

Objective Iron deficiency is the most prevalent micronutrient deficiency disease in young women.Female military personnel represent a unique population faced with intense physical activitie and cognitive demands.The objective of this study was to explore the prevalence of iron defi-ciency and iron deficiency anemia in female military personnel.Methods We investigated the iron nutrition status for 608 female military personnel,whom were divided in to three groups： new recruit sol-diers（Group A）,in the period of three months intensified training（Group B） a,nd following at least six months of permanent assignment（Group C）.Using a three variable model,including serum ferritin,transferring saturation,and red cell distribution width（RDW） to determine iron deficiency.Iron defi-ciency anemia was defined by iron deficiency and a hemoglobin（Hgb） 〈 12 g/dL.Results The prevalence of iron deficiency was greater in Group B than Group A and Group C.The prevalence of iron deficiency anemia was greater in group B than Group A and Group C.Conclusion These data indicate that female military personnel experience diminished iron nutrition status following training,and that iron nutriture is an important issue facing females in the military.