{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T12:32:18Z","timestamp":1718195538823},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980007246609_abssec1\"><jats:title>Objective<\/jats:title><jats:p>This study aimed to explore the associations between breast-feeding, dietary intakes and other related factors and subclinical vitamin A deficiency (SVAD) in children aged 0\u20135 years in an area in China where mild vitamin A deficiency (VAD) is found.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007246609_abssec2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Data were from a population-based cross-sectional study with 1052 children aged 0\u20135 years. SVAD cases were identified by the indicator of serum retinol \u2264\u00a020\u00a0\u03bcg\u00a0dl<jats:sup>\u2212\u00a01<\/jats:sup>. Breast-feeding status, dietary intakes and other factors were collected through a pre-designed questionnaire.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007246609_abssec3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The prevalence of SVAD in children aged 0\u20135 years was 6.9%. Logistic regression analysis showed that the odds ratio of SVAD for breastfeeding was 3.56 (95% confidence limits (95% CL) 2.17\u20135.82). After adjustment for sex, age in categories, residence, mother's education, mother's occupation, vitamin A preparation supplements, rank in siblings and diarrhoea, the odds ratio for breast-feeding fell to 2.38 (95% CL 1.13\u20134.95). The odds ratios for breast-feeding within children aged 1 year were 5.46 (95% CL 2.07\u201315.03) and 4.6 (95% CL 1.72\u201312.82) before and after adjustment of other confounders, respectively. The odds ratios for breast-feeding did not show statistical significance within children aged 0 or 2 years. The odds ratios decreased, but remained statically significant after further adjustments for individual dietary factor or all dietary factors.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007246609_abssec4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Breast-feeding was a risk factor of SVAD for children, especially for those aged 1 year. The differences in dietary intakes and other established risk factors could not fully explain the increased risk. This finding implies that prolonged breast-feeding alone may not ensure protection of children from VAD in an area with mild SVAD.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980007246609","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T11:20:12Z","timestamp":1173093612000},"page":"733-738","source":"Crossref","is-referenced-by-count":6,"title":["Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province, China"],"prefix":"10.1017","volume":"10","author":[{"given":"Yewu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangbiao","family":"Tao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiping","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoming","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guoping","family":"Ji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shenghua","family":"Kong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinhua","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengzhi","family":"Chu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhu","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,7,1]]},"reference":[{"key":"S1368980007246609_ref1","volume-title":"Sight and Life Manual on Vitamin A Deficiency Disorders (VADD)","author":"McLaren","year":"2001"},{"key":"S1368980007246609_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/125.8.2122"},{"key":"S1368980007246609_ref4","volume-title":"Vitamin A Global Initiatives: A Strategy for Acceleration of Progress in Combating Vitamin A Deficiency","year":"1997"},{"key":"S1368980007246609_ref2","volume-title":"Global Prevalence of Vitamin A Deficiency","year":"1995"},{"key":"S1368980007246609_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/44.5.690"},{"key":"S1368980007246609_ref16","first-page":"160","article-title":"A survey on the serum vitamin A level in children aged 0 to 6 in Zhejiang Province","volume":"8","author":"Yang","year":"2000","journal-title":"Zhongguo Er Tong Bao Jian Za Zhi [Chinese Journal of Children Health Care]"},{"key":"S1368980007246609_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/132.9.2857S"},{"key":"S1368980007246609_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/49.1.42"},{"key":"S1368980007246609_ref13","first-page":"315","article-title":"Survey on vitamin A deficiency in children under-6-years in China","volume":"36","author":"Lin","year":"2002","journal-title":"Zhonghua Yu Fang Yi Xue Za Zhi [Chinese Journal of Preventive Medicine]"},{"key":"S1368980007246609_ref3","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195088243.001.0001","volume-title":"Vitamin A Deficiency: Health Survival, and Vision","author":"Sommer","year":"1996"},{"key":"S1368980007246609_ref14","unstructured":"14 SAS Institute Inc. 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