Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents
Vitamin A, a fat-soluble essential vitamin, is implicated in a large range of physiological processes. Up to now, the associations between vitamin A and metabolic syndrome (MetS) or other metabolic risk factors are controversial in children and adolescents. Thus, we aimed to dig into the relationshi...
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MDPI AG
2022-01-01
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| Online Access: | https://www.mdpi.com/2072-6643/14/3/610 |
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| author | Ting Tian Yuanyuan Wang Wei Xie Jingxian Zhang Yunlong Ni Xianzhen Peng Guiju Sun Yue Dai Yonglin Zhou |
| author_facet | Ting Tian Yuanyuan Wang Wei Xie Jingxian Zhang Yunlong Ni Xianzhen Peng Guiju Sun Yue Dai Yonglin Zhou |
| author_sort | Ting Tian |
| collection | DOAJ |
| description | Vitamin A, a fat-soluble essential vitamin, is implicated in a large range of physiological processes. Up to now, the associations between vitamin A and metabolic syndrome (MetS) or other metabolic risk factors are controversial in children and adolescents. Thus, we aimed to dig into the relationship of vitamin A with MetS and many other metabolic risk factors. This was a cross-sectional study derived from the China National Nutrition and Health Surveillance of Children and Lactating Mothers. A total of 3025 school-aged (7–17 years) children and adolescents were selected by applying multistage stratified cluster random sampling methods in the Jiangsu Province of eastern China. Through enquiry survey, anthropometric measurement and laboratory examination, relevant information and blood biochemical indexes of the participants were collected in this study. MetS was identified according to the modified criteria of the National Cholesterol Education Program–Adult Treatment Panel III (NCEP-ATP III). Multivariate logistic analysis and the generalized additive model (GAM) were used to analyze the relationship between vitamin A and various metabolic risk factors. The overweight, obesity and MetS prevalence of children and adolescents in this study was 14.0%, 11.9% and 5.1%, respectively. The risk of prevalent MetS, general obesity, high low-density lipoprotein (LDL), high total cholesterol (TC) and hyperuricemia increased with vitamin A in a dose-dependent way. Logistic regression analysis showed that serum vitamin A Z scores were positively associated with MetS and central obesity, elevated blood pressure (BP) and elevated triglyceride (TG). Sex stratification analysis showed that both in male and female participants, the risk of prevalent MetS, general obesity, high LDL, high TC and hyperuricemia still increased with vitamin A levels. MetS was at a high prevalence level in children and adolescents in Jiangsu that were 7–17 years old. Vitamin A was positively associated with obesity, MetS, dyslipidemia and hyperuricemia. More public health measures and new visions should focus on the effects of retinol on children and adolescents. |
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| language | English |
| last_indexed | 2024-03-09T23:21:29Z |
| publishDate | 2022-01-01 |
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| series | Nutrients |
| spelling | doaj.art-8091e47ee87d4bd3a8c9d82aad6214aa2023-11-23T17:26:38ZengMDPI AGNutrients2072-66432022-01-0114361010.3390/nu14030610Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and AdolescentsTing Tian0Yuanyuan Wang1Wei Xie2Jingxian Zhang3Yunlong Ni4Xianzhen Peng5Guiju Sun6Yue Dai7Yonglin Zhou8Institute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaDepartment of Public Health and Preventive Medicine, Kangda College of Nanjing Medical University, Lianyungang 222000, ChinaDepartment of Nutrition and Food Hygiene, School of Public Health, Southeast University, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaInstitute of Food Safety and Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, ChinaVitamin A, a fat-soluble essential vitamin, is implicated in a large range of physiological processes. Up to now, the associations between vitamin A and metabolic syndrome (MetS) or other metabolic risk factors are controversial in children and adolescents. Thus, we aimed to dig into the relationship of vitamin A with MetS and many other metabolic risk factors. This was a cross-sectional study derived from the China National Nutrition and Health Surveillance of Children and Lactating Mothers. A total of 3025 school-aged (7–17 years) children and adolescents were selected by applying multistage stratified cluster random sampling methods in the Jiangsu Province of eastern China. Through enquiry survey, anthropometric measurement and laboratory examination, relevant information and blood biochemical indexes of the participants were collected in this study. MetS was identified according to the modified criteria of the National Cholesterol Education Program–Adult Treatment Panel III (NCEP-ATP III). Multivariate logistic analysis and the generalized additive model (GAM) were used to analyze the relationship between vitamin A and various metabolic risk factors. The overweight, obesity and MetS prevalence of children and adolescents in this study was 14.0%, 11.9% and 5.1%, respectively. The risk of prevalent MetS, general obesity, high low-density lipoprotein (LDL), high total cholesterol (TC) and hyperuricemia increased with vitamin A in a dose-dependent way. Logistic regression analysis showed that serum vitamin A Z scores were positively associated with MetS and central obesity, elevated blood pressure (BP) and elevated triglyceride (TG). Sex stratification analysis showed that both in male and female participants, the risk of prevalent MetS, general obesity, high LDL, high TC and hyperuricemia still increased with vitamin A levels. MetS was at a high prevalence level in children and adolescents in Jiangsu that were 7–17 years old. Vitamin A was positively associated with obesity, MetS, dyslipidemia and hyperuricemia. More public health measures and new visions should focus on the effects of retinol on children and adolescents.https://www.mdpi.com/2072-6643/14/3/610vitamin Ametabolic syndromechildren and adolescentsmetabolic risk factors |
| spellingShingle | Ting Tian Yuanyuan Wang Wei Xie Jingxian Zhang Yunlong Ni Xianzhen Peng Guiju Sun Yue Dai Yonglin Zhou Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents Nutrients vitamin A metabolic syndrome children and adolescents metabolic risk factors |
| title | Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents |
| title_full | Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents |
| title_fullStr | Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents |
| title_full_unstemmed | Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents |
| title_short | Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents |
| title_sort | associations between serum vitamin a and metabolic risk factors among eastern chinese children and adolescents |
| topic | vitamin A metabolic syndrome children and adolescents metabolic risk factors |
| url | https://www.mdpi.com/2072-6643/14/3/610 |
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