Vitamin D status by sociodemographic factors and body mass index in Mexican women at reproductive age

被引:23
作者
Contreras-Manzano, Alejandra [1 ]
Villalpando, Salvador [1 ]
Robledo-Perez, Ricardo [1 ]
机构
[1] Inst Nacl Salud Publ, Ctr Invest Nutr & Salud, Ave Univ 655, Cuernavaca 62100, Morelos, Mexico
来源
SALUD PUBLICA DE MEXICO | 2017年 / 59卷 / 05期
关键词
vitamin D deficiency; 25-OH-D; women; indigenous population; obesity; NUTRITION SURVEY 2012; D DEFICIENCY; D INSUFFICIENCY; CARDIOVASCULAR-DISEASE; POSTMENOPAUSAL WOMEN; NATIONAL-HEALTH; D INADEQUACY; FOOD-INTAKE; POPULATION; OBESITY;
D O I
10.21149/8080
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. To describe the prevalence of Vitamin D deficiency (VDD) and insufficiency (VDI), and the main dietary sources of vitamin D (VD) in a probabilistic sample of Mexican women at reproductive age participating in Ensanut 2012, stratified by sociodemographic factors and body mass index (BMI) categories. Materials and methods. Serum concentrations of 25-hydroxyvitamin-D(25-OH-D) were determined using an ELISA technique in 4 162 women participants of Ensanut 2012 and classified as VDD,VDI or optimal VD status. Sociodemographic, anthropometric and dietary data were also collected. The association between VDD/VDI and sociodemographic and anthropometry factors was assessed adjusting for potential confounders through an estimation of a multinomial logistic regression model. Results. The prevalence of VDD was 36.8%, and that of VDI was 49.8%. The mean dietary intake of VD was 2.56 mu g/d. The relative risk ratio (RRR) of VDD or VDI was calculated by a multinomial logistic regression model in 4 162 women. The RRR of VDD or VDI were significantly higher in women with overweight (RRR: 1.85 and 1.44, p<0.05), obesity (RRR: 2.94 and 1.93; p<0.00 I), urban dwelling (RRR: 1.68 and 1.31, p<0.06), belonging to the 3rd tertile of income (RRR: 5.32 and 2.22, p<0.001), or of indigenous ethnicity (RRR: 2.86 and 1.70, p<0.05), respectively. Conclusion. The high prevalence of VDD/VDI in Mexican women calls for stronger actions from the health authorities, strengthtening the actual policy of food supplementation and recommending a reasonable amount of sun exposure.
引用
收藏
页码:518 / 525
页数:8
相关论文
共 51 条
[51]   Putting cardiovascular disease and vitamin D insufficiency into perspective [J].
Zittermann, A ;
Schleithoff, SS ;
Koerfer, R .
BRITISH JOURNAL OF NUTRITION, 2005, 94 (04) :483-492