Prevalence and determinants of vitamin D deficiency in healthy French adults: the VARIETE study

被引:55
|
作者
Souberbielle, Jean-Claude [1 ,9 ]
Massart, Catherine [2 ]
Brailly-Tabard, Sylvie [3 ,4 ,5 ]
Cavalier, Etienne [6 ]
Chanson, Philippe [4 ,5 ,7 ,8 ]
机构
[1] Hop Univ Necker Enfants Malades, AP HP, Serv Explorat Fonct, Paris, France
[2] Hop Pontchaillou, Ctr Hosp Univ Rennes, Lab Hormonol, Rennes, France
[3] Hop Bicetre, AP HP, F-94275 Le Kremlin Bicetre, France
[4] Univ Paris 11, UMR S1185, Fac Med Paris Sud, F-94276 Le Kremlin Bicetre, France
[5] INSERM, U1185, F-94276 Le Kremlin Bicetre, France
[6] Sart Tilman Univ Hosp, Dept Clin Chem, Liege, Belgium
[7] Hop Bicetre, Serv Endocrinol & Malad Reprod, F-94275 Le Kremlin Bicetre, France
[8] AP HP, Ctr Reference Malad Endocriniennes Rares Croissan, F-94275 Le Kremlin Bicetre, France
[9] Hop Necker Enfants Malad, Lab Explorat Fonct, 149 Rue Sevres, F-75015 Paris, France
关键词
Vitamin D; 25-Hydroxyvitamin D; Vitamin D deficiency; Parathyroid hormone; Calcitriol; SERUM 25-HYDROXYVITAMIN D; POPULATION; PREVENTION; FORTIFICATION; METAANALYSIS; WORLDWIDE;
D O I
10.1007/s12020-016-0960-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The U.S. Institute of Medicine considers that a serum 25-hydroxyvitamin D (25OHD) concentration > 20 ng/mL corresponds to optimal vitamin D status in the general population. Old studies of vitamin D status in the French general population have demonstrated high prevalence of insufficiency. We measured serum 25OHD, 1,25(OH)(2)D, PTH, calcium, phosphorus, and creatinine levels in 892 French Caucasian healthy subjects (463 men, 429 women) aged from 18 to 89 years. The 25OHD concentration was similar in men (24.1 +/- 8.2 ng/mL) and women (23.4 +/- 8.0 ng/mL). 25OHD concentrations of < 10, < 12, < 20, and < 30 ng/mL were found in respectively 6.3, 9.9, 34.6, and 80.3 % of subjects. Residence in northern France (odds ratio [OR] 1.91), blood sampling between January and March (OR 7.74), BMI a parts per thousand yen24 kg/m(2) (OR 1.81), and age 60 years or more (OR 1.99) were significant determinants of hypovitaminosis D (25OHD < 20 ng/mL). The serum 25OHD level correlated positively with 1,25(OH)(2)D and negatively with PTH. 25OHD values below 20 ng/mL were associated with lower 1,25(OH)(2)D levels, and 25OHD values below 27 ng/mL were associated with higher PTH levels. Many French healthy adults have a 25OHD concentration < 20 ng/mL, especially during winter months. Actions to improve the vitamin D status of the French general population are urgently needed.
引用
收藏
页码:543 / 550
页数:8
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