Evidence of a significant vitamin D deficiency among 9-13-year-old Polish children: results of a multicentre study

被引:23
作者
Chlebna-Sokol, Danuta [1 ]
Konstantynowicz, Jerzy [2 ]
Abramowicz, Pawel [2 ]
Kulik-Rechberger, Beata [3 ]
Niedziela, Marek [4 ]
Obuchowicz, Anna [5 ]
Ziora, Katarzyna [6 ]
Karalus-Gach, Jolanta [1 ]
Golec, Joanna [1 ]
Michalus, Izabela [1 ]
Karczmarewicz, Elzbieta [7 ]
Halaba, Zenon Piotr [8 ]
机构
[1] Med Univ Lodz, Dept Pediat Propaedeut & Metab Bone Dis, Sporna St 36-50, PL-91738 Lodz, Poland
[2] Med Univ Bialystok, Dept Pediat Rheumatol Immunol & Metab Bone Dis, Waszyngtona St 17, PL-152742 Bialystok, Poland
[3] Med Univ Lublin, Dept Paediat Propaedeut, Gebali St 6, PL-20091 Lublin, Poland
[4] Poznan Univ Med Sci, Dept Pediat Endocrinol & Rheumatol, Szpitalna St 27-33, PL-60572 Poznan, Poland
[5] Med Univ Silesia, Sch Hlth Sci Katowice, Dept Paediat, Batorego St 15, PL-41902 Bytom, Poland
[6] Med Univ Silesia, Sch Med, Dept Paediat, Div Dent Zabrze, 3 Go Maja St 13-15, PL-41800 Zabrze, Poland
[7] Childrens Mem Hlth Inst Warsaw, Dept Biochem & Expt Med, Aleja Dzieci Polskich 20, PL-04730 Warsaw, Poland
[8] Univ Opole, Dept Med Simulat, Oleska St 48, PL-45052 Opole, Poland
关键词
Vitamin D deficiency; 25-Hydroxyvitamin D concentration; Children; Preadolescents; Seasonality; PHYSICAL-ACTIVITY; D SUPPLEMENTATION; AGE; POPULATION; PREVALENCE; GUIDELINES; EUROPE; IRON;
D O I
10.1007/s00394-018-1756-4
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Purpose To evaluate the extent to which the population of Polish preadolescents is vitamin D deficient and to assess seasonal variations in vitamin D status. Participants and methods A total of 720 healthy children aged 9-13 years (409 girls, 311 boys) residing in 6 representative geographical locations in Poland were studied. A parental-assisted questionnaire provided data on nutritional habits, vitamin D supplements and sun exposure. Serum concentration of 25-hydroxyvitamin was determined twice, after the winter in March and after the summer in October. Results In March, vitamin D deficiency (25-50 nmol/L) was found in 64%, and severe deficiency (<25 nmol/L) in 20.2% of children. In October, the deficiency and severe deficiency were still noticed in 25.9 and 0.1% of children, respectively. The mean serum concentration of 25-OHD was 52% higher in October (55.414.0 nmol/L) than in March (36.4 +/- 13.5 nmol/L), (p<0.01). In children with 25-OHD<50 nmol/L in March, their 25-OHD concentration increased by 64% through March to October (32.5 +/- 8.2 vs. 53.2 +/- 7.9 nmol/L, p<0.01). An association was found between 25-OHD concentration and regular consumption of vitamin D supplements, cod-liver oil and fish. Conclusions The majority of preadolescent Polish boys and girls show vitamin D deficiency after the winter period, although a distinct amelioration over summertime is found in this age group. There is a need to implement effective prevention and intervention strategies in the management of vitamin D deficiency among schoolchildren in Poland, with the supplementation throughout the entire year.
引用
收藏
页码:2029 / 2036
页数:8
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