Period-Prevalence Of Vitamin D Deficiency Among Referral Individuals In Sulaimanyah Province

Authors

  • Saman Hussein Noori Assistant professor / College of Medicine/ Ministry of Higher Education and Scientific Research
  • Bana Nawzad Mohamed Board student (Clinical Biochemistry) Sulaimanyah General Directorate of Health/ Ministry of Health

Keywords:

Vitamin D, Sulaimanyah, Deficiency

Abstract

BACKGROUND AND OBJECTIVE: Vitamin D deficiency is recognized as a global public health problem which has effect on the health of the skeletal and extra skeletal tissues. The goal of this study was to determine the prevalence of Vitamin D deficiency in the Sulaimanyah population and to compare different age groups, gender and season of the year. MATERIALS AND METHODS: This was a cross sectional study that involved 19,267 patients who visited Sulaimanyah (private and governerate) clinical laboratories, of which 6304 males and 12,963 females their ages ranged between (1-95) years in the period between January 2013 and January 2017, all vitamin D measured by electrochemiluminescence (ECL) techniques were enrolled in this study. RESULTS: A total of 19,267 persons were analyzed, the overall vitamin D deficiency (below 20 ng/ml) was 68.1%. The prevalence of vitamin D deficiency was increased in those patients their age groups between 30-39 years (13.6%), was greater among women (48.8%) and more common during winter (19.6%). CONCLUSION: The currently available study on the Sulaimanyah population suggests that the Vitamin D deficiency is common. This indicates that strategies are needed at the population level to improve vitamin D status of Sulaimanyah province.

References

Morris HA. Vitamin D activities for health outcomes. Annals of laboratory medicine. 2014;34(3):181-6.

Wintermeyer E, Ihle C, Ehnert S, Stockle U, Ochs G, de Zwart P, et al. Crucial Role of Vitamin D in the Musculoskeletal System. Nutrients. 2016;8(6).

O'Neill CM, Kazantzidis A, Ryan MJ, Barber N, Sempos CT, Durazo-Arvizu RA, et al. Seasonal Changes in Vitamin D-Effective UVB Availability in Europe and Associations with Population Serum 25-Hydroxyvitamin D. Nutrients. 2016;8(9).

Holick MF. Vitamin D deficiency. The New England journal of medicine. 2007;357(3):266-81.

Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. The American journal of clinical nutrition. 2008;87(4):1080S-6S.

Whiting SJ, Bonjour JP, Payen FD, Rousseau B. Moderate amounts of vitamin D3 in supplements are effective in raising serum 25-hydroxyvitamin D from low baseline levels in adults: a systematic review. Nutrients. 2015;7(4):2311-23.

Kim BH, Glanz K, Nehl EJ. Vitamin D beliefs and associations with sunburns, sun exposure, and sun protection. International journal of environmental research and public health. 2012;9(7):2386-95.

Palacios C, Gonzalez L. Is vitamin D deficiency a major global public health problem? The Journal of steroid biochemistry and molecular biology. 2014;144 Pt A:138-45.

Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. The Journal of clinical endocrinology and metabolism. 2011;96(7):1911-30.

Al-Alyani H, Al-Turki HA, Al-Essa ON, Alani FM, Sadat-Ali M. Vitamin D deficiency in Saudi Arabians: A reality or simply hype: A meta-analysis (2008-2015). Journal of family & community medicine. 2018;25(1):1-4.

Eggemoen AR, Knutsen KV, Dalen I, Jenum AK. Vitamin D status in recently arrived immigrants from Africa and Asia: a cross-sectional study from Norway of children, adolescents and adults. BMJ open. 2013;3(10):e003293.

Shafinaz IS, Moy FM. Vitamin D level and its association with adiposity among multi-ethnic adults in Kuala Lumpur, Malaysia: a cross sectional study. BMC public health. 2016;16:232.

Shukla K, Sharma S, Gupta A, Raizada A, Vinayak K. Current Scenario of Prevalence of Vitamin D Deficiency in Ostensibly Healthy Indian Population: A Hospital Based Retrospective Study. Indian journal of clinical biochemistry : IJCB. 2016;31(4):452-7.

Touvier M, Deschasaux M, Montourcy M, Sutton A, Charnaux N, Kesse-Guyot E, et al. Determinants of vitamin D status in Caucasian adults: influence of sun exposure, dietary intake, sociodemographic, lifestyle, anthropometric, and genetic factors. The Journal of investigative dermatology. 2015;135(2):378-88.

Nabeta HW, Kasolo J, Kiggundu RK, Kiragga AN, Kiguli S. Serum vitamin D status in children with protein-energy malnutrition admitted to a national referral hospital in Uganda. BMC research notes. 2015;8:418.

van Grootheest G, Milaneschi Y, Lips PT, Heijboer AC, Smit JH, Penninx BW. Determinants of plasma 25-hydroxyvitamin D levels in healthy adults in the Netherlands. The Netherlands journal of medicine. 2014;72(10):533-40.

Zittermann A, Pilz S, Hoffmann H, Marz W. Vitamin D and airway infections: a European perspective. European journal of medical research. 2016;21:14.

Suarez-Martinez EB, Perez CM, Cruz SK, Khorsandi S, Chardon C, Ferder L. Importance of vitamin D and vitamin D levels status in Puerto Ricans. Journal of health care for the poor and underserved. 2013;24(4 Suppl):38-47.

Daly RM, Gagnon C, Lu ZX, Magliano DJ, Dunstan DW, Sikaris KA, et al. Prevalence of vitamin D deficiency and its determinants in Australian adults aged 25 years and older: a national, population-based study. Clinical endocrinology. 2012;77(1):26-35.

Mitchell DM, Henao MP, Finkelstein JS, Burnett-Bowie SA. Prevalence and predictors of vitamin D deficiency in healthy adults. Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 2012;18(6):914-23.

Kaddam IM, Al-Shaikh AM, Abaalkhail BA, Asseri KS, Al-Saleh YM, Al-Qarni AA, et al. Prevalence f vitamin D deficiency and its associated factors in three regions of Saudi Arabia. Saudi medical journal. 2017;38(4):381-90.

Ramirez-Vick M, Hernandez-Davila L, Rodriguez-Rivera N, Lopez-Valentin M, Haddock L, Rodriguez-Martinez R, et al. Prevalence of Vitamin D Insufficiency and Deficiency among Young Physicians at University District Hospital in San Juan, Puerto Rico. Puerto Rico health sciences journal. 2015;34(2):83-8.

Alhamad HK, Nadukkandiyil N, El-Menyar A, Abdel Wahab L, Sankaranarayanan A, Al Sulaiti EM. Vitamin D deficiency among the elderly: insights from Qatar. Current medical research and opinion. 2014;30(6):1189-96.

Sridhar SB, Rao PG, Multani SK, Jain M. Assessment of prevalence of hypovitaminosis D in multiethnic population of the United Arab Emirates. Journal of advanced pharmaceutical technology & research. 2016;7(2):48-53.

Cashman KD, Dowling KG, Skrabakova Z, Gonzalez-Gross M, Valtuena J, De Henauw S, et al. Vitamin D deficiency in Europe: pandemic? The American journal of clinical nutrition. 2016;103(4):1033-44.

Yan X, Thomson JS, Zhao R, Zhu R, Wang Z, Zhang N, et al. Vitamin D Status of Residents in Taiyuan, China and Influencing Factors. Nutrients. 2017;9(8).

Tuffaha M, El Bcheraoui C, Daoud F, Al Hussaini HA, Alamri F, Al Saeedi M, et al. Deficiencies Under Plenty of Sun: Vitamin D Status among Adults in the Kingdom of Saudi Arabia, 2013. North American journal of medical sciences. 2015;7(10):467-75.

Chirita-Emandi A, Socolov D, Haivas C, Calapis A, Gheorghiu C, Puiu M. Vitamin D Status: A Different Story in the Very Young versus the Very Old Romanian Patients. PloS one. 2015;10(5):e0128010.

Amrein K, Zajic P, Schnedl C, Waltensdorfer A, Fruhwald S, Holl A, et al. Vitamin D status and its association with season, hospital and sepsis mortality in critical illness. Critical care. 2014;18(2):R47.

Erol M, Yigit O, Kucuk SH, Bostan Gayret O. Vitamin D Deficiency in Children and Adolescents in Bagcilar, Istanbul. Journal of clinical research in pediatric endocrinology. 2015;7(2):134-9.

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Published

2019-08-03

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