Investigation of 25-hydroxy vitamin D deficiency prevelance in healthy adults aged 18-65 years in Istanbul, Türkiye.

IF 1.5 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Journal of Medical Biochemistry Pub Date : 2025-01-24 DOI:10.5937/jomb0-52145
Gözde Ülfer
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Abstract

Background: This paper aimed to determine the prevalence of 25-hydroxy vitamin D (25(OH)D) deficiency in healthy adult patients who presented to our hospital in Istanbul province and to present the difference between vitamin 25(OH)D levels by gender, age group, season, and month.

Methods: The vitamin 25(OH)D levels of 9,778 adults who presented to our hospital's internal medicine checkup outpatient clinic between January 2022 and December 2023 were analyzed retrospectively. Individuals with chronic disorders were excluded from the study. The adult patients included in the study were divided into two groups by age (18-50 and 51-65 years). Serum 25(OH)D levels were measured using the electrochemiluminescence immunoassay method. A serum 25(OH)D level was considered deficient if below 20 ng/mL, insufficient if 20-30 ng/mL, and sufficient if above 30 ng/mL. The patients' 25(OH)D levels were investigated by age, gender, season, and month.

Results: After measurement, vitamin D levels were deficient in 57.2% of the patients (n=5,592), insufficient in 28.2% (n=2,756), and sufficient in 14.6% (n=1,430). The mean vitamin D level of the 18-50 age group was significantly lower than that of the group 51-65 age group (p=0.001; p<0.01). The vitamin D levels did not statistically significantly differ by gender (p=0.085, p>0.05). The mean vitamin D levels were 17.99±10.88 ng/mL in winter, 18.11±12.69 ng/mL in spring, 22.08±11.58 ng/mL in summer, and 21.67±10.82 ng/mL in fall. There were statistically significant differences according to the season and month of hospital presentation (p=0.001; p<0.01).

Conclusions: The prevalence of vitamin D deficiency (below 20 ng/mL) in healthy adults aged 18-65 years in Istanbul was 57.2%. That prevalence varied across seasons and months, indicating that sunlight was not used sufficiently. Vitamin D deficiency in Istanbul presents a major problem that needs to be remedied.

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土耳其伊斯坦布尔18-65岁健康成人25-羟基维生素D缺乏症患病率调查
背景:本文旨在确定在伊斯坦布尔省我们医院就诊的健康成人患者25-羟基维生素D (25(OH)D)缺乏症的患病率,并呈现维生素25(OH)D水平在性别、年龄组、季节和月份之间的差异。方法:回顾性分析2022年1月~ 2023年12月在我院内科体检门诊就诊的9778例成人患者的维生素25(OH)D水平。患有慢性疾病的个体被排除在研究之外。纳入研究的成年患者按年龄分为两组(18-50岁和51-65岁)。采用电化学发光免疫分析法测定血清25(OH)D水平。血清25(OH)D水平低于20 ng/mL视为缺乏,20-30 ng/mL为不足,高于30 ng/mL为充足。按年龄、性别、季节、月份调查患者的25(OH)D水平。结果:测量后,57.2%的患者维生素D缺乏(n= 5592), 28.2% (n= 2756)缺乏,14.6% (n= 1430)充足。18-50岁年龄组的平均维生素D水平显著低于51-65岁年龄组(p=0.001;p0.05)。冬季平均维生素D水平为17.99±10.88 ng/mL,春季为18.11±12.69 ng/mL,夏季为22.08±11.58 ng/mL,秋季为21.67±10.82 ng/mL。不同的就诊季节和月份差异有统计学意义(p=0.001;结论:伊斯坦布尔18-65岁健康成人维生素D缺乏症(低于20 ng/mL)患病率为57.2%。这种情况在不同的季节和月份有所不同,这表明人们没有充分利用阳光。伊斯坦布尔的维生素D缺乏症是一个需要补救的重大问题。
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来源期刊
Journal of Medical Biochemistry
Journal of Medical Biochemistry BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
3.00
自引率
12.00%
发文量
60
审稿时长
>12 weeks
期刊介绍: The JOURNAL OF MEDICAL BIOCHEMISTRY (J MED BIOCHEM) is the official journal of the Society of Medical Biochemists of Serbia with international peer-review. Papers are independently reviewed by at least two reviewers selected by the Editors as Blind Peer Reviews. The Journal of Medical Biochemistry is published quarterly. The Journal publishes original scientific and specialized articles on all aspects of clinical and medical biochemistry, molecular medicine, clinical hematology and coagulation, clinical immunology and autoimmunity, clinical microbiology, virology, clinical genomics and molecular biology, genetic epidemiology, drug measurement, evaluation of diagnostic markers, new reagents and laboratory equipment, reference materials and methods, reference values, laboratory organization, automation, quality control, clinical metrology, all related scientific disciplines where chemistry, biochemistry, molecular biology and immunochemistry deal with the study of normal and pathologic processes in human beings.
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