埃及育龄妇女样本中维生素 D 不足/缺乏的风险因素

Ghada Essam Aldin Amin, M. E. S. Gerges, Inas Abd El Rahim Ali, Diaa Marzouk Abdel Hamid, Mohamed Farouk Allam
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摘要

:背景:维生素 D 在骨骼健康和非传染性疾病的发展中发挥着重要作用。阿拉伯国家已开展了全国性研究,以评估妇女的血清维生素 D 水平,但埃及尚未开展全国性调查。本研究旨在确定影响生育期埃及女性维生素 D 水平的风险因素。研究对象和方法:本研究共纳入 100 名在家庭医学中心就诊的育龄期健康成年女性。这些女性的年龄从 19 岁到 49 岁不等,平均年龄为 34 岁(标准差为 8.47)。大多数参与者的维生素 D 水平为缺乏(43%)和不足(13%)。结果显示失业妇女比就业妇女更容易缺乏维生素 D(P<0.05)。每天晒太阳 ˃ 30 分钟的参与者更有可能获得充足的维生素 D 水平(P<0.05)。所有每周食用鱼类≥3 次的参与者都有足够的维生素 D 水平。因此,每周食用鱼类的次数与维生素 D3 水平组之间存在显著的统计学关联。此外,每天喝牛奶的杯数与维生素 D3 水平组之间也有统计学意义。所有饮用 2 杯牛奶的参与者都有足够的维生素 D 水平。使用多种维生素与维生素 D3 水平组之间没有统计学意义上的关联。结论失业、鱼类摄入量低和不经常晒太阳是导致维生素 D 缺乏的重要风险因素。今后有必要对多种维生素补充剂在改善维生素 D 营养方面的作用进行研究。
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Risk Factors of Vitamin D Insufficiency/Deficiency among a sample of Egyptian Females in Child Bearing Period
: Background: Vitamin D plays an important role in the development of bone health and possibly non-communicable diseases. Arab countries had made their own national studies to assess serum vitamin D level among women, yet in Egypt there is no national survey done. The aim of the current study was to identify risk factors affecting vitamin D level among Egyptian females during the child-bearing period. Subjects and methods: A total of 100 healthy adult females in their childbearing period who were attending a Family Medicine Center were included in our study. The age of the included women ranged from 19 to 49 years old with a mean age of 34 (SD 8.47) years. The majority of participants had deficiency (43%) and insufficiency (13%) of vitamin D level. Results: Unemployed women were more likely to have vitamin D deficiency than employed women (P<0.05). Participants who were exposed to sun ˃ 30 minutes/day were more likely to have sufficient vitamin D level (P<0.05). All participants who consume fish ≥3 times/week had sufficient vitamin D level. Therefore, there was a statistically significance association between a number of consuming fish/week and vitamin D3 level groups. Also, there was statistically significant association between number of consumed milk cups/day and vitamin D3 level groups. All participants who drink 2 cups of milk have sufficient vitamin D level. No statistically significance association was found between using multivitamins and vitamin D3 level groups. Conclusion: Unemployment, low fish consumption and infrequent sun exposure were significant risk factors for vitamin D deficiency. Future research on the role of multivitamins supplements in improving vitamin D nutrition is warranted.
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