Demographic, Dietary, and Lifestyle Determinants of Vitamin D Status in the US Population: National Health and Nutrition Examination Survey, 2005-2006

作者: Shalini Patel , None

DOI:

关键词:

摘要: DEMOGRAPHIC, DIETARY, AND LIFESTYLE DETERMINANTS OF VITAMIN D STATUS IN THE U.S. POPULATION: NATIONAL HEALTH NUTRITION EXAMINATION SURVEY, 2005-2006 by SHALINI PATEL Background: Determinants of vitamin status are interest when studying the epidemiology disease in population groups because is now recognized to decrease risk diseases such as osteoporosis, cancer, and cardiovascular disease. Understanding modifiable determinants important for managing deficiency at individual level addressing this issue level. Objective: The objective study was evaluate associations between serum (deficiency insufficiency) distinct demographic, dietary, lifestyle characteristics adults United States using a large, nationally representative sample survey, National Health Nutrition Examination Survey (NHANES) 2005-2006. Methods: consisted 2340 aged 20-59 who had 25(OH)D measured completed various questionnaires concerning dietary intake other factors. Multivariate logistic regression used estimate odds ratio (OR) deficiency, insufficiency, sufficiency based on characteristics. Statistical significance set α < 0.05. Results: prevalence higher obese than underweight normal weight (50.9% ± 4.57 vs. 29.3% 3.57), reported no sunburns ≥ 3 (49.9% 3.82 18.0% 3.07), use sun protective measures regularly do not (48.4% 3.93 27.0% 3.75). increased decreased. Non-Hispanic black were significantly more likely be deficient (OR = 45.27, 95% CI 17.27118.64) insufficient 9.37, 3.43-25.61) non-Hispanic white adults. Significant positive found several characteristics, namely obesity 7.43, 4.33-12.77), physical inactivity 1.63, 1.03-2.58) poor 2.34, 1.44-3.81), non-supplement or supplement with low amount 1.75, 1.05-2.89), activities that exposure sunlight (from OR 2.97, 2.14-4.13 5.30, 3.17-8.85). Conclusion: results demonstrate obesity, inactivity, D, increases U.S Future studies needed investigate whether supplementation, exposure, D-fortified foods efficient correcting insufficiency among these groups.

参考文章(66)
Michael F. Holick, Vitamin D Deficiency The New England Journal of Medicine. ,vol. 357, pp. 266- 281 ,(2007) , 10.1056/NEJMRA070553
E Sohl, N M van Schoor, R T de Jongh, O J de Vries, P Lips, The impact of medication on vitamin D status in older individuals. European Journal of Endocrinology. ,vol. 166, pp. 477- 485 ,(2012) , 10.1530/EJE-11-0917
David A. Hanley, Gordon H. Fick, Jane A. Allan, Diana Rucker, Vitamin D insufficiency in a population of healthy western Canadians Canadian Medical Association Journal. ,vol. 166, pp. 1517- 1524 ,(2002)
Jane M. Osowski, Tianna Beare, Bonny Specker, Validation of a Food Frequency Questionnaire for Assessment of Calcium and Bone-Related Nutrient Intake in Rural Populations Journal of the American Dietetic Association. ,vol. 107, pp. 1349- 1355 ,(2007) , 10.1016/J.JADA.2007.05.012
W Tsiaras, M Weinstock, Factors Influencing Vitamin D Status Acta Dermato-venereologica. ,vol. 91, pp. 115- 124 ,(2011) , 10.2340/00015555-0980
KS Agarwal, MZ Mughal, P Upadhyay, JL Berry, EB Mawer, JM Puliyel, The impact of atmospheric pollution on vitamin D status of infants and toddlers in Delhi, India Archives of Disease in Childhood. ,vol. 87, pp. 111- 113 ,(2002) , 10.1136/ADC.87.2.111
Ann Prentice, Gail R Goldberg, Inez Schoenmakers, Vitamin D across the lifecycle: physiology and biomarkers The American Journal of Clinical Nutrition. ,vol. 88, ,(2008) , 10.1093/AJCN/88.2.500S
Laura M. Hall, Michael G. Kimlin, Pavel A. Aronov, Bruce D. Hammock, James R. Slusser, Leslie R. Woodhouse, Charles B. Stephensen, Vitamin D Intake Needed to Maintain Target Serum 25-Hydroxyvitamin D Concentrations in Participants with Low Sun Exposure and Dark Skin Pigmentation Is Substantially Higher Than Current Recommendations Journal of Nutrition. ,vol. 140, pp. 542- 550 ,(2010) , 10.3945/JN.109.115253
Kumaravel Rajakumar, Michael F. Holick, Kwonho Jeong, Charity G. Moore, Tai C. Chen, Flora Olabopo, Mary Ann Haralam, Anita Nucci, Stephen B. Thomas, Susan L. Greenspan, Impact of Season and Diet on Vitamin D Status of African American and Caucasian Children Clinical Pediatrics. ,vol. 50, pp. 493- 502 ,(2011) , 10.1177/0009922810397334