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Vitamin D deficiency in refugee children from conflict zones
Mohamud Sheikh1, Shu Wang, Abhijit Pal
1University of New South Wales, Sydney, Australia. m.sheikh@unsw.edu.au
Insights
Vitamin D deficiency is prevalent in newly resettled refugee children, increasing their risk of rickets. Risk factors include origin, puberty stage, and duration of stay in Australia, highlighting the need for targeted interventions.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Vitamin D deficiency is a significant global health concern.
- Newly resettled refugee children face unique challenges impacting their health.
- Rickets and other morbidities are associated with vitamin D deficiency in pediatric populations.
Purpose of the Study:
- To investigate the prevalence and risk factors of vitamin D deficiency.
- To assess the burden of vitamin D deficiency in Australian refugee children.
- To inform targeted public health strategies for this vulnerable group.
Main Methods:
- A descriptive epidemiological study was conducted.
- A survey of 215 refugee children (aged 0-17 years) was performed.
- Serum 25-hydroxyvitamin D (25OHD) levels were measured.
Main Results:
- The mean 25OHD level was 46 nmol/L, with 40% mild, 19% moderate, and 2% severe deficiency.
- Deficiency was highest among East African (72%) and Middle Eastern (66%) refugees.
- Early puberty (89%) and >6 months in Australia (71%) were significant risk factors.
Conclusions:
- Newly resettled refugee children in Australia exhibit high rates of vitamin D deficiency.
- Factors such as geographic origin, puberty, and duration of residency are associated with deficiency.
- Early identification and intervention are crucial to prevent associated morbidities like rickets.
Abstract:
Vitamin D deficiency is common in newly resettled refugee children and is associated with significant morbidity including rickets. To determine risk factors and burden of vitamin D deficiency in newly resettled refugee children in Australia. A descriptive epidemiological study and survey on refugee children attending an outpatient general health clinic at the Children's Hospital Westmead, Sydney. 215 patients were examined (age range 0-17 years), (76%) majority were from Africa. Mean serum 25OHD level was 46 nmol/L (SD = 24) (sufficiency range 50-150 nmol/L). 40% had mild deficiency (26-50 nmol/L), 19% moderate deficiency (13-25 nmol/L) and 2% were severely deficient (<13 nmol/L). Deficiency was most common in East African (72%) and Middle Eastern (66%) refugees, children in early puberty (89%) and those living in Australia >6 months (71%). Deficient children were more likely to have had movement restrictions and longer time in hiding in their country of refuge (OR 3:1[CI 0.9-9.7], P = .062).
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