Vitamin D status of children in Kerala, southern India

Madhava Vijayakumar1, Vijayalakshmi Bhatia2, Biju George3

  • 1Department of Pediatrics, Government Medical College, Kozhikode, Kerala, India.

Public Health Nutrition
|January 11, 2019
PubMed

Insights

Vitamin D deficiency is uncommon in children in Kerala, India, likely due to local fish consumption and sunny conditions. This highlights regional variations in nutritional status and public health needs.

Area of Science:

  • Nutritional Science
  • Pediatric Health
  • Public Health

Background:

  • Vitamin D deficiency is a global concern, particularly in children.
  • Understanding regional variations in vitamin D status is crucial for targeted public health interventions.
  • Kerala, southern India, has unique dietary habits and environmental factors that may influence vitamin D levels.

Purpose of the Study:

  • To assess the plasma 25-hydroxyvitamin D (25(OH)D) status in children residing in Kerala, India.
  • To investigate the relationship between sociodemographic variables, dietary intake, sun exposure, and 25(OH)D levels.
  • To determine the prevalence of vitamin D deficiency in this pediatric population.

Main Methods:

  • A cross-sectional observational study was conducted involving 296 children with minor illnesses at a tertiary government hospital.
  • Data on sun exposure, calcium (Ca), and vitamin D intake were collected using a 7-day dietary recall.
  • Plasma 25(OH)D, serum calcium, phosphorus, alkaline phosphatase, and parathyroid hormone (PTH) were measured.

Main Results:

  • The prevalence of vitamin D deficiency (plasma 25(OH)D <30 nmol/l) was 11.1%.
  • Higher plasma 25(OH)D levels were associated with daily fish consumption, the summer season (March-May), lower age, and higher calcium intake.
  • Plasma 25(OH)D showed positive correlations with serum phosphorus and calcium intake, and negative correlations with age and PTH.

Conclusions:

  • Vitamin D deficiency is relatively low among children in Kerala.
  • The traditional fish-rich diet and geographical latitude of coastal Kerala appear to be protective factors against vitamin D deficiency.
  • Public health policies in India should consider regional dietary and environmental diversity when addressing vitamin D status.
Abstract

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