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Assessment of vitamin D status in Czech children
Lenka Sochorová1, Lenka Hanzlíková1, Milena Černá1,2
1National Institute of Public Health, Prague, Czech Republic.
Insights
Vitamin D deficiency affects many children. Czech children
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Public Health
Background:
- Vitamin D deficiency is a significant global health concern.
- Understanding prevalence in specific populations is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of vitamin D deficiency in Czech children.
- To identify factors associated with vitamin D status in this cohort.
Main Methods:
- A cross-sectional study involving 419 healthy children aged 5 and 9 years.
- Serum 25-hydroxyvitamin D [25(OH)D] levels were measured.
- Deficiency defined as < 50 nmol/L, insufficiency as 50-75 nmol/L, and sufficiency as > 75 nmol/L.
Main Results:
- Seasonal variation significantly impacted vitamin D levels, with the highest levels in autumn and lowest in spring.
- 3% of children had severe deficiency (< 25 nmol/L), and 24% had deficiency (25-50 nmol/L).
- Higher vitamin D levels correlated with increased sun exposure and vitamin D supplement use.
Conclusions:
- Sun exposure and supplement use are key factors for maintaining adequate vitamin D levels in children.
- Findings highlight the need for public health strategies addressing vitamin D insufficiency in pediatric populations.
- Seasonal monitoring and targeted supplementation may be beneficial for Czech children.
Objective:
Vitamin D deficiency is a global health problem. The aim of this study was to determine the proportion of Czech children with vitamin D deficiency and examine related factors.
Methods:
The study subjects were 419 healthy children aged 5 and 9 years. Severe vitamin D deficiency was defined as a serum 25(OH)D level of < 25 nmol/L (3% of children), deficiency as that of 25-50 nmol/L (24% of children), insufficiency as that of 50-75 nmol/L (40% of children) and sufficiency as that of > 75 nmol/L (34% of children).
Results:
Serum 25(OH)D levels varied mainly with season. The highest levels of 25(OH)D were reached in autumn (median: 79.0 nmol/L), followed by summer (median: 67.8 nmol/L) and winter (median: 56.0 nmol/L). The lowest median value (49.8 nmol/L) was detected in spring.
Conclusion:
Children with sufficiency 25(OH)D levels were more frequently exposed to the sun and exposed a larger part of their body to the sun while spending time outdoors. Levels of 25(OH)D were also associated with using vitamin D supplements within six weeks before sampling.
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