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Vitamin D deficiency in healthy children in Bahrain: do gender and age matter?
Hasan Isa1, Mohamed Almaliki2, Aysha Alsabea3
1Department of Paediatrics, Arabian Gulf University, Manama, Bahrain.
Insights
Vitamin D deficiency is prevalent in Bahraini children, with 93.4% having low levels. Girls and older children are more affected, indicating a need for public health interventions.
Area of Science:
- Pediatric Endocrinology
- Public Health Nutrition
- Clinical Biochemistry
Background:
- Vitamin D deficiency is a significant global health concern affecting children worldwide.
- The vitamin D status among children and adolescents in Bahrain has not been previously assessed.
- This study addresses a critical knowledge gap in pediatric health in the region.
Purpose of the Study:
- To determine the prevalence of vitamin D deficiency in healthy children residing in Bahrain.
- To investigate the association between vitamin D levels and demographic factors such as age and sex.
- To provide data for potential public health strategies in Bahrain.
Main Methods:
- A cross-sectional study reviewing medical records of 531 children aged 1 month to 16 years.
- Serum 25-hydroxyvitamin D [25(OH)D] levels were measured to assess vitamin D status.
- Children were categorized into sufficient (≥75 nmol/L), insufficient (51-74 nmol/L), and deficient (≤50 nmol/L) groups.
Main Results:
- A high prevalence of low vitamin D was observed, with 93.4% of children exhibiting insufficient or deficient levels.
- Vitamin D deficiency was significantly more common in girls (78.3%) compared to boys.
- Older children, including primary-school age and adolescents, showed higher rates of deficiency than preschool children, with a negative correlation between vitamin D levels and age (r = -0.467).
Conclusions:
- Vitamin D deficiency represents a substantial public health issue among healthy children in Bahrain.
- The findings highlight the urgent need for targeted public health policies and interventions.
- Special attention should be given to improving vitamin D status in school-aged children and adolescents in Bahrain.
Background:
Vitamin D deficiency is a global health problem in children. The vitamin D status of children and adolescents has not been evaluated in Bahrain.
Aims:
This cross-sectional study aimed to determine the prevalence of vitamin D deficiency in healthy children in Bahrain and to investigate the relationship between vitamin D level and age and sex.
Methods:
Medical records of children aged 1 month to 16 years who attended a vitamin D screening campaign at Al Kindi Specialized Hospital, Bahrain between September and October 2016 were reviewed. Data on sex and age were recorded and vitamin D level was measured as serum 25-hydroxyvitamin D [25(OH)D]. Children were grouped as: vitamin D sufficient [25(OH)D ≥ 75 nmol/L], vitamin D insufficient (51-74 nmol/L) and vitamin D deficient (≤ 50 nmol/L).
Results:
A total of 531 children were included in the study, 50.8% of whom were boys. Most of the children (93.4%) had low vitamin D levels; 78.3% were vitamin D deficient and 15.1% vitamin D insufficient. Only 6.6% were vitamin D sufficient. A significantly greater proportion of girls were vitamin D deficient than boys (P < 0.001). More primary-school children and adolescents were vitamin D deficient than preschool children (P < 0.001). A negative correlation was found between vitamin D level and age (r = -0.467; P < 0.001). Regression analysis showed that vitamin D level decreased by -2.164 nmol/L for each year of age.
Conclusion:
Vitamin D deficiency is a problem among healthy children in Bahrain. Public health policies or interventions are suggested to improve vitamin D status in Bahrain, especially for school-aged children.
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