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Features of d-vitamin status in young children in the Kazakh population
Akmaral Zhumalina1, Irina Kim1, Balash Tusupkaliev1
1WEST KAZAKHSTAN MARAT OSPANOV MEDICAL UNIVERSITY, AKTOBE, REPUBLIC OF KAZAKHSTAN.
Insights
Vitamin D deficiency is widespread in young Kazakh children, with over 80% of infants under six months affected. Early diagnosis and supplementation are crucial for prevention.
Area of Science:
- Pediatric Nutrition
- Public Health
- Endocrinology
Background:
- Vitamin D deficiency is a global health concern, particularly in vulnerable populations.
- Assessing vitamin D status in specific ethnic groups is crucial for targeted interventions.
Purpose of the Study:
- To determine vitamin D status in young children of Kazakh nationality.
- To establish parameters for vitamin D deficiency and recommend preventive strategies.
Main Methods:
- Clinical and anamnestic research, including parental questionnaires.
- Laboratory analysis of serum 25(OH)D levels using electrochemiluminescent immunoassay.
- Evaluation of health factors and initial state of children.
Main Results:
- Significant vitamin D deficiency observed across all age groups, with 92.8% deficiency in neonates (0-28 days).
- Lower vitamin D levels in formula-fed infants compared to breastfed infants.
- Children receiving vitamin D supplementation showed higher levels than those without.
Conclusions:
- Widespread vitamin D deficiency necessitates urgent preventive measures.
- Recommendations include a unified diagnostic system and targeted supplementation for pregnant women and young children.
- Promoting outdoor activity and vitamin D-rich diets are key preventive strategies.
Objective:
Aim: The purpose of the article is to form the parameters of vitamin D status in young children in the ethnic group of Kazakh nationality with the factor of highlighting the necessary recommendations for the prevention of hypovitaminosis D.
Patients And Methods:
Materials and Methods: Methods for the study of the highlighted problem are the diagnosis of young children in the parameter of clinical and anamnestic research, which includes the collection of anamnestic data of children of Kazakh nationality within the framework of the identified data based on a questionnaire of parents, an evaluation component in the child's health factor at the level of his initial state, and laboratory analysis to determine 25(OH)D to identify the content of vitamin D using the method of electrochemiluminescent immunoassay.
Results:
Results: Analysis of vitamin D levels revealed significant differences among age groups. In the 0-28-day group, average vitamin D was 13.35 ng/ml, with 92.8% deficient. In the 1-6-month group, it was 21.47 ng/ml, with 84% deficient. In the over 6-month group, it was 33.58 ng/ml, with 40% sufficient. Formula-fed children had the lowest levels (average 15.21 ng/ml), while breastfed children had insufficiency (average 23.91 ng/ml). Children with vitamin D supplementation averaged 25.9 ng/ml, compared to 19.01 ng/ml without supplementation.
Conclusion:
Conclusions: The results point to a widespread deficiency of vitamin D and offer practical recommendations for its prevention, such as creating a unified system of timely diagnosis, implementing preventive measures in pregnant women and young children, including a balanced diet enriched with vitamin D, staying outdoors in the bright hours of the day.
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