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"Vitamin D Insufficiency in the Cleft Population of the Sub-Himalayan Region"
Madhubari Vathulya1, Neetu Singh2, Manisha Naithani3
1Department of Burns and Plastic Surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Insights
Children with clefts in the Sub-Himalayan region have significantly lower vitamin D levels than healthy children. This vitamin D deficiency may impact their growth and surgical recovery.
Area of Science:
- Pediatric Nutrition
- Endocrinology
- Public Health
Background:
- Children with clefts often experience nutrient deficiencies.
- Vitamin D levels in children with clefts remain under-researched compared to the general population.
Purpose of the Study:
- To compare serum Vitamin D levels in children with clefts to an age-matched control group.
- To assess the risk of Vitamin D insufficiency in children with clefts.
Main Methods:
- Serum Vitamin D levels were measured in children (≤12 years) with clefts and controls from Sub-Himalayan and Gangetic Plain regions.
- Non-parametric tests and bivariate logistic regression were used for statistical analysis.
Main Results:
- Children with clefts exhibited significantly lower serum Vitamin D levels (P=0.02) compared to the control group.
- The age-adjusted odds ratio for Vitamin D insufficiency in cleft patients was 2.819.
Conclusions:
- Vitamin D deficiency is prevalent in the Sub-Himalayan region, with children with clefts being more severely affected.
- Further trials are recommended to explore Vitamin D supplementation adjustments for children with clefts to support healing and development.
Abstract:
IntroductionChildren with clefts have been shown to have various nutrient deficiencies including protein energy malnutrition but the levels of vitamin D as compared to normal population have seldom been researched.Materials and MethodsSerum levels of Vitamin D in children with clefts (12 years and less), belonging to the Sub-Himalayan and Gangetic Plain regions were compared with age matched normal population using non-parametric tests. Bivariate Logistic regression for estimation of odds ratio for cleft versus control were performed for risk estimation of vitamin D insufficiency (less than 30 ng/mL).ResultsSerum Vitamin D levels of cleft group was significantly lower than control group significantly (P = 0.02) and the age adjusted odds ratio was 2.819 compared to controls.ConclusionThe study reveals Vitamin Deficiency in the general population of the sub-Himalayan region, albeit, the levels in the population of clefts are significantly less as compared to the control population. Hence it is imperative to consider prospective trials and if proven then to recommend alterations in the existing vitamin D supplementation for children in this age group belonging to this belt in general. The normalization of vitamin D levels in children with cleft can help in wound healing after surgeries in addition to their normal growth and development.
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