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Vitamin D deficiency and associated factors among cardiology patients in Nouakchott, Mauritania: A cross-sectional
Rabab Mohamed El Hanefi1, Moina Hasni Ebou1, Ahmed Eba El Welati2
1Research Unit "Food, Nutrition and Metabolic Disorders - ANTM", Faculty of Sciences and Technology, University of Nouakchott, Mauritania.
Insights
Vitamin D deficiency affects over 74% of cardiology patients in Mauritania. Higher education, wealth, and inactivity are linked to deficiency, suggesting targets for public health interventions.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Vitamin D deficiency is a global health concern with potential links to cardiovascular disease.
- Understanding prevalence and associated factors in specific patient populations is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of vitamin D deficiency among cardiology patients in Nouakchott, Mauritania.
- To identify demographic, lifestyle, and clinical factors associated with vitamin D deficiency in this cohort.
Main Methods:
- A cross-sectional study involving 170 cardiology patients.
- Serum 25-hydroxyvitamin D [25(OH)D] concentrations were used to assess vitamin D status.
- Modified Poisson regression was employed to estimate prevalence ratios and identify associated factors.
Main Results:
- A high prevalence of vitamin D deficiency (74.71%) was observed.
- Significant associations were found with higher education, household wealth, and reduced physical activity.
- Factors like non-regular physical activity and non-active status showed increased prevalence ratios for deficiency.
Conclusions:
- Vitamin D deficiency is highly prevalent in cardiology patients in Nouakchott.
- Socioeconomic and lifestyle factors are significantly associated with vitamin D deficiency.
- Findings suggest potential targets for public health strategies and interventions to mitigate cardiovascular risk.
Objective:
To determine the prevalence of vitamin D deficiency and identify associated demographic, lifestyle, and clinical factors among cardiology patients at the National Cardiology Center in Nouakchott, Mauritania.
Methods:
This cross-sectional study included 170 cardiology patients, with vitamin D status assessed using serum 25-hydroxyvitamin D [25(OH)D] concentrations (deficiency: <20 ng/mL). We used modified Poisson regression with robust (sandwich) variance estimators to directly estimate prevalence ratios (PRs) and 95% confidence intervals. Univariable and multivariable analyses identified associated factors.
Results:
Vitamin D deficiency was prevalent in 74.71% of participants. Significant associations were found with higher education (adjusted PR (aPR) = 1.35, 95% CI: 1.02-1.78).). household wealth (aPR = 1.39, 95% CI: 1.00-1.94), non-regular physical activity (aPR = 1.55, 95% CI: 1.03-2.33), and non-active status (aPR = 1.79, 95% CI: 1.18-2.71). The association for Sex-stratified analyses were exploratory and underpowered, showing wide confidence intervals for sex-specific estimates. Conclusions: This study found a high prevalence of vitamin D deficiency associated with socioeconomic and lifestyle factors among cardiology patients in Nouakchott. These associations highlight potential targets for future interventional studies and public health strategies, particularly for females and those with socioeconomic and lifestyle risk factors, to reduce cardiovascular risk in this population.
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