维生素D的摄入量和状态在爱尔兰:一个叙事审查
Helena Scully1,2, Kevin McCarroll1,2, Martin Healy1,2
1Mercers Institute for Research on Ageing, St James's Hospital, Dublin 8, Ireland.
The Proceedings of the Nutrition Society
|June 2, 2023
概括
维生素D缺乏在爱尔兰很普遍,影响13-23%的人口. 低饮食摄入量和有限的阳光照射导致维生素D水平不足,特别是在风险群体中.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 维生素D对于肌肉骨健康至关重要,并具有非骨的益处.
- 爱尔兰的北度限制了皮肤维生素D的合成,需要通过饮食摄入.
- 饮食中维生素D摄入量不足是爱尔兰的一个重大公共卫生问题.
研究的目的:
- 自2010年以来,全面审查爱尔兰的维生素D摄入量和状态.
- 在爱尔兰人口中确定有风险的子组.
- 为公共卫生政策提供有关维生素D补充剂和食品固的信息.
主要方法:
- 对2010年以来发表的研究进行系统的文献综述.
- 维生素D状态 (25-氧维生素D水平) 和饮食摄入数据的分析.
- 基于年龄,怀孕状态和种族的子组分析.
主要成果:
- 维生素D缺乏 (<30nmol/l) 的患病率在成年人中从13%到儿童中为23%.
- 大约50%的人口的维生素D水平低于50nmol/l.
- 超过90%的人口没有达到维生素D的建议每日摄入量,儿童和孕妇摄入量最低.
- 少数民族,特别是东南亚人,出现较高的缺陷率 (67%).
- 季节性变化显示,与夏季相比,冬季的缺陷率较高.
结论:
- 低维生素D状态和不充分的饮食摄入量在爱尔兰人口中普遍存在.
- 儿童,青少年,孕妇和少数民族的风险最大.
- 迫切需要采取公共卫生战略,包括宣传活动和食品强化,以应对广泛的维生素D缺乏.
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