在COVID-19封锁后,儿科患者维生素D水平下降
Paolo Cavarzere1, Romina Pausilli2, Lara Nicolussi Prinicpe2
1Pediatric Division, Department of Pediatrics, University Hospital of Verona, Piazzale Stefani 1, 37126, Verona, Italy. paolocavarzere@yahoo.it.
Italian journal of pediatrics
|September 5, 2023
概括
由于COVID-19大流行和相关的封锁,儿童和青少年的维生素D水平显著降低. 这凸显了维生素D补充的必要性,特别是在冬季,以支持骨健康.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行导致全球封锁和限制,影响了日常生活和健康行为.
- 由于这些制措施,儿童和青少年经历了心理物理挑战.
- 了解对维生素D水平的影响对于儿科健康至关重要.
研究的目的:
- 在COVID-19封锁之前,期间和之后调查儿童和青少年的血清维生素D水平.
- 评估与流行病有关的限制对儿科维生素D状态的影响.
主要方法:
- 对491名儿童和青少年 (1-18岁) 的回顾性横截面研究.
- 排除患有影响维生素D代谢的疾病或服用补充剂的患者.
- 数据是在2019年1月至2021年12月期间在意大利维罗纳大学医院收集的.
主要成果:
- 血清维生素D水平呈现下降趋势:28.3 ± 10.2 ng/mL (2019年),28.2 ± 11.4 ng/mL (2020年) 和24.9 ± 10.1 ng/mL (2021年).
- 与冬季和春季相比,夏季和秋季的维生素D水平显著更高.
- 在研究期间观察到维生素D水平的统计学显著下降 (p < 0.05).
结论:
- 由于阳光照射减少,COVID-19的制措施可能降低了儿科患者血清维生素D水平.
- 维生素D水平的降低可能会对骨代谢产生负面影响,特别是在具有先前低于最佳水平的儿童中.
- 建议在意大利北部的儿童和青少年从11月到4月补充维生素D,以确保足够的维生素D状态.
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