Vitamin D levels according to nutritional status in a group of children and adolescents between 2015-2019 in Bogotá.
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Abstract
Introduction: Vitamin D deficiency has been related to alterations in nutritional status. Studies show a high prevalence in Latin America and Colombia. It was believed that only countries with little sun exposure (seasonal) were prone to these deficiencies; however, in Bogotá D.C., there is a tendency to avoid sunlight (sunscreen, warm clothing, closed spaces), and in conjunction with other conditions: overweight, obesity and poor nutritional status, could contribute to vitamin D deficiency. Objective: To characterize patients with vitamin D insufficiency and deficiency concerning nutritional status. Methods: A descriptive study with 416 patients (ages six months to 26 years) with vitamin D deficiency were evaluated between January 2015 and July 2019 in private practice in Bogotá, D.C. Results: 62.5 % had vitamin D insufficiency and 37.5 % deficiency. 263 patients had normal nutritional status (63.22 %), followed by overweight (19.24 %). However, according to nutritional status, obesity had a higher deficiency at 58.33 %, acute malnutrition at 57.14 %, and overweight at 40 %. For insufficiency, the most affected were patients at risk of malnutrition at 72.22 %, normal status of 62.73 %, and overweight at 60%. Conclusions: 27.6 % of patients have low vitamin D levels, primarily insufficient. Patients with deficiency had a normal nutritional status.
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References
Wagner CL, Greer FR. Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents. Pediatrics. 2008;122(5):1142–52. DOI: https://doi.org/10.1542/peds.2008-1862
Bouillon R, Marcocci C, Carmeliet G, Bikle D, White JH, Dawson-Hughes B, et al. Skeletal and Extraskeletal Actions of Vitamin D: Current Evidence and Outstanding Questions. Vol. 40, Endocrine Reviews. 2019. 1109–1151 p. DOI: https://doi.org/10.1210/er.2018-00126
Fu Z, Xu C, Shu Y, Xie Z, Lu C, Mo X. Serum 25-hydroxyvitamin D is associated with obesity and metabolic parameters in US children. Public Health Nutrition [Internet]. 2019 May 23 [citado 2019 Jun 8];1–9. Disponible en: https://www.cambridge.org/core/product/identifier/S1368980019001137/type/journal_article. DOI: https://doi.org/10.1017/S1368980019001137
Gallego-González D, Mejía-Mesa S, María Martínez-Sánchez L, Rendón-Diez M. Revisión de Tema Endocrinología Hipovitaminosis D: una visión desde la clínica y la biología molecular Vitamin D deficiency: a view from clinical features and molecular biology. 30(1):45–56. DOI: https://doi.org/10.18273/revmed.v30n1-2017004
Durá-Travé T, Gallinas-Victoriano F, Chueca-Guindulain MJ, Berrade-Zubiri S, Moreno-Gónzalez P, Malumbres-Chacón M. Prevalence of hypovitaminosis D and associated factors in Spanish population of school children and adolescents. Atencion Primaria [Internet].
;50(7):422–9.
Kumar J, Muntner P, Kaskel FJ, Hailpern SM, Melamed ML. Prevalence and Associations of 25-Hydroxyvitamin D Deficiency in US Children: NHANES 2001-2004. Pediatrics. 2009;124(3):e362–70. DOI: https://doi.org/10.1542/peds.2009-0051
Hilger J, Friedel A, Herr R, Rausch T, Roos F, Wahl DA, et al. A systematic review of vitamin D status in populations worldwide. British Journal of Nutrition. 2014;111(1):23–45. DOI: https://doi.org/10.1017/S0007114513001840
Mario E. Flores, Marta Rivera NMacías. Efectos de la vitamina D sobre la salud, la respuesta inmune y el neurodesarrollo en niños. 2012. 1–60 p.
Amrein K, Scherkl M, Hoffmann M, Neuwersch-Sommeregger S, Köstenberger M, Tmava Berisha A, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. European Journal of Clinical Nutrition. 2020;74(11):1498–513. DOI: https://doi.org/10.1038/s41430-020-0558-y
Acosta-Bendek BM, Sánchez-Majana LP, Fonseca-Galé J, Posada-Valencia R, Rodríguez-Leyton M, Sarmiento-Rubiano LA. Estado de la 25-hidroxivitamina D sérica en niños sanos menores de 10 años del área metropolitana de Barranquilla TT - Serum 25-hydroxyvitamin D state in healthy children ten year minors old of Barranquilla metropolitan area. Salud Pública de México. 2017;59(6):657–64. DOI: https://doi.org/10.21149/8362
Vásquez-Awad D, Cano-Gutiérrez CA, Gómez-Ortiz A, González MÁ, Guzmán-Moreno R. Vitamina D. Consenso colombiano de expertos. Med. 2017;32(2):140–57.
Sopo SM, Cerchiara G, Bersani G, Monaco S, Romano A, Poscia A. The unpredictability of seasonal variations in serum vitamin D levels in children with asthma and/or rhinitis. Allergologia et Immunopathologia. 2019;47(5):411–6. DOI: https://doi.org/10.1016/j.aller.2019.01.002
Pereira-Santos M, Costa PRF, Assis AMO, Santos CAST, Santos DB. Obesity and vitamin D deficiency: a systematic review and meta-analysis. Obesity Reviews [Internet]. 2015 Apr [citado 2019 Jun 8];16(4):341–9. Disponible en: http://doi.wiley.com/10.1111/obr.12239 DOI: https://doi.org/10.1111/obr.12239
Instituto Colombiano de Bienestar Familiar – ICBF. Instituto Nacional de Salud – INS. Encuesta nacional de la situación nutricional-ENSIN 2015. Colombia: Ministerio de Salud y Protección Social – MSPS.; 2015.