IJCRR - 9(11), June, 2017
Pages: 53-58
The Vitamin D Status in 6-14 Year Old Children Attending Tertiary Care Teaching Hospital in South India
Author: Bindusha S., Riaz I., Sujith K. R., Lalitha Kailas
Category: Healthcare
[Download PDF]
Abstract:
Introduction: Vitamin D insufficiency among healthy children and adolescents is reported to be highly prevalent in the different parts of world.
Objective: To assess the Vitamin D status in children in the age group of 6-14 years attending a tertiary care teaching institute of South India and to analyze the factors which can contribute to Vitamin D deficiency in these children.
Methods: Cross-sectional study. 6 – 14 year old children attending the outpatient department were included in the study. Children with co – morbid conditions that affect Vitamin D metabolism and those children on chronic drug treatment and on Vitamin D supplementation were excluded from the study.
Results: Average age of study population was 8.93± 2.02. In the study 48 (52.2%) children among a total of 92 had a normal Vitamin D status while the rest 44 children (47.9%) had insufficient Vitamin D status (25 hydroxy vitamin D < 30 ng/ml). Among these children 21 (22.8%) had sub-optimal vitamin D levels, 19 (20.7%) were deficient, 3 (3.3%) had severe and 1 (1.1%) had very severe deficiency of Vitamin D. The average Vitamin D level among the study population was 31±14.13 ng/ml. There was significant statistical association between Vitamin D deficiency and stunting (p=0.003). No statistically significant association was found between outdoor activity, clothing and skin colour with Vitamin D deficiency in this study.
Conclusions: Vitamin D insufficiency was documented in 47.9% of 6 – 14 year old children and there is a significant association between stunting and Vitamin D deficiency.
Keywords: Vitamin D status, Hypovitaminosis D, VDD, Stunting, Outdoor activity
Citation:
Bindusha S., Riaz I., Sujith K. R., Lalitha Kailas. The Vitamin D Status in 6-14 Year Old Children Attending Tertiary Care Teaching Hospital in South India International Journal of Current Research and Review. 9(11), June, 53-58
References:
1.Marwaha RK, Tandon N, Reddy DRHK, Aggarwal R, Singh R, Sawhney RC, et al. Vitamin D and Bone mineral density of healthy school children in northern India. Am J Clin Nutr. 2005; 82:477-82.
2.Goswami R, Gupta N, Goswami D, Marwaha RK, Tandon N, Kochupillai N. Prevalence and significance of low 25-hydroxy vitamin D concentrations in healthy subjects in Delhi. Am J Clin Nutr. 2000; 72:472-5.
3. Goswami R, Kochupillai N, Gupta N, Goswami D, Singh N, Dudha AJ. Presence of 25(OH) D deficiency in a rural north Indian village despite abundant sunshine. J Assoc Physicians India. 2008; 56:755-7.
4. Hodgkin P, Kay GH, Hine PM, Lumb GA, Stanbury SW. Vitamin D deficiency in Asians at home and in Britain. Lancet. 1973; 2:167-72.
5. Arya V, Bhambri R, Godbole MM, Mithal A. Vitamin D status and its relationship with bone mineral density in healthy Asian Indians. Osteoporos Int. 2004; 15:56-61.
6. Harinarayan CV. Prevalence of vitamin D deficiency in postmenopausal south Indian women. Osteoporos Int. 2005; 16:397-402.
7. Marwaha RK, Sripathy G.Vitamin D and Bone mineral density of healthy school children in northern India. Indian J Med Res. 2008; 12:239-44.
8.Harinarayan CV, Ramalakshmi T, Prasad UV, Sudhakar D, Srinivasarao PV, Sarma KV, et al. High prevalence of low dietary calcium, high phytate consumption, and vitamin D deficiency in healthy south Indians. Am J Clin Nutr. 2007; 85:1062-7.
9. Lips P. Worldwide status of vitamin D nutrition. J Steroid Biochem Mol Biol, 2010; 121(1–2): 297–300.
10. G Das, S Crocombe, M McGrath, J L Berry, M Z Mughal. Hypovitaminosis D among healthy adolescent girls attending an inner city school. Arch Dis Child. 2006; 91:569–572.
11.Puri S, Marwaha RK, Agarwal N, Tandon N, Agarwal R, Grewal K et al. Vitamin D status of apparently healthy schoolgirls from two different socioeconomic strata in Delhi: relation to nutrition and lifestyle. Br J Nutr. 2008; 99:876-82.
12.Marwaha RK, Tandon N, Agarwal N, Puri S, Agarwal R, Singh S et al. Impact of two regimens of Vitamin D supplementation on calcium - Vitamin D – PTH axis of schoolgirls of Delhi. Indian Pediatr. 2010; 47(9):761-9.
13. Kapil U, Pandey RM, Goswami R, Sharma B, Sharma N, Ramakrishnan L et al. Prevalence of Vitamin D deficiency and associated risk factors among children residing at high altitude in Shimla district, Himachal Pradesh, India. Indian J Endocrinol Metab. 2017?21 (1):178–183.
14.Khadgawat R, Thomas T, Gahlot M, Tandon N, Tangpricha V, Khandelwal D, et al. The effect of puberty on interaction between Vitamin D status and insulin resistance in obese Asian-Indian children. International Journal of Endocrinology. 2012; Article ID173581
15. Gordon CM, De Peter KC, Feldman HA, Grace E, Emans SJ. Prevalence of Vitamin D Deficiency among Healthy Adolescents. Arch Pediatr Adolesc Med. 2004; 158(6):531-537.
16. Gordon CM, Feldman HA, Sinclair L et al. Prevalence of Vitamin D Deficiency among Healthy Infants and Toddlers. Arch Pediatr Adolesc Med.2008; 162(6): 505-512.
17. Kremer R, Campbell PP, Reinhardt T, Gilsanz V. Vitamin D Status and its Relationship to Body Fat, Final Height and Peak Bone Mass in Young Women. J Clin Endocrin Metab. 2008;doi:10.1210/jc.2008-1575
|