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爱尔兰成年人的维生素 D 状况:全国成人营养调查结果。

Vitamin D status of Irish adults: findings from the National Adult Nutrition Survey.

机构信息

School of Food and Nutritional Sciences, University College Cork, Cork, Republic of Ireland.

出版信息

Br J Nutr. 2013 Apr 14;109(7):1248-56. doi: 10.1017/S0007114512003212. Epub 2012 Aug 10.


DOI:10.1017/S0007114512003212
PMID:22883239
Abstract

Previous national nutrition surveys in Irish adults did not include blood samples; thus, representative serum 25-hydroxyvitamin D (25(OH)D) data are lacking. In the present study, we characterised serum 25(OH)D concentrations in Irish adults from the recent National Adult Nutrition Survey, and determined the impact of vitamin D supplement use and season on serum 25(OH)D concentrations. Of the total representative sample (n 1500, aged 18+ years), blood samples were available for 1132 adults. Serum 25(OH)D was measured via immunoassay. Vitamin D-containing supplement use was assessed by questionnaire and food diary. Concentrations of serum 25(OH)D were compared by season and in supplement users and non-users. Year-round prevalence rates for serum 25(OH)D concentration < 30, < 40, < 50 and < 75 nmol/l were 6.7, 21.9, 40.1 and 75.6 %, respectively (11.1, 31.1, 55.0 and 84.0 % in winter, respectively). Supplement users had significantly higher serum 25(OH)D concentrations compared to non-users. However, 7.5 % of users had winter serum 25(OH)D < 30 nmol/l. Only 1.3 % had serum 25(OH)D concentrations >125 nmol/l. These first nationally representative serum 25(OH)D data for Irish adults show that while only 6.7 % had serum 25(OH)D < 30 nmol/l (vitamin D deficiency) throughout the year, 40.1 % had levels considered by the Institute of Medicine as being inadequate for bone health. These prevalence estimates were much higher during winter time. While vitamin D supplement use has benefits in terms of vitamin D status, at present rates of usage (17.5 % of Irish adults), it will have only very limited impact at a population level. Food-based strategies, including fortified foods, need to be explored.

摘要

以前的爱尔兰成年人营养调查没有包括血液样本;因此,缺乏代表性的血清 25-羟维生素 D(25(OH)D)数据。在本研究中,我们对最近的全国成人营养调查中的爱尔兰成年人的血清 25(OH)D 浓度进行了描述,并确定了维生素 D 补充剂的使用和季节对血清 25(OH)D 浓度的影响。在总代表性样本(n=1500,年龄在 18 岁以上)中,有 1132 名成年人提供了血液样本。血清 25(OH)D 通过免疫测定法进行测量。通过问卷和食物日记评估含维生素 D 的补充剂的使用情况。按季节和补充剂使用者与非使用者比较血清 25(OH)D 浓度。血清 25(OH)D 浓度<30、<40、<50 和<75 nmol/l 的全年患病率分别为 6.7%、21.9%、40.1%和 75.6%(冬季分别为 11.1%、31.1%、55.0%和 84.0%)。与非使用者相比,补充剂使用者的血清 25(OH)D 浓度显著更高。然而,7.5%的使用者冬季血清 25(OH)D<30 nmol/l。仅有 1.3%的人血清 25(OH)D 浓度>125 nmol/l。这些是爱尔兰成年人的首次全国代表性血清 25(OH)D 数据,表明尽管一年中只有 6.7%的人血清 25(OH)D<30 nmol/l(维生素 D 缺乏症),但仍有 40.1%的人血清 25(OH)D 水平被医学研究所认为不足以维持骨骼健康。这些患病率估计在冬季时更高。虽然维生素 D 补充剂的使用在维生素 D 状态方面具有益处,但就目前的使用率(17.5%的爱尔兰成年人)而言,它在人群层面上的影响非常有限。需要探索基于食物的策略,包括强化食品。

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