Laird E, Shannon T, Crowley V E F, Healy M
School of Medicine, Trinity College Dublin, Dublin 2, Ireland.
Department of Biochemistry, St. James's Hospital Dublin, Dublin 8, Ireland.
Ir J Med Sci. 2017 Nov;186(4):807-813. doi: 10.1007/s11845-016-1517-4. Epub 2016 Oct 21.
There have been few published reports of visualising vitamin D status at a micro level, i.e., within large individual urban centres of countries.
To produce a visual map of the vitamin D status [25-hydroxy vitamin D-25(OH)D] of a large urban centre (n > 350,000) incorporating the regions of Dublin city that constitute the general practitioner catchment area of a large academic teaching adult hospital.
DESIGN, SETTING AND PARTICIPANTS: An observational investigation of 5287 free living Irish adults (>18 years).
Approximately, 15.2 % of those sampled in the winter period (October-February) were vitamin D deficient (<30 nmol/L) compared with 10.8 % of those sampled in the summer period (March-September). Vitamin D tests requested from the most social economically deprived urban locations (Dublin 8 and Lucan postal districts) had the highest rates of deficiency (23.5 and 20.4 %, respectively, both seasons). On average, females had a significantly higher 25(OH)D concentration compared with males (57.9 vs 52.3 nmol/L, respectively), while the younger participants (18-50 years) mean 25(OH)D concentration was 27 % lower in winter and 20.7 % lower in summer in comparison with the older participants (>50 years) (P < 0.0001).
For the first time in Ireland, a visual depiction of data can be used to aid in the rapid identification of vitamin D status trends within a major urban area. These findings provide useful data to help inform public health policy regarding endemic vitamin D insufficiency to help target the population groups and resident location areas most at risk.
关于在微观层面,即在各国大型城市中心内可视化维生素D状态的已发表报告很少。
制作一张大型城市中心(n>350,000)的维生素D状态[25-羟基维生素D-25(OH)D]可视化地图,该城市中心包括都柏林市的各个区域,这些区域构成了一家大型学术教学成人医院的全科医生服务区域。
设计、地点和参与者:对5287名自由生活的爱尔兰成年人(>18岁)进行的观察性调查。
冬季(10月至2月)抽样的人群中约15.2%维生素D缺乏(<30nmol/L),而夏季(3月至9月)抽样的人群中这一比例为10.8%。来自社会经济最贫困城市地区(都柏林8区和卢坎邮政区)的维生素D检测请求中缺乏率最高(两个季节分别为23.5%和20.4%)。平均而言,女性的25(OH)D浓度显著高于男性(分别为57.9和52.3nmol/L),而年轻参与者(18 - 50岁)的平均25(OH)D浓度在冬季比年长参与者(>50岁)低27%,在夏季低20.7%(P<0.0001)。
在爱尔兰首次可以使用数据的可视化描述来帮助快速识别主要城市区域内的维生素D状态趋势。这些发现提供了有用的数据,有助于为有关地方性维生素D不足的公共卫生政策提供信息,以帮助确定风险最高的人群组和居住地区。