Bani-Issa Wegdan, Eldeirawi Kamal, Harfil Sondos, Fakhry Randa
Nursing Department, College of Health Sciences, University of Sharjah, P.O. Box 27272, Sharjah, UAE.
Department of Health Systems Science, UIC College of Nursing (M/C 802), 845 South Damen Ave., Rm. 956, Chicago, IL 60612, USA.
Int J Endocrinol. 2017;2017:3906306. doi: 10.1155/2017/3906306. Epub 2017 Mar 2.
Vitamin D deficiency (VDD) is a public health concern in adults worldwide. This study aims to explore the extent of VDD and its associated factors among adults in the United Arab Emirates (UAE). Quantitative, cross-sectional research was used to assess VDD and its associated factors in 216 adults recruited from randomly selected community-based healthcare settings over a six-month period. Recent values of vitamin D and glycated hemoglobin (HbA1c) were abstracted from medical records, followed by interviews with participants to obtain information on factors related to VDD and other covariates and to measure their heights and weights. A total of 74% of participants demonstrated VDD (vitamin D serum level ≤ 30 nmol/L). Emirati participants had higher odds of having VDD compared to non-Emiratis (OR: 2.95; 95% CI: 1.58-5.52), with also significantly increased odds of the condition appearing in older, less educated, and employed adults. Diabetes type 2 (HbA1c ≥ 6.5%), depression, and obesity were significantly associated with an increased likelihood of VDD after accounting for other covariates. VDD is a significant problem for UAE adults and requires attention by public health policy makers. Diabetes, obesity, and depression need to be considered when screening for vitamin D.
维生素D缺乏(VDD)是全球成年人面临的一个公共卫生问题。本研究旨在探讨阿拉伯联合酋长国(阿联酋)成年人中VDD的程度及其相关因素。采用定量横断面研究方法,对在六个月内从随机选择的社区医疗保健机构招募的216名成年人进行VDD及其相关因素评估。从医疗记录中提取维生素D和糖化血红蛋白(HbA1c)的近期值,随后对参与者进行访谈,以获取与VDD和其他协变量相关的因素信息,并测量他们的身高和体重。共有74%的参与者表现出VDD(维生素D血清水平≤30 nmol/L)。与非阿联酋人相比,阿联酋参与者患VDD的几率更高(比值比:2.95;95%置信区间:1.58 - 5.52),而且在年龄较大、受教育程度较低和就业的成年人中出现这种情况的几率也显著增加。在考虑其他协变量后,2型糖尿病(HbA1c≥6.5%)、抑郁症和肥胖与VDD发生可能性增加显著相关。VDD是阿联酋成年人面临的一个重大问题,需要公共卫生政策制定者予以关注。在筛查维生素D时需要考虑糖尿病、肥胖和抑郁症。