Camarero-Shelly M
Centro de Salud Barajas, Dirección Asistencial Este de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
Semergen. 2018 Apr;44(3):161-167. doi: 10.1016/j.semerg.2017.03.006. Epub 2017 Apr 28.
Vitamin B levels are usually measured in Primary Care when the patients have symptoms or risk factors associated with its deficiency, mostly in the elderly. However, no evidence has been found to support the recommendation of screening in the general population. The aim of this study is to assess the relevance of having extended the screening of vitamin B deficiency to a younger population, after observing an increase in the prescription of this injected vitamin in a population under 65 years, by analysing the vitamin B values obtained.
A descriptive, retrospective, observational study was conducted on a sample consisting of 5,531 patients from Barajas Health Primary Centre, Madrid, between 2008 and 2012, and on whom a blood test was performed for any reason, with values of vitamin B.
A deficiency was found in 9.1% (SD 2.3) of the patients, of whom 49.4% were less than 65 years. The deficiencies were associated (P<.001, 95% CI) with age, dementia, changes in blood red cell counts, memory, and with the taking of metformin and proton pump inhibitors (P=.007).
The prevalence of vitamin B deficiency in our served population is similar in patients older and younger than 65 years. The extended screening was relevant.