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丹麦儿童和成人的维生素 D 状况及季节性变化:描述性研究。

Vitamin D Status and Seasonal Variation among Danish Children and Adults: A Descriptive Study.

机构信息

Diet, Genes and Environment, Danish Cancer Society Research Center, DK-2100 Copenhagen, Denmark.

Department of Prevention and Information, Danish Cancer Society, DK-2100 Copenhagen, Denmark.

出版信息

Nutrients. 2018 Nov 20;10(11):1801. doi: 10.3390/nu10111801.

Abstract

The aim of the present study was to describe vitamin D status and seasonal variation in the general Danish population. In this study, 3092 persons aged 2 to 69 years (2565 adults, 527 children) had blood drawn twice (spring and autumn) between 2012 and 2014. A sub-sample of participants had blood samples taken monthly over a year. Serum 25-hydroxyvitamin D (25(OH)D) concentrations were measured by liquid chromatography mass spectrometry, and information on supplement use was assessed from questionnaires. Seasonal variations in 25(OH)D concentrations were evaluated graphically and descriptively, and status according to age, sex, and supplement use was described. It was found that 86% of both adults and children were vitamin D-sufficient in either spring and or/autumn; however, many had a spring concentration below 50 nmol/L. A wide range of 25(OH)D concentrations were found in spring and autumn, with very low and very high values in both seasons. Among adults, women in general had higher median 25(OH)D concentrations than men. Furthermore, vitamin D supplement use was substantial and affected the median concentrations markedly, more so during spring than autumn. Seasonal variation was thus found to be substantial, and bi-seasonal measurements are vital in order to capture the sizable fluctuations in vitamin D status in this Nordic population.

摘要

本研究旨在描述丹麦普通人群的维生素 D 状况和季节性变化。在这项研究中,2012 年至 2014 年间,3092 名年龄在 2 至 69 岁的人(2565 名成年人,527 名儿童)两次采血(春季和秋季)。部分参与者的血液样本在一年内每月采集一次。血清 25-羟维生素 D(25(OH)D)浓度通过液相色谱-质谱法测量,并通过问卷调查评估补充剂使用信息。通过图形和描述性评估评估 25(OH)D 浓度的季节性变化,并根据年龄、性别和补充剂使用情况描述其状态。结果发现,86%的成年人和儿童在春季和/或秋季均维生素 D 充足;然而,许多人的春季浓度低于 50nmol/L。春季和秋季的 25(OH)D 浓度范围很广,两个季节的低值和高值都很低。在成年人中,一般来说,女性的 25(OH)D 浓度中位数高于男性。此外,维生素 D 补充剂的使用量相当大,显著影响了中位数浓度,春季的影响大于秋季。因此,发现季节性变化很大,双季节测量对于捕捉这个北欧人群维生素 D 状况的巨大波动至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7358/6265892/c37de0a0efac/nutrients-10-01801-g001.jpg

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