a Angered Primary Health Care Centre , Gothenburg , Sweden.
b Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Scand J Prim Health Care. 2019 Jun;37(2):174-181. doi: 10.1080/02813432.2019.1608043. Epub 2019 May 6.
To explore the relationship between low serum vitamin D levels and comorbidity in Somali women, immigrants to Sweden. Cohort study in a Primary Health Care Center and a University Hospital. Somali women skin type V, n = 114, aged 18-56 years, from latitude 0-10 N, living in Sweden, latitude 57 N > 2 years were compared with women from a population sample, skin type II-III, n = 69, aged 38-56 years, the WHO MONICA study, Gothenburg, Sweden. Serum (S)-25(OH)D, S-parathyroid hormone (PTH), comorbidity and Health-Related Quality of Life (HRQoL) using the Short Form-36 (SF-36) and part of the EQ-5D questionnaires. All calculations were corrected for age. Vitamin D deficiency (S-25(OH)D < 25 nmol/l) was found in 73% of the Somali women and in 1% of the controls ( < .0001). S-PTH was elevated (>6.9 pmol/l) in 26% and 9%, respectively ( < .004). Somali women used less medication, 16% vs. 55%, < .0001) but more allergy medication, 11% vs. 7% ( = .006), had fewer fractures, 2% vs. 28% ( < .0001) and lower HRQoL in 7 out of 9 scales ( < .05-.001), than native controls. There were no differences in the prevalence of diabetes mellitus, hypothyroidism, positive thyroid peroxidase antibodies, vitamin B12 deficiency, celiac disease or hypertension. Vitamin D deficiency was common in Somali women living in Sweden, 73%, but comorbidity was low. Both mental, and especially physical HRQoL scores were lower in the Somali women. The effects of long-lasting deficiency are unknown. Key points The aim was to explore the relationship between vitamin D deficiency (S-25(OH)D < 25 nmol/l) and comorbidity in immigrants. Vitamin D deficiency was common in Somali women living in Sweden, 73%, but comorbidity of hypothyroidism, diabetes mellitus, hypertension, fractures and use of medications was low. Both mental, and especially physical, Health-Related Quality of Life were lower in the Somali women than in native Swedish women. The effects of long-lasting deficiency are unknown.
目的是探讨维生素 D 缺乏症（S-25（OH）D<25nmol/l）与移民人群中合并症之间的关系。居住在瑞典的索马里女性维生素 D 缺乏症非常普遍，有 73%的人存在这种情况，但甲状腺功能减退症、糖尿病、高血压、骨折和药物使用等合并症的发病率较低。索马里女性的心理健康和身体健康相关生活质量评分均低于瑞典本地女性。长期缺乏维生素 D 的影响尚不清楚。
