Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, ul. Mickiewicza 2, Poznań 60-834, Poland.
Int J Environ Res Public Health. 2020 Jan 22;17(3):715. doi: 10.3390/ijerph17030715.
Half of the individuals with type 1 diabetes (T1DM) may present Vitamin D (VD) deficiency. There is little known about factors determining a decision on VD supplementation. The study aimed to determine the factors affecting vitamin D supplementation in people with T1DM. A cross-sectional survey study using the authors' questionnaire paper and its digital version was performed. The questions involved data on the basic characteristics of the respondent, medical history, VD supplementation status, influence of the social environment, self-education, and the most important personal motivator for VD supplement use. Multivariate logistic regression analysis was performed. We collected a total of = 184 papers and = 550 digital complete surveys. From 734 total respondents, 62.0% declared VD supplementation. The main personal rationale for VD supplementation were recommendation of medical specialist 172 (37.8%) and self-education 135 (29.7%). The main reasons for non-supplementation of VD were lack of knowledge about VD 159 (57.0%) and lack of motivation 77 (27.6%). VD supplementation was independently associated with a family doctor (odds ratio (OR), 95% confidence interval (CI): 4.67, 2.32-9.40) or medical specialist recommendation (16.20, 9.57-27.43), and self-education (5.97, 3.90-9.13). Most Polish individuals with T1DM use VD supplements, and the decision is related to physicians' recommendations and self-education.
一半的 1 型糖尿病（T1DM）患者可能存在维生素 D（VD）缺乏。关于决定补充 VD 的因素知之甚少。本研究旨在确定影响 T1DM 患者补充 VD 的因素。采用作者问卷及其数字版本进行了横断面调查研究。问题涉及受访者的基本特征、病史、VD 补充状况、社会环境影响、自我教育以及使用 VD 补充剂的最重要个人动机等数据。进行了多变量逻辑回归分析。我们共收集了 184 份问卷和 550 份完整的数字调查。在总共 734 名受访者中，有 62.0%的人声称补充了 VD。补充 VD 的主要个人理由是医疗专家的建议 172 人（37.8%）和自我教育 135 人（29.7%）。不补充 VD 的主要原因是缺乏对 VD 的了解 159 人（57.0%）和缺乏动力 77 人（27.6%）。VD 补充与家庭医生（比值比（OR），95%置信区间（CI）：4.67，2.32-9.40）或医疗专家建议（16.20，9.57-27.43）独立相关，以及自我教育（5.97，3.90-9.13）。大多数波兰 T1DM 患者使用 VD 补充剂，该决定与医生的建议和自我教育有关。
