Alyahya Khulood Othman
Science Department, College of Basic Education, Public Authority for Applied Education and Training (PAAET, Kuwait.
Qatar Med J. 2020 May 4;2020(1):15. doi: 10.5339/qmj.2020.15. eCollection 2020.
Low serum vitamin D levels are reported constantly among females living in the Arabian Gulf countries, presumably due to their lifestyle, which limits direct sun exposure. Because Vitamin D deficiency has been implicated in a wide range of ailments, healthy females with the deficiency might be at risk for developing many health problems. Thus, the aim was to assess lifestyle risk factors for vitamin D deficiency in healthy women in Kuwait. A total of 104, disease-free, premenopausal women were recruited for assessment of their serum 25OHD and intact PTH levels. Physical examination, blood withdrawal and interviewer-administered questionnaires were used to collect the relevant data. Associations were detected statistically using nonparametric tests and logistic regression was used to identify risk factors for vitamin D deficiency. Vitamin D deficiency ( < 25 nmol/L) occurred in 84.6%, and hyperparathyroidism ( ≥ 6.9 pmol/L) occurred in 25% of women, among which all were vitamin D deficient. Significant risk factors of vitamin D deficiency were nondaily milk intake (OR:25, CI%:4.2-147), no fish intake (OR:5, CI%:1-22.8), and no weekend sun exposure (OR:8.2, CI%:1.28-52.6). Having PTH ≥ 6 pmol/L was also associated with a higher likelihood of having vitamin D deficiency. Vitamin D deficiency is very common in disease-free, premenopausal Kuwaiti women and can be avoided by improving food consumption and obtaining more sun exposure.
据报道,生活在阿拉伯海湾国家的女性血清维生素D水平一直较低,这可能是由于她们的生活方式限制了阳光直射。由于维生素D缺乏与多种疾病有关,缺乏维生素D的健康女性可能有患多种健康问题的风险。因此,本研究旨在评估科威特健康女性维生素D缺乏的生活方式风险因素。共招募了104名无疾病的绝经前女性,以评估她们的血清25OHD和完整PTH水平。通过体格检查、采血和访谈式问卷调查收集相关数据。使用非参数检验进行统计学关联检测,并使用逻辑回归确定维生素D缺乏的风险因素。84.6%的女性存在维生素D缺乏(<25 nmol/L),25%的女性存在甲状旁腺功能亢进(≥6.9 pmol/L),其中所有甲状旁腺功能亢进的女性均存在维生素D缺乏。维生素D缺乏的显著风险因素包括非每日摄入牛奶(OR:25,CI%:4.2-147)、不摄入鱼类(OR:5,CI%:1-22.8)和周末无阳光照射(OR:8.2,CI%:1.28-52.6)。PTH≥6 pmol/L也与维生素D缺乏的较高可能性相关。维生素D缺乏在无疾病的绝经前科威特女性中非常普遍,可通过改善食物摄入和增加阳光照射来避免。