Department of Obstetrics and Gynaecology, School of Medicine, Yeni Yuzyil University, Istanbul, Turkey.
Department of Obstetrics and Gynaecology, School of Medicine, Balikesir University, Balikesir, Turkey.
Cent Eur J Public Health. 2020 Dec;28(4):306-312. doi: 10.21101/cejph.a5947.
The aim of the study was to determine the effects of age, gender and season on vitamin D status in healthy urban population at reproductive age. Also, we investigated the distribution of population into different groups regarding 25(OH)D levels.
Serum 25(OH)D levels of 21,317 participants: 5,364 men (25.1%) and 15,953 women (74.8%), aged between 18-45 years, applying to two medical centres for check-up located in the same city were retrospectively analyzed. Group I consisted of 14,720 participants (11,257 women and 3,463 men) in the first centre and Group II consisted of 6,597 participants (4,696 women and 1,901 men) in the second centre.
The mean 25(OH)D levels did not differ between women and men in both groups: 23.4 (SD = 14.4) and 23.1 (SD = 12.6) in Group I, and 22.6 (SD = 15.9) and 23.1 (SD = 14.3) in Group II, respectively, (p > 0.05). Similar trends exhibiting lower mean 25(OH)D levels at younger ages and higher levels at later ages were observed in both groups; a seasonal variation of 25(OH)D levels was observed in both genders with the highest levels in August and September and the lowest levels from February through April; percentages of women with 25(OH)D level of < 5 ng/ml were significantly higher than of men in Group I (1.4% vs. 0.2%, respectively, p < 0.001) and in Group II (4.1% vs. 1.1%, respectively, p < 0.001).
There is a slight increase in serum 25(OH)D levels from 18 through 45 years of age in healthy population. The seasonal variation of 25(OH)D levels is prominent in both genders with men having slightly lower levels in some months of winter and higher levels in summer as compared to women. The prevalence of women having 25(OH)D levels less than 5 ng/ml is higher than that of men.
本研究旨在确定年龄、性别和季节对生育年龄段健康城市人群维生素 D 状况的影响。此外,我们还调查了人群在不同 25(OH)D 水平组中的分布情况。
回顾性分析了在同一城市的两家医疗中心进行体检的 21317 名年龄在 18-45 岁的参与者的血清 25(OH)D 水平,其中男性 5364 人(25.1%),女性 15953 人(74.8%)。第一中心的组 I 包括 14720 名参与者(11257 名女性和 3463 名男性),第二中心的组 II 包括 6597 名参与者(4696 名女性和 1901 名男性)。
两组中女性和男性的平均 25(OH)D 水平无差异:组 I 中分别为 23.4(SD = 14.4)和 23.1(SD = 12.6),组 II 中分别为 22.6(SD = 15.9)和 23.1(SD = 14.3),(p > 0.05)。两组均表现出年轻者平均 25(OH)D 水平较低,年龄较大者水平较高的趋势;两性 25(OH)D 水平均存在季节性变化,8 月和 9 月水平最高,2 月至 4 月水平最低;组 I(分别为 1.4%比 0.2%,p < 0.001)和组 II(分别为 4.1%比 1.1%,p < 0.001)中女性 25(OH)D 水平<5ng/ml 的百分比明显高于男性。
健康人群血清 25(OH)D 水平从 18 岁到 45 岁略有增加。两性 25(OH)D 水平的季节性变化明显,男性在冬季几个月的水平略低,夏季的水平略高。女性 25(OH)D 水平<5ng/ml 的患病率高于男性。