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斯洛文尼亚青少年、成年和老年人群的维生素 D 摄入量。

Vitamin D Intake in Slovenian Adolescents, Adults, and the Elderly Population.

机构信息

Nutrition Institute, Tržaška Cesta 40, SI-1000 Ljubljana, Slovenia.

Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, SI-1000 Ljubljana, Slovenia.

出版信息

Nutrients. 2021 Oct 8;13(10):3528. doi: 10.3390/nu13103528.

Abstract

Vitamin D is involved in calcium and phosphorus metabolism, and is vital for numerous bodily functions. In the absence of sufficient UV-B light-induced skin biosynthesis, dietary intake becomes the most important source of vitamin D. In the absence of biosynthesis, the recommended dietary vitamin D intake is 10-20 µg/day. Major contributors to dietary vitamin D intake are the few foods naturally containing vitamin D (i.e., fish), enriched foods, and supplements. The present study aimed to estimate the vitamin D intake in Slovenia, to identify food groups that notably contribute to vitamin D intake, and to predict the effects of hypothetical mandatory milk fortification. This study was conducted using data collected by the national cross-sectional food consumption survey (SI.Menu) in adolescents ( = 468; 10-17 years), adults ( = 364; 18-64 years), and the elderly ( = 416; 65-74 years). Data collection was carried out between March 2017 and April 2018 using the EU Menu Methodology, which included two 24-h recalls, and a food propensity questionnaire. Very low vitamin D intakes were found; many did not even meet the threshold for very low vitamin D intake (2.5 µg/day). Mean daily vitamin D intake was 2.7, 2.9, and 2.5 µg in adolescents, adults, and the elderly, respectively. Daily energy intake was found to be a significant predictor of vitamin D intake in all population groups. In adolescents and adults, sex was also found to be a significant predictor, with higher vitamin D intake in males. The study results explained the previously reported high prevalence of vitamin D deficiency in Slovenia. An efficient policy approach is required to address the risk of vitamin D deficiency, particularly in vulnerable populations.

摘要

维生素 D 参与钙和磷代谢,对许多身体功能至关重要。在缺乏足够的由紫外线 B 诱导的皮肤生物合成的情况下,膳食摄入成为维生素 D 的最重要来源。在缺乏生物合成的情况下,推荐的膳食维生素 D 摄入量为 10-20μg/天。膳食维生素 D 摄入量的主要来源是少数天然含有维生素 D 的食物(即鱼类)、强化食品和补充剂。本研究旨在评估斯洛文尼亚的维生素 D 摄入量,确定对维生素 D 摄入量有显著贡献的食物组,并预测假设的强制性牛奶强化的效果。本研究使用 2017 年 3 月至 2018 年 4 月期间通过全国横断面食物消费调查(SI.Menu)收集的数据进行,调查对象包括青少年(n=468;10-17 岁)、成年人(n=364;18-64 岁)和老年人(n=416;65-74 岁)。数据收集采用欧盟菜单方法进行,包括两次 24 小时回忆和食物倾向问卷。发现维生素 D 摄入量非常低;许多人甚至没有达到极低维生素 D 摄入量(2.5μg/天)的阈值。青少年、成年人和老年人的平均每日维生素 D 摄入量分别为 2.7、2.9 和 2.5μg。在所有人群中,每日能量摄入量被发现是维生素 D 摄入量的一个重要预测因素。在青少年和成年人中,性别也被发现是一个重要的预测因素,男性的维生素 D 摄入量较高。研究结果解释了之前报道的斯洛文尼亚维生素 D 缺乏症的高流行率。需要采取有效的政策措施来解决维生素 D 缺乏的风险,特别是在弱势群体中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109b/8537619/952a724664cb/nutrients-13-03528-g001.jpg

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