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诊断西里西亚省居民对维生素 D 及其缺乏症风险因素的知识、意见和促进健康行为水平。

Diagnosis of level of knowledge, opinion and pro-health behavior of Silesian voivodeship inhabitants concerns vitamin D and risk factors of its deficiency.

机构信息

Department of Basic Biomedical Science, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland.

出版信息

Przegl Epidemiol. 2021;75(2):263-276. doi: 10.32394/pe.75.25.

Abstract

INTRODUCTION AND AIM OF THE STUDY

Vitamin D deficiency is a common problem in Poland and worldwide. In the light of recent epidemiological studies, D hypovitaminosis causes not only skeletal diseases, but also other chronic diseases such as immunodeficiency or some types of cancer. The proper knowledge can significantly determine pro-health behaviour, therefore the aim of the study was to analyse the knowledge, opinion and social behaviour regarding vitamin D.

MATERIAL AND METHODS

The survey was conducted among 300 Silesian Voivodeship inhabitants (178 women and 122 men) using an anonymous survey containing 40 questions.

RESULTS

59% of people were aware of solar radiation, as a main source of vitamin D in the human body. Sea fish, as the main dietary vitamin D source, were known to 58% of respondents. The highest number of indications (67%) had dairy products, which are poor sources of cholecalciferol. 37% of people were aware that even a well-balanced diet was not able to provide the required daily dose of vitamin D. 78% of people in the study group were aware of the calcaemic effect of vitamin D. Only 9% of respondents were aware of the safe amount of daily sun exposure, sufficient for vitamin D synthesis, while 69% indicated periods of time longer than recommended. 76% of the respondents showed a positive attitude to sun exposure. Taking vitamin D supplementation was declared by 45% of the study participants, while a serum 25(OH)D level was tested only by 6.5% of the respondents.

CONCLUSIONS

Insufficient knowledge about the vitamin D sources among the Silesian Voivodeship inhabitants, misconceptions about the possibility to reach adequate blood levels through the diet, and at the same time low consumption of products rich in vitamin D and its supplements, may be the causes of vitamin D deficiencies.

摘要

引言和研究目的

维生素 D 缺乏症在波兰和全球范围内都是一个常见的问题。根据最近的流行病学研究,D 低维生素血症不仅会导致骨骼疾病,还会导致其他慢性疾病,如免疫缺陷或某些类型的癌症。正确的知识可以显著决定健康促进行为,因此本研究的目的是分析维生素 D 的知识、意见和社会行为。

材料和方法

该调查在 300 名西里西亚省居民(178 名女性和 122 名男性)中进行,使用了一份包含 40 个问题的匿名调查。

结果

59%的人知道太阳辐射是人体维生素 D 的主要来源。58%的受访者知道海鱼是维生素 D 的主要膳食来源。被认为是维生素 D 来源的乳制品(67%)含量最高,但实际上乳制品是维生素 D 来源较差。37%的人知道即使饮食均衡也无法提供每日所需的维生素 D 剂量。研究组中 78%的人知道维生素 D 的钙代谢作用。只有 9%的受访者知道安全的每日日照量,这足以合成维生素 D,而 69%的人则表示日照时间超过了推荐时间。76%的受访者对日照持积极态度。45%的研究参与者表示服用维生素 D 补充剂,而只有 6.5%的受访者测试了血清 25(OH)D 水平。

结论

西里西亚省居民对维生素 D 来源的了解不足,对通过饮食达到足够血液水平的可能性存在误解,同时维生素 D 及其补充剂的摄入量低,这可能是导致维生素 D 缺乏的原因。

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