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COVID-19 大流行期间的 25(OH)D 水平:封锁和紫外线辐射的影响。

25(OH)D levels during the COVID-19 pandemic: impact of lockdown and ultraviolet radiation.

机构信息

Thyroid and Parathyroid Unit, Grupo Gamma, Rosario, Argentina.

Central Directorate of Weather Monitoring, Servicio Meteorológico Nacional, Argentina.

出版信息

Gac Med Mex. 2023;159(3):185-193. doi: 10.24875/GMM.M23000770.

Abstract

BACKGROUND

Home confinement policies during the COVID-19 pandemic limited sun exposure and may have influenced on vitamin D levels.

OBJECTIVE

To assess changes in 25(OH)D during the COVID-19 pandemic and the impact of Mandatory Preventive Social Isolation (MPSI) on UV radiation recommended dose modified by clouds for the synthesis of vitamin D (UVDVC).

MATERIAL AND METHODS

A retrospective study was carried out on 15,908 patients in whom the level of 25(OH)D was determined between January 2019 and December 2021 in a centralized laboratory in Rosario, Argentina.

RESULTS

Lower levels of 25(OH)D were documented in people younger than 40 years during 2020, as well as a variation during the pandemic period, with lower values in the first wave. Lower levels of 25(OH)D were recorded in the post-MPSI period in comparison with the MPSI period (p < 0.00001), in addition to a higher frequency of hypovitaminosis D (48.6% vs. 36.1%). These differences were not observed in the comparison of the same periods of 2019. UVDVC did not vary between 2019 and 2020.

CONCLUSIONS

The restrictions due to the COVID-19 pandemic led to a higher frequency of hypovitaminosis D and lower frequency of optimal values.

摘要

背景

COVID-19 大流行期间的居家隔离政策限制了阳光照射,可能影响了维生素 D 水平。

目的

评估 COVID-19 大流行期间 25(OH)D 的变化,以及强制性预防社会隔离(MPSI)对推荐用于合成维生素 D 的紫外线辐射量(UVDVC)的影响。

材料和方法

对 15908 名患者进行了回顾性研究,这些患者在阿根廷罗萨里奥的一个集中实验室中,于 2019 年 1 月至 2021 年 12 月期间测定了 25(OH)D 水平。

结果

2020 年,40 岁以下人群的 25(OH)D 水平较低,而且在大流行期间存在变化,第一波的数值较低。与 MPSI 期间相比,MPSI 后期间的 25(OH)D 水平较低(p < 0.00001),此外,维生素 D 缺乏症的发生率更高(48.6% vs. 36.1%)。在比较 2019 年同期时,未观察到这些差异。2019 年和 2020 年之间 UVDVC 没有变化。

结论

COVID-19 大流行期间的限制导致维生素 D 缺乏症的发生率更高,而最佳值的频率更低。

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