Vitamin D status in patients admitted in a clinic of endocrinology

Rev Med Chir Soc Med Nat Iasi. 2014 Apr-Jun;118(2):327-32.

Abstract

Vitamin D deficiency has been known as a global health problem and there were reported moderate to strong inverse associations between 25(OH) D concentrations and cardiovascular diseases, serum lipid concentrations, inflammation, glucose metabolism disorders, weight gain, infectious diseases, multiple sclerosis, mood disorders, declining cognitive function, impaired physical functioning, and all-cause mortality. In Romania there are only a few published reports on vitamin D status among adult population.

Aim: To evaluate vitamin D status in 440 patients those were admitted in our clinic for various endocrine pathology.

Material and method: Serum 25-hydroxy vitamin D was measured using chemiluminescence assay. We categorized the vitamin D levels in 3 subgroups (deficiency, insufficiency and sufficiency).

Results: In our study there was a high prevalence of both vitamin D deficiency and insufficiency, while optimal level was observed only in a very small number of patients.

Conclusions: We demonstrated a high frequency of vitamin D deficiency in general population, especially in elderly and children. There are still many controversies regarding the optimal vitamin D status and the supplementation dosage, so long-term large scale studies are needed regarding efficacy and safety.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Bone Density Conservation Agents / blood*
  • Calcifediol / blood*
  • Child
  • Child, Preschool
  • Endocrinology*
  • Female
  • Humans
  • Inpatients / statistics & numerical data*
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Romania / epidemiology
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / diagnosis*
  • Vitamin D Deficiency / epidemiology*
  • Vitamin D Deficiency / prevention & control

Substances

  • Biomarkers
  • Bone Density Conservation Agents
  • Calcifediol