Evaluation of vitamin D levels in children and adolescents after the first year of the COVID-19 pandemic: 1-year results of a secondary-level state hospital

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2024-04-01 DOI:10.1016/j.arcped.2023.11.001

Fatma Özgüç Çömlek , Ali Toprak , Ahmet Ziya Birbilen , Semine Özdemir Dilek , Fatma Coşkun

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引用次数: 0

Abstract

Background

The COVID-19 pandemic caused a global public health problem with high morbidity and mortality rates. In this study, we aimed to evaluate the 25-hydroxyvitamin D (25(OH)D) status of patients presenting to the Pediatrics Department of Gaziantep Maternity and Children's Hospital in the 1-year period after the onset of the COVID-19 pandemic according to ethnicity, age, and gender.

Method

This cross-sectional study included the data of 7640 patients whose 25(OH)D levels were assessed at our hospital between March 2021 and March 2022. Vitamin D levels, age, gender, and the ethnic origin of the patients were retrospectively scanned and recorded from the laboratory results system. Based on the World Health Organization (WHO) classification of vitamin D levels, patients were divided into three groups: <10 ng/mL = vitamin D deficiency; 10–19 ng/mL = vitamin D insufficiency, and 20 ng/mL and over = normal vitamin D status.

Results

The mean age of the 7640 patients who presented to the pediatrics department was 7.47 (±5.3) years. Of these patients, 48 % (3665) were male and 52 % (3975) were female. The mean vitamin D level of girls was 18.1 (±15.2) ng/mL, and of boys it was 20.2 (±15.4) ng/mL, with a statistically significant difference (p < 0.001). In total, 21.2 % (1650) of patients had deficient, 43.3 % (3310) of patients had insufficient, and 35.5 % (2710) of patients had normal 25(OH)D levels. Overall, 21.8 % of the patients (1667) were immigrants, and in this group the deficiency was found to be statistically significantly higher at 27.4 % (n = 456; p < 0.001). There was a low negative correlation between the age of the patients and their 25(OH)D levels (r=−0.35; p < 0.001).

Conclusions

Vitamin D deficiency remains a serious public health problem. Since the most important production source is exposure to the sun, it must be kept in mind that vitamin D should be supported during lockdown pandemic processes.

查看原文本刊更多论文

COVID-19 大流行第一年后对儿童和青少年维生素 D 水平的评估：一家二级国立医院的 1 年结果。

背景：COVID-19 大流行是一个全球性的公共卫生问题，发病率和死亡率都很高。在这项研究中，我们旨在根据种族、年龄和性别，评估 COVID-19 大流行爆发后 1 年内到加济安泰普妇幼医院儿科就诊的患者的 25- 羟基维生素 D（25(OH)D）状况：这项横断面研究包括本医院在 2021 年 3 月至 2022 年 3 月期间对其 25(OH)D 水平进行评估的 7640 名患者的数据。维生素 D 水平、年龄、性别和患者的种族来源均由实验室结果系统进行回顾性扫描和记录。根据世界卫生组织（WHO）对维生素 D 水平的分类，将患者分为三组：结果：儿科就诊的 7640 名患者的平均年龄为 7.47（±5.3）岁。其中，48%（3665 人）为男性，52%（3975 人）为女性。女孩的平均维生素 D 水平为 18.1（±15.2）纳克/毫升，男孩的平均维生素 D 水平为 20.2（±15.4）纳克/毫升，两者之间存在显著的统计学差异（P < 0.001）。总共有 21.2% 的患者（1650 人）缺乏 25（OH）D，43.3% 的患者（3310 人）缺乏 25（OH）D，35.5% 的患者（2710 人）25（OH）D 水平正常。总体而言，21.8%的患者（1667 人）是移民，在这一群体中，25（OH）D 缺乏的比例明显更高，达到 27.4%（n = 456；p < 0.001）。患者的年龄与其 25（OH）D 水平之间存在较低的负相关（r=-0.35；p < 0.001）：维生素 D 缺乏症仍然是一个严重的公共卫生问题。由于维生素 D 最重要的生成来源是阳光照射，因此必须牢记在封锁大流行过程中应支持维生素 D。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.