[Low intake and deficiency of vitamin D in Mexican adolescents with obesity].

Alva Belen Morales-Villar, Jorge Maldonado-Hernández, Mildred Corina de la Concha-Duarte, Mardia Guadalupe López-Alarcón, María de Los Ángeles González-Atilano, María Elena Rodríguez-Palacios, Israel Domínguez-Calderón, Laura Rojas-Peña
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Abstract

Background: Vitamin D (VD) deficiency and childhood obesity are a public health problem in Mexico. Both are related to the development of various chronic diseases. It is important to describe and identify the main risk factors involved in VD deficiency in this population.

Objective: To describe VD intake in obese Mexican adolescents and evaluate its association with serum 25(OH)D concentrations.

Material and methods: A cross-sectional study was performed in 80 obese adolescents from Mexico City. Sociodemographic, anthropometric, dietary intake, sun exposure, and physical activity data were collected. A blood sample was taken to determine serum 25(OH)D concentrations.

Results: VD deficiency and insufficiency occurred in 30% and 42.2% of adolescents. The median VD intake was 110.4 IU/day and the mean sun exposure score was 13 ± 7.5. Serum 25(OH)D levels were correlated with vitamin D intake (p = 0.010). Concentrations of 25(OH)D in serum were similar when compared between sex, sunscreen use, season, and skin type (p > 0.05).

Conclusions: VD deficiency in adolescents with obesity is high. In contrast with its dietary intake and degree of sun exposure which are considerably low. A significant association was observed between dietary VD intake and serum 25(OH)D concentrations.

[墨西哥肥胖青少年维生素D摄入量低和缺乏]。
背景:维生素D (VD)缺乏和儿童肥胖是墨西哥的公共卫生问题。两者都与各种慢性疾病的发展有关。描述和确定这一人群中VD缺乏的主要危险因素是很重要的。目的:描述肥胖墨西哥青少年的VD摄入量,并评估其与血清25(OH)D浓度的关系。材料和方法:对来自墨西哥城的80名肥胖青少年进行了横断面研究。收集了社会人口学、人体测量学、饮食摄入、阳光照射和身体活动数据。取血样测定血清25(OH)D浓度。结果:青少年VD缺乏和功能不全发生率分别为30%和42.2%。中位VD摄入量为110.4 IU/天,平均日晒评分为13±7.5。血清25(OH)D水平与维生素D摄入量相关(p = 0.010)。血清中25(OH)D的浓度在性别、防晒霜使用、季节和皮肤类型之间比较相似(p < 0.05)。结论:肥胖青少年VD缺乏症较高。相比之下,它的饮食摄入量和阳光照射程度都相当低。饲粮VD摄入量与血清25(OH)D浓度之间存在显著相关性。
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