Vitamin D Deficiency and Associated Factors in Adult Females of Chattogram

Shaheda S. Ahmed, M. J. Uddin, N. Tasnim
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Abstract

Background : Vitamin D is an essential nutrient and deficiency of it leads to devastating disorders. This study aimed to find out the associated factors with selected variables of low vitamin D among adult females of Chattogram. Materials and methods : Cross-sectional observational study was conducted from September 2019 to February 2020 at a diagnostic complex of Chattogram. Participants were adult females of Chattogram. All participants gave oral informed consent and answered a questionnaire that included 16 questions covering demographic information, monthly income, educational status, occupation, body weight, duration of sun exposure, dress pattern (Using hijab or burkha, regular dress-up) drug and disease history. Blood samples were collected by cautious aseptic procedure. Serum vitamin D levels were measured by using immunoassay method. Adult females of Chattogram with no religious restrictions, n= 150,aged 31 to 70 years. Results: Overall, 88% had low vitamin D levels with deficient 60.66% and insufficient 27.34%. Sufficient level of vitamin D was found only among 12%. The prevalence of vitamin D deficiency was much higher in females with house-wife status 73.33% (p value of 0.0001) wearing hijab 46.66% (p value of 0.001). It could be due to interference with UVB radiation into skin, short duration of sun exposure, use of sunblock cream or less supplementary intake. Conclusion : Vitamin D deficiency is an emerging but neglected health issue in modern time, particularly more vulnerable are female population. Ironically, abundant sunlight of Bangladesh seems failed to protect the self-imposed concrete prisoner, classically known as home-makers, and practitioner of indoor life style that leads to avoidance of sun light. However, large sample size is mandatory to boost-up the findings of current study. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 74-78
成年女性的维生素D缺乏及其相关因素
背景:维生素D是一种必需营养素,缺乏它会导致毁灭性的疾病。本研究旨在探讨Chattogram成年女性维生素D水平低的相关因素。材料与方法:于2019年9月至2020年2月在Chattogram诊断综合体进行横断面观察研究。参与者为Chattogram的成年女性。所有参与者口头表示知情同意,并回答了一份调查问卷,其中包括16个问题,涵盖人口统计信息、月收入、教育状况、职业、体重、日晒时间、着装方式(使用头巾或罩袍、定期打扮)、药物和病史。血样采用谨慎的无菌程序采集。采用免疫分析法测定血清维生素D水平。Chattogram无宗教限制的成年女性,n= 150,年龄31 ~ 70岁。结果:总体而言,88%的人维生素D水平低,缺乏60.66%,不足27.34%。只有12%的人体内有足够的维生素D。家庭主妇(73.33%,p值为0.0001)和佩戴头巾(46.66%,p值为0.001)的女性维生素D缺乏症患病率较高。这可能是由于紫外线对皮肤的干扰,短时间的阳光照射,使用防晒霜或补充摄入较少。结论:维生素D缺乏症是一个新出现但被忽视的健康问题,尤其是女性人群。具有讽刺意味的是,孟加拉国充足的阳光似乎未能保护自我强加的混凝土囚犯,传统上被称为家庭主妇,以及室内生活方式的实践者,导致避免阳光。然而,为了加强目前的研究结果,大样本是必要的。上海医科大学医学院;期(2);2021年7月;页74 - 78
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