Hygiene assessment and dietary correction of vitamin D level in residents of the southern region of Ukraine

A. Shanyhin, V. Babienko
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Abstract

For most people, the best way to prevent vitamin D deficiency is to optimize your diet by using foods high in vitamin D. Adding foods high in vitamin D that are available in your area to your diet is a physiological way to prevent vitamin D insufficiency and deficiency. Which in turn, is an effective way to prevent the development of pathological conditions associated with a low level of vitamin D. Objective: To determine the level of prevalence of vitamin-D deficient states among residents of the southern regions of Ukraine. To assess the relationship between deficiency and insufficiency of vitamin D with actual nutrition and to develop recommendations for the prevention of such conditions. Materials and methods. 928 residents of the Southern region of Ukraine, aged from 19 to 82, were examined. The study consisted of two stages: assessment of the diet and determination of the level of 25(OH)D in the blood serum and dietary correction of the diet in patients with vitamin D < 30 ng/ml, by enriching the diet with products with a high content of vitamin D. The results of the study and their discussion: The level of 25(OH)D among the study participants was 4.31 – 89.19 ng/ml. Vitamin D was deficient in 312 patients, insufficient in 290 patients, and sufficient in 326 patients. 114 patients took part in the second stage of the study: The main group (n=63) – correction of vitamin D by enriching the diet with products containing vitamin D equivalent to 4000 IU/day. Control group (n=51) - correction of 25(OH)D level was not carried out. Conclusions. Vitamin-D deficient conditions are common among residents of Southern Ukraine. Correction of the diet due to products with a high content of vitamin D in an equivalent dose of 4000 IU/day is able to ensure a sufficient level of 25(OH)D in the blood serum.
乌克兰南部地区居民维生素D水平的卫生评估和膳食纠正
对大多数人来说,预防维生素D缺乏的最好方法是通过食用富含维生素D的食物来优化你的饮食。在你的饮食中加入你所在地区的富含维生素D的食物是一种防止维生素D不足和缺乏的生理方法。反过来,这是预防与低水平维生素d相关的病理状况发展的有效方法。目的:确定乌克兰南部地区居民中维生素d缺乏症的流行程度。评估维生素D缺乏和不足与实际营养之间的关系,并提出预防此类疾病的建议。材料和方法。对928名年龄在19岁至82岁之间的乌克兰南部地区居民进行了调查。研究分为两个阶段:对饮食进行评估,测定血清中25(OH)D的水平;对维生素D < 30 ng/ml的患者进行饮食矫正,在饮食中添加高含量维生素D的产品。研究结果及其讨论:研究参与者的25(OH)D水平为4.31 ~ 89.19 ng/ml。312例患者维生素D缺乏,290例患者维生素D不足,326例患者维生素D充足。114名患者参加了研究的第二阶段:主要组(n=63) -通过在饮食中添加相当于4000 IU/天的维生素D产品来纠正维生素D。对照组(n=51) -不进行25(OH)D水平校正。结论。维生素d缺乏症在乌克兰南部居民中很常见。由于含有高含量维生素D的产品而纠正饮食,其当量剂量为4000 IU/天,能够确保血清中25(OH)D的足够水平。
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