年轻运动员维生素d充足率的评估

Q4 Medicine

Pediatriya - Zhurnal im G.N. Speranskogo Pub Date : 2023-10-13 DOI:10.24110/0031-403x-2023-102-5-216-221

S.A. Stolyarova, P.L. Okorokov, I.V. Zyabkin, E.P. Isaeva

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引用次数: 0

摘要

对于年轻运动员来说，最佳的维生素D补充对于正常的生长发育过程、骨骼形成、预防应力性骨折、改善受伤后的恢复和体力消耗是必要的。目前，俄罗斯儿童和青少年中维生素D缺乏症的发病率很高。关于年轻运动员维生素D代谢紊乱患病率的研究数量不足。这项研究的目的是评估年轻运动员体内维生素D的可用性。方法:采用横断面、单中心研究，纳入2022年3 - 7月体检的24种运动项目青年运动员。采用化学发光法测定所有运动员血清25(OH)D3含量。结果:527名10 ~ 17岁11月龄青少年运动员(男254名(48.2%)/女273名(51.8%))，平均15.2名[14.2;16.5] y/o)。226名(42.9%)运动员缺乏维生素D (25(OH)D3 <20 ng/ml)，其中5名(2%)运动员严重缺乏维生素D (25(OH)D3 <10 ng/ml)。219例(41.6%)被诊断为维生素D不足，82例(15.5%)被诊断为25(OH)D3的最佳水平(30 ng/ml)。在维生素D不足(p=0.561)和缺乏(p=0.673)的发生频率上，性别差异无统计学意义。结论:年轻运动员维生素D利用率极低。对年轻运动员维生素D缺乏症的患病率和纠正方法进行进一步的研究是必要的，以便开始建议优化和预防和治疗方法，以纠正高性能青年运动中的维生素D水平。

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ASSESSMENT OF VITAMIN D SUFFICIENCY IN YOUNG ATHLETES

Optimal vitamin D supplementation is necessary for the normal course of growth and develop-ment processes, bone formation, prevention of stress fractures, improvement of recovery after injuries and physical exertion in young athletes. There is a high prevalence of vitamin D deficien-cy in children and adolescents in Russia currently. The number of studies on the prevalence of vitamin D metabolic disorders in young athletes is insufficient. The purpose of this research was to assess the vitamin D availability in young athletes. Methods used: cross-sectional, single-center study included young athletes from 24 kinds of sports who underwent medical examination in March to July, 2022. Serum 25-hydroxycalciferol (25(OH)D3) was measured in all athletes using the chemiluminescence analysis. Results: 527 young athletes (254 (48.2%) boys/273 (51.8%) girls) aged 10 to 17 years and 11 months old (average 15.2 [14.2; 16.5] y/o) were examined. Vit-amin D deficiency (25(OH)D3 <20 ng/ml) was detected in 226 (42.9%) athletes, of which severe deficiency (25(OH)D3 <10 ng/ml) was in 5 (2%). Vitamin D insufficiency was diagnosed in 219 (41.6%), and the optimal level of 25(OH)D3 (>30 ng/ml) was detected only in 82 (15.5%). There were no statistically significant gender differences in the frequency of occurrence of vitamin D insufficiency (p=0.561) and deficiency (p=0.673). Conclusion: extremely low vitamin D availa-bility in young athletes was revealed. Conducting further research on the prevalence of vitamin D deficiency and ways to correct it in young athletes is necessary to start working on recommended optimizing and preventive and therapeutic approaches to correcting of the vitamin D levels in high-performance youth sports.

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来源期刊

Pediatriya - Zhurnal im G.N. Speranskogo Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

150

期刊介绍： Journal “Pediatria” named after G.N. Speransky (the official short names of the Journal are “Journal «Pediatria»,” “Pediatria,” and “«Pediatria,» the Journal”) is the oldest Soviet-and-Russian (in the Russian Federation, the CIS and former Soviet Union) scientific and practical medical periodical assigned for pediatricians that is published continuously since May, 1922, and distributed worldwide. Our mission statement specifies that we aim to the ‘raising the level of skills and education of pediatricians, organizers of children’s health protection services, medicine scientists, lecturers and students of medical institutes for higher education, universities and colleges worldwide with an emphasis on Russian-speaking audience and specific, topical problems of children’s healthcare in Russia, the CIS, Baltic States and former Soviet Union Countries and their determination with the use of the World’s best practices in pediatrics.’ As part of this objective, the Editorial of the Journal «Pediatria» named after G.N. Speransky itself adopts a neutral position on issues treated within the Journal. The Journal serves to further academic discussions of topics, irrespective of their nature - whether religious, racial-, gender-based, environmental, ethical, political or other potentially or topically contentious subjects. The Journal is registered with the ISSN, - the international identifier for serials and other continuing resources, in the electronic and print world: ISSN 0031-403X (Print), and ISSN 1990-2182 (Online). The Journal was founded by the Academician, Dr. Georgiy Nestorovich SPERANSKY, in May, 1922. Now (since 1973) the Journal bears his honorary name.