COVID-19 大流行对韩国儿童血清维生素 D 浓度的影响。

IF 2.8 Q3 ENDOCRINOLOGY & METABOLISM
Jinjoo Choi, Yunsoo Choe, Kyeongmi Lee, Nayoung Kim, Seung Yang
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引用次数: 0

摘要

目的:2019 年冠状病毒病在韩国引发的社会疏远政策和学校关闭引起了人们对儿童和青少年接触阳光机会减少的担忧。本研究调查了大流行后儿童和青少年维生素 D 状态的变化:这项回顾性研究包括在2019年冠状病毒病(COVID-19)前和COVID-19后大流行期间到首尔汉阳大学医院或古里医院就诊的3-18岁健康儿童。2017 年 8 月至 2019 年 7 月被定义为前 COVID-19 大流行期间,而 2020 年 7 月至 2021 年 7 月被定义为后 COVID-19 或 "大流行期间"。根据受试者的年龄、性别、采血季节和体重指数 Z 值,采用倾向分数将流行前组和流行中组进行 1:1 匹配,以比较受试者的维生素 D 状态:在 786 名符合条件的儿童中,有 506 人采用倾向评分法进行了匹配。大流行前组和大流行组的平均血清 25- 羟维生素 D (25(OH) D) 水平(20.1±6.5 ng/mL vs. 19.9±6.3 ng/mL,P>0.05)或维生素 D 缺乏率(53.0% vs. 54.9%,P>0.05)无明显差异。季节性分析显示,大流行期间冬春季节的平均血清 25(OH)D 水平低于大流行前冬春季节的水平(19.1±3.8 ng/mL vs. 17.2±3.7 ng/mL,P=0.006):COVID-19大流行期间,韩国儿童和青少年的血清25(OH)D水平和维生素D状况与大流行前相似,仅在冬春季节观察到这些指标显著下降。在大流行等情况下,长时间的封闭环境凸显了警惕性监测维生素 D 状态和补充维生素 D 的必要性,尤其是在高风险季节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of the COVID-19 pandemic on serum vitamin D concentration in Korean children.

Purpose: Social distancing policies and school closures in South Korea induced by coronavirus disease 2019 have raised concerns about a lower chance of exposure to sunlight in children and adolescents. This study investigates changes in the vitamin D status of children and adolescents following the pandemic.

Methods: This retrospective study includes healthy children aged 3-18 years who visited Hanyang University Hospitals in Seoul or Guri during pre-coronavirus disease 2019 (COVID-19) and post-COVID-19 pandemic periods. August 2017 to July 2019 is defined as the pre-COVID-19 pandemic period, while the period from July 2020 to July 2021 is defined as post-COVID-19 or "during the pandemic." Propensity scores were used to match the prepandemic and pandemic groups 1:1 based on age, sex, season of blood collection, and body mass index z-score to compare vitamin D status among subjects.

Results: Among 786 eligible children, 506 were matched using propensity scores. There were no significant differences in mean serum 25-hydroxyvitamin D (25(OH) D) levels (20.1±6.5 ng/mL vs. 19.9±6.3 ng/mL, P>0.05) or vitamin D deficiency rates (53.0% vs. 54.9%, P>0.05) between the prepandemic and pandemic groups. Seasonal analysis revealed lower mean serum 25(OH)D levels during the pandemic in winter/spring seasons in comparison to these levels in subjects in prepandemic winter/spring seasons (19.1±3.8 ng/mL vs. 17.2±3.7 ng/mL, P=0.006).

Conclusion: During the COVID-19 pandemic, Korean children and adolescents showed similar serum 25(OH)D levels and vitamin D status to the prepandemic period, with a significant decrease in these measures observed in winter/spring seasons only. Prolonged confinement, such as in pandemic circumstances, underscores the need for vigilant monitoring of vitamin D status and supplementation, particularly in high-risk seasons.

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来源期刊
CiteScore
4.00
自引率
18.20%
发文量
59
审稿时长
24 weeks
期刊介绍: The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.
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