自愿维生素D测试:台湾地区维生素D使用模式及其对缺乏结果影响的十年研究。

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Hsiao-Yun Yeh, Mei-Lin Shih, Jei-Wen Chang, Liang-Yu Lin, Zih-Kai Kao, Ai-Ru Hsieh, Ping-Hsing Tsai, Jui-To Wang, Yu-Chun Chen
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引用次数: 0

摘要

目的:尽管指南建议对高危人群进行有针对性的维生素D检测,但全球范围内的检测已经增加。有限的研究考察了现实世界的测试模式及其与缺陷结果的关系。本研究探讨台湾成人自愿进行维生素D测试的趋势、人口统计学决定因素和缺乏结果。设计:一项回顾性队列研究,分析电子医疗记录,以评估维生素D检测趋势、缺乏症的人口预测因素以及两年内连续检测后的状态变化。根据血清25-羟基维生素D水平将维生素D状况分类为缺乏(设定:台湾某三级医疗中心)。参与者:2013年至2022年间,13381名门诊患者自愿接受了维生素D测试。排除年龄较大的测试结果:2019年之后测试急剧增加。尽管女性接受了两倍的检查,但男性的缺乏率更高(56.94%对53.01%)。18 ~ 34岁人群患病率最高(67.81%)。妇产专家要求进行的检查最多,尤其是针对女性不孕症的检查,有65.73%的患者存在缺陷。在重复检测的人群中,缺乏症患病率从60%下降到43.25%。结论:自愿维生素D检测的增加与人口差异突出了了解检测行为和公共卫生影响的重要性。在随访中,维生素D水平的提高表明在识别高风险个体方面有潜在的好处,并强调需要进一步的研究来评估结果和指导预防策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Voluntary Vitamin D Testing: A Decade-Long Study of Utilization Patterns and Impact on Deficiency Outcomes in Taiwan.

Objective: Although guidelines recommend targeted vitamin D testing for high-risk populations, testing has increased globally. Limited studies have examined real-world testing patterns and their relationship with deficiency outcomes. This study investigates trends, demographic determinants, and deficiency outcomes associated with voluntary vitamin D testing among Taiwanese adults.

Design: A retrospective cohort study analyzing electronic medical records to assess vitamin D testing trends, demographic predictors of deficiency, and status changes following consecutive tests within two years. Vitamin D status was classified based on serum 25-hydroxyvitamin D levels as deficient (<20 ng/mL), insufficient (20-29.9 ng/mL), or sufficient (≥30 ng/mL).

Setting: A tertiary medical center in Taiwan.

Participants: Between 2013 and 2022, 13,381 outpatients underwent voluntary vitamin D testing. After excluding those aged <18 years, with advanced renal disease, osteomalacia, rickets, or hyperparathyroidism, 8,383 were included in the final analysis.

Results: Testing increased sharply after 2019. Although women underwent twice as many tests, men had a higher deficiency prevalence (56.94% vs. 53.01%). Adults aged 18-34 had the highest prevalence (67.81%). Obstetrics and Gynecology specialists ordered the most tests, particularly for female infertility, with 65.73% of patients deficient. Among those with repeat tests, deficiency prevalence decreased from 60% to 43.25%.

Conclusions: The increase in voluntary vitamin D testing with demographic disparities highlights the importance of understanding testing behaviors and public health implications. Improved vitamin D status at follow-up suggests potential benefits in identifying high-risk individuals and emphasizes the need for further research to evaluate outcomes and guide prevention strategies.

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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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