患有各种疾病的儿童和成人血清维生素D水平的季节变化

Q3 Medicine
N. D. Odinaeva, E. Kondratyeva, E. Loshkova, I. Osmanov, A. Khavkin, I. Zakharova, Yu. F. Shubina, E. Pasnova, Yu.B. Ponomarenko
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引用次数: 1

摘要

目标。考虑季节和年龄,评估莫斯科和莫斯科地区不同疾病患者血清25(OH)D水平。患者和方法。进行了横断面无控制诊断试验。共有10707人,其中女性8441人(78.8%),男性2266人(21.2%);儿童占15%(1501名儿童),成人占85%(9206人);成人平均年龄49.86±21.92岁,儿童平均年龄- 13.45±11.76岁。结果。肿瘤患者中25(OH)D严重缺乏症的发生率最高(48.9%);患有肌肉骨骼系统和结缔组织疾病的患者中有16.9%患有严重的25(OH)D缺乏症,患有泌尿生殖系统疾病的患者中有19.6%患有消化系统疾病的患者中有19.0%患有围产期疾病的患者中有15.7%患有血液和造血器官疾病的患者中有22.3%患有严重的25(OH)D缺乏症,这比患有其他类型疾病的患者的发病率高2-3倍。接受预防性检查的个体严重25(OH)D缺乏症的患病率最低(1.4%)。对于慢性进行性自身免疫性炎症(1型糖尿病(DM)、类风湿性关节炎(RA))、肿瘤以及各种发病机制疾病的并发症,如慢性肾病(CKD),全年都观察到维生素D缺乏症,这与白昼时间的增加无关。患有围产期疾病和早产的儿童在出生后立即出现25(OH)D水平低和严重缺乏。结论。维生素D缺乏症患病率为82.9%;血清25(OH)D水平在冬季和春季最低。严重的全年血清25(OH)D缺乏症在自身免疫性疾病和慢性肾脏疾病患者中被发现。关键词:成人,维生素D,炎症,25(OH)D,儿童,缺乏,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。
Seasonal variations in serum vitamin D levels in children and adults with various diseases
Objective. To assess serum 25(OH)D levels in patients with various diseases living in Moscow and the Moscow region, considering the season of the year and age. Patients and methods. A cross-sectional uncontrolled diagnostic trial was performed. It included 10.707 people: 8,441 (78.8%) women and 2,266 (21.2%) men; children accounted for 15% (1,501 children) and adults – for 85% (9,206 people); the mean age of adults was 49.86 ± 21.92 years and that of children – 13.45 ± 11.76 years. Results. The maximum prevalence of severe 25(OH)D deficiency was revealed among patients with neoplasms (48.9%); patients with diseases of the musculoskeletal system and connective tissue had severe 25(OH)D deficiency in 16.9% of cases, with urogenital diseases – in 19.6% of cases, with digestive diseases – in 19.0% of cases, with perinatal diseases – in 15.7% of cases, with diseases of blood and hematopoietic organs – in 22.3% of cases, which proved to be 2-3 times more frequent compared to individuals with diseases of other classes. Individuals who underwent preventive examination had the lowest prevalence (1.4%) of severe 25(OH)D deficiency. In case of diseases with chronic progressive autoimmune inflammation (type 1 diabetes mellitus (DM), rheumatoid arthritis (RA)), neoplasms, as well as in complications of diseases of various pathogenesis, such as chronic kidney disease (CKD), vitamin D deficiency was observed throughout the year, which did not correspond to increasing daylight hours. Children with perinatal diseases and born preterm had low levels and severe deficiency of 25(OH)D, which occurred immediately after birth. Conclusion. The prevalence of vitamin D deficiency was 82.9%; the lowest serum 25(OH)D levels were recorded in winter and spring. Severe year-round serum 25(OH)D deficiency was revealed in patients with autoimmune diseases and chronic kidney disease. Key words: adults, vitamin D, inflammation, 25(OH)D, children, deficiency, seasons of the year
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来源期刊
Voprosy Detskoi Dietologii
Voprosy Detskoi Dietologii Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.20
自引率
0.00%
发文量
17
期刊介绍: The scientific journal Voprosy Detskoi Dietologii is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Food Science, Pediatrics, Perinatology, and Child Health, Nutrition and Dietetics, Клиническая медицина.
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