Evaluation of the Vitamine D Levels of the Patients Who Applied to Meram Medical Faculty Family Medicine Outpatient Clinic
Abstract
Objective:
We aimed; investigate the distribution of vitamine D levels according to gender,
age, months and seasons
who
aged 18 years and over, applied to family medicine outpatient clinic during one
year.
Methods: This
descriptive study was carried out retrospectively by scanning the files of patients
who admitted Meram Medical Faculty Family Medicine outpatient clinic between
01.01.2015-01.01.2016 for any reason and whose vitamine D levels were measured.
Patients were grouped according to age, months and seasons they were taken samples.
SPSS 20.00 package program used the evaluation of data, p<0.05 value was
considered significant.
Results: In
our study, 76.3%(n=546) of the 716 patients were female and 23.7%(n=170) were
male. In patients vitamine
D deficiency was found 76.1%(n=545), insufficiency 12.3%(n=88) and only vitamine
D level was found normal 11.6%(n=83). When the distributions according to genders were examined, it was found
that vitamine D levels in women were statistically significantly lower than
males (p=0.008).
A statistically significant difference was found between
the seasons and vitamin D levels (p=0.006).
The deficit in the autumn was found as 30.1%(n=164) and
lowest level. D vitamine levels were normal in summer (28.9%). There was a
statistically significant difference between vitamin D levels and months (p<0.001).
While the most frequent deficiency was 12.7%(n=69) in December, vitamin D levels were found as 15.7%(n=13) normal range
in July.
Conclusion: In this
study, vitamine D deficiency and insufficiency were detected at a very high
frequency such as
88.4%. In our study, it was seen that the levels of vitamin D were changed
depending on gender, months and seasons.
Keywords
References
- 1. Champe PC, Harvey RA, Ferrier DR. Biyokimya. Çeviri Editörü: Ulukaya E. Lippincott’s Illustrated Reviews Serisinden. 3. Baskı. Nobel Tıp Kitapevleri; 2007.
- 2. Meer IM, Middelkoop BJC, Boeke AJP, et al. Prevalence of vitamin D deficiency among Turkish, Moroccan, Indian and sub-Sahara African populations in Europe and their countries of origin: an overview. Osteoporos Int 2011; 22:1009-21.
- 3. Nanri A, Foo LH, Nakamura K, et al. Serum 25-hydroxyvitamin D concentrations and season-specific correlates in Japanese adults. J Epidemiol. 2011;21(5):346-53.
- 4. WHOQOL Group. The Development of the World Health Organisation quality of life assessment: International perspectives. Heidelberg: Springer Veriag, 1994;41-57.
- 5. Schoor MN, Lips P. Worldwide vitamin D status. Best Practice&Research Clinical Endocrinology&Metabolism 2011; 25:671-80.
- 6. Özkan B, Döneray H. D Vitamininin iskelet sistemi dışı etkileri. Çocuk Sağlığı ve Hastalıkları Dergisi 2011;54:99-119.
- 7. Wacker M, Holick MF. Vitamin D - effects on skeletal and extraskeletal health and the need for supplementation. Nutrients. 2013;5(1):111-48. doi: 10.3390/nu5010111. Review.
- 8. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation Treatment, and Prevention of Vitamin D Deficiency: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2011;96:1911-30.
- 9. Holick MF. Vitamin D: a D-lightful health perspective. Nutr Rev 2008;66:182-94.
- 10. Pearce SHS, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ 2010;340:b5664.
- 11. Mansoor S, Habib A, Ghani F, et al. Prevalence and sig¬nificance of vitamin D deficiency and insufficiency among apparently healthy adults. Clinical Biochemistry 2010; 43:1431-5.
- 12. Uçar F, Taşlıpınar MY, Soydaş AÖ, et al. Ankara Etlik İhtisas Eğitim Araştırma Hastanesi’ne Başvuran Hastalarda 25-OH Vitamin D Düzeyleri. Eur J Basic Med Sci 2012;(2):12-5.
- 13. Telo S, Kaman D, Akgöl G. Elazığ İlinde D Vitamini Düzeylerinin Yaş, Cinsiyet ve Mevsimlere Göre Değişimi. Firat Med J 2017; 22(1): 29-33.
- 14. Brot C, Vestergaard P, Kolthoff N, et al. Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr. 2001;86 Suppl 1:97-103.
- 15. Hill TR, McCarthy D, Jakobsen J, et al. Seasonal changes in vitamin D status and bone turnover in healthy Irish postmenopausal women. Int J Vitam Nutr Res 2007;77:320-325.
- 16. Holick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 2004;80:1678- 1688.
- 17. Valtueña J, González-Gross M, Huybrechts I, et al. Factors Associated with Vitamin D Deficiency in Eu¬ropean Adolescents: The HELENA Study. J Nutr Sci Vitaminol (Tokyo) 2013;59:161-171.
Meram Tıp Fakültesi Hastanesi Aile Hekimliği Polikliniğine Başvuran Hastaların D Vitamini Düzeylerinin Değerlendirilmesi
Abstract
Amaç:
Bu çalışmada bir yıl süresince aile hekimliği polikliniğine başvuran on sekiz
yaş ve üzeri hastaların D vitamini düzeylerinin cinsiyete, yaşa, aylara ve
mevsimlere göre dağılımının incelenmesi amaçlandı.
Gereç
ve Yöntem: Tanımlayıcı tipte olan bu çalışma Necmettin Erbakan
Üniversitesi Meram Tıp Fakültesi Aile Hekimliği polikliniğine
01.01.2015-01.01.2016 tarihleri arasında herhangi bir nedenle başvuran ve D
vitamini düzeyleri ölçülen hastaların dosyaları retrospektif olarak taranarak
yapıldı. Hastalar yaşlarına, örneklerin alındığı aylara ve mevsimlere göre
gruplandırıldı. Verilerin değerlendirilmesinde SPSS 20.00 paket programı
kullanıldı, p<0.05 değeri anlamlı kabul edildi.
Bulgular:
Çalışmamızda yer alan 716 kişinin %76.3’ü (n=546) kadın, %23.7’si (n=170)
erkekti. Hastanemize başvuran hastalarda; %76.1 (n=545) sıklıkta vitamin D
eksikliği ve %12.3 (n=88) D vitamini yetersizliği tespit edilirken, sadece
%11.6 (n=83) hastada D vitamini seviyesi normal olarak bulundu. Cinsiyetlere
göre D vitamini düzeylerinin dağılımları incelendiğinde kadınlarda D vitamini
düzeyleri erkeklere göre istatistiksel olarak anlamlı derecede eksik bulundu (p=0.008). Mevsimler ile D vitamini
düzeyleri arasında istatistiksel olarak anlamlı bir farklılık saptandı (p=0.006). Sonbaharda eksiklik %30.1
(n=164) olup en düşük seviyede idi. D vitamini düzeyleri %28.9 (n=24) sıklıkta
en çok yaz mevsiminde normal idi. Aylara göre D vitamini düzeyleri arasında
istatistiksel olarak anlamlı bir fark vardı (p<0.001). En fazla eksiklik %12.7 (n=69) olarak aralık ayında
görülmekte iken, temmuz ayında D vitamini değerleri %15.7 (n=13) sıklıkta
normal aralıktaydı.
Sonuç: Bu çalışmada %88.4 gibi çok yüksek sıklıkta D vitamini eksiklik ve
yetersizliği tespit edilmiştir. Çalışmamızda D vitamini düzeylerinin cinsiyete,
aylara ve mevsimlere bağlı değiştiği görüldü.
Keywords
References
- 1. Champe PC, Harvey RA, Ferrier DR. Biyokimya. Çeviri Editörü: Ulukaya E. Lippincott’s Illustrated Reviews Serisinden. 3. Baskı. Nobel Tıp Kitapevleri; 2007.
- 2. Meer IM, Middelkoop BJC, Boeke AJP, et al. Prevalence of vitamin D deficiency among Turkish, Moroccan, Indian and sub-Sahara African populations in Europe and their countries of origin: an overview. Osteoporos Int 2011; 22:1009-21.
- 3. Nanri A, Foo LH, Nakamura K, et al. Serum 25-hydroxyvitamin D concentrations and season-specific correlates in Japanese adults. J Epidemiol. 2011;21(5):346-53.
- 4. WHOQOL Group. The Development of the World Health Organisation quality of life assessment: International perspectives. Heidelberg: Springer Veriag, 1994;41-57.
- 5. Schoor MN, Lips P. Worldwide vitamin D status. Best Practice&Research Clinical Endocrinology&Metabolism 2011; 25:671-80.
- 6. Özkan B, Döneray H. D Vitamininin iskelet sistemi dışı etkileri. Çocuk Sağlığı ve Hastalıkları Dergisi 2011;54:99-119.
- 7. Wacker M, Holick MF. Vitamin D - effects on skeletal and extraskeletal health and the need for supplementation. Nutrients. 2013;5(1):111-48. doi: 10.3390/nu5010111. Review.
- 8. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation Treatment, and Prevention of Vitamin D Deficiency: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2011;96:1911-30.
- 9. Holick MF. Vitamin D: a D-lightful health perspective. Nutr Rev 2008;66:182-94.
- 10. Pearce SHS, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ 2010;340:b5664.
- 11. Mansoor S, Habib A, Ghani F, et al. Prevalence and sig¬nificance of vitamin D deficiency and insufficiency among apparently healthy adults. Clinical Biochemistry 2010; 43:1431-5.
- 12. Uçar F, Taşlıpınar MY, Soydaş AÖ, et al. Ankara Etlik İhtisas Eğitim Araştırma Hastanesi’ne Başvuran Hastalarda 25-OH Vitamin D Düzeyleri. Eur J Basic Med Sci 2012;(2):12-5.
- 13. Telo S, Kaman D, Akgöl G. Elazığ İlinde D Vitamini Düzeylerinin Yaş, Cinsiyet ve Mevsimlere Göre Değişimi. Firat Med J 2017; 22(1): 29-33.
- 14. Brot C, Vestergaard P, Kolthoff N, et al. Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr. 2001;86 Suppl 1:97-103.
- 15. Hill TR, McCarthy D, Jakobsen J, et al. Seasonal changes in vitamin D status and bone turnover in healthy Irish postmenopausal women. Int J Vitam Nutr Res 2007;77:320-325.
- 16. Holick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 2004;80:1678- 1688.
- 17. Valtueña J, González-Gross M, Huybrechts I, et al. Factors Associated with Vitamin D Deficiency in Eu¬ropean Adolescents: The HELENA Study. J Nutr Sci Vitaminol (Tokyo) 2013;59:161-171.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 15, 2018 |
| Acceptance Date | May 16, 2018 |
| Published in Issue | Year 2018 Volume: 10 Issue: 2 |
