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Vitamin D deficiency and its associated risk factors in children and adolescents in southern Iran

Bibliographic Data

ID15097683
AuthorsForough Saki (0000-0003-1900-5242, Shiraz University of Medical Sciences, corresponding author), Mohammad Hossein Dabbaghmanesh (0000-0002-4877-0376, Shiraz University of Medical Sciences), Gholamhossein Ranjbar Omrani (0000-0003-2224-7250, Shiraz University of Medical Sciences), Marzieh Bakhshayeshkaram (0000-0001-6961-6311, Shiraz University of Medical Sciences)
Year2017
Volume20
Issue10
Pages1851-1856
Publication date2017-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015001925
PMID26051113
OpenAlexW1904797825
LanguageEN
Citations received3
References cited40

Objectives To evaluate prevalence of vitamin D deficiency and its associated factors in southern Iranian children. Design Cross-sectional study. Anthropometric and pubertal characteristics were assessed by a trained physician. Physical activity and sun exposure were evaluated using standard questionnaires. Body composition measurements were performed using dual-energy X-ray absorptiometry. Serum Ca, P alkaline phosphatase and 25-hydroxyvitamin D (25(OH)D) were assessed in all children. Statistical analysis was done using the statistical software package IBM SPSS Statistics 18·0. Subjects Iranian children ( n 477) aged 9–18 years. Setting Fars Province, Iran, 2011. Results Of the children, 81·3 % were 25(OH)D deficient. There was no significant difference in 25(OH)D concentration between boys and girls ( P =0·3). 25(OH)D concentration was associated with BMI ( r =−0·1, P =0·02), pubertal status ( r =−0·08, P =0·04) and sun exposure ( r =0·10, P =0·04). Fat mass index was associated with 25(OH)D concentration ( r =−0·13, P =0·03), but not lean mass index ( P =0·86). In multiple regression analysis with adjustment for confounding factors, age and puberty were found to be independently associated with 25(OH)D concentration ( P =0·008 and P =0·006); there was a significant correlation between exercise and 25(OH)D concentration after adjustment for either BMI ( P =0·01) or fat mass index ( P =0·02). Conclusions 25(OH)D deficiency is highly prevalent among children in the south of Iran. It is related to insufficient sun exposure, low physical activity, advancing age and pubertal stage. Measures should be taken to improve the health of southern Iranian children in this critical age group by preventing 25(OH)D deficiency

Anthropometry · Body mass index · Confounding · Vitamin D and neurology · vitamin D deficiency · Body Composition Measurement Techniques · Bone health and osteoporosis research · Demography · Medicine · Vitamin D Research Studies · Internal Medicine

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Unique citing works3
Citations per year0,33
Citation span2017 - 2018 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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