VITAMIN D LEVELS IN ROUTINE MEDICAL EXAMINATION

Abstract

DOI: 10.26650/IUITFD.391192

Objective: Vitamin D deficiency is a serious public healthcare problem throughout the worldand is related to multiple comorbidities, including osteoporosis, falls, and fractures, particularly in the geriatric population.

Materials and Methods: We retrospectively determined the serum 25 hydroxy (OH) vitamin D levels in 688 patients admitted to Istanbul Medicine Hospital for routine medical examination between 2013 and 2016.

Results: Serum 25 OH vitamin D levels were <20 ng/mL in 72% of subjects (vitamin D deficiency). The 25 OH vitamin D levels in subjects aged >65 years (n=136) were significantly lower than those in the younger cohort (n=552) (16.9±12.5 vs. 15.6±13.9 ng/mL, p<0.05). Women (n=290) had significantly lower levels than men (n=398) (17.2±11.5 vs. 15.9±14.4 ng/mL, p<0.01). A significant difference was observed between age groups in both genders separately.

Conclusion: Vitamin D levels must be monitored widely among the population, especially in elderly women.

Keywords

• Vitamin D deficiency,Routine medical examination,elder women

RUTİN SAĞLIK TARAMASI YAPILAN BİREYLERDE VİTAMİN D DÜZEYLERİ

Abstract

DOI: 10.26650/IUITFD.391192

Amaç: D vitamini eksikliği dünya genelindeki gibi Türkiye’de de önemli halk sağlığı sorunlarındandır ve literatürde özellikle yaşlı popülasyonda osteoporoz, düşme riski ve kırıklar gibi birçok morbidite ile ilişkili olduğunu gösteren veriler mevcuttur.

Gereç ve Yöntem: 2013-2016 yılları arasında rutin sağlık taraması amacıyla Istanbul Medicine Hospital’e başvuran 23-92 yaşları arasında 688 bireyin serum 25-hidroksi (OH) vitamin D düzeyleri retrospektif olarak incelendi.

Bulgular: Olguların %72’sinde vitamin D eksikliği olduğu izlendi (25-OH vitamin D<20 ng/mL). 65 yaş üstü olgularda (n=136) 25-OH Vitamin D düzeyi gençlere göre anlamlı olarak düşük izlendi (n=552) (16,9±12,5 vs. 15,6±13,9 ng/mL, p<0,05). Ayrıca kadın olgularda 25-OH vitamin D düzeyinin erkeklere göre anlamlı olarak düşük olduğu saptandı. (17,2±11,5 vs. 15,9±14,4 ng/mL, p<0,01). Her iki yaş grubu cinsiyetlere göre ayrı ayrı değerlendirildiğinde istatistiksel anlamlılığın devam ettiği görüldü.

Sonuç: 65 yaş üstü kadın olgular başta olmak üzere tüm toplumda vitamin D eksikliği taramaları etkin bir şekilde yapılmalıdır.

Keywords

• D vitamini eksikliği,Rutin sağlık taraması,yaşlı kadın

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