Vitamin D levels in Children with Gastrointestinal System Disorders

Year 2019, Volume: 11 Issue: 4, 542 - 547, 01.12.2019

Halil Kocamaz

https://doi.org/10.21601/ortadogutipdergisi.474979

Cited By: 1

Abstract

Vitamin D deficiency is common in gastrointestinal system disorders for various reasons. We aimed to evaluate Vitamin D levels of children who suffer from gastrointestinal system disorders and to identify disease which leads to Vitamin D deficiency commonly. The data and files of children on follow-up at least for 3 months on pediatric gastroenterology outpatient clinic were retrospectively screened between March 2015 and December 2016. Totally 294 patients were included to the study. 138 (47%) were male and 156 (53%) were female of patients. Mean age of patients was 80.04 ± 65.24 (1-225) months. Thirty one (10%) patients had Vitamin D deficiency (<12 ng/ml) and 57 (20%) patients had Vitamin D insufficiency (12-20 ng/ml). Vitamin D deficiency and insufficiency was mostly found in winter season (18% and 29% respectively) and was mostly seen in children with Inflammatory bowel disease, Gastroesophageal reflux disease and Celiac disease. According to the age groups vitamin D deficiency was lower in adolescent age group. In conclusion we emphasized that it would be logical to determine vitamin D levels in adolescent patients and for children with Inflammatory bowel disease, celiac disease and gastroesophageal reflux disease in pediatric gastroenterology outpatient clinic.

Keywords

child, gastroenterology, vitamin D

Çocukluk çağı gastrointestinal sistem hastalıklarında D vitamini düzeyleri

Abstract

Gastrointestinal sistem hastalıklarında D vitamini eksikliğine farklı nedenlerle sık rastlanmaktadır. Bu çalışmanın amacı gastrointestinal sistemi ilgilendiren hastalıkları olan çocukların D vitamini düzeylerini incelemek ve D vitamini izlemi gerektiren hastalık gruplarını belirlemektir. Mart 2015–Aralık 2016 tarihlerinde Çocuk Gastroenterolojisi polikliniğinde en az 3 aydır izlenen ve D vitamini düzeyi belirlenen hastaların dosyaları retrospektif olarak incelendi.  Çalışmaya toplam 294 hasta dâhil edildi. Hastaların 138’i (%47) erkek, 156’sı (%53) kız idi. Hastaların ortalama yaşı 80,04 ± 65,24 (1-225) ay idi. Otuz bir hastada (%10) D vitamini eksikliği (<12 ng/ml) ve 57 hastada (%20) D vitamini yetersizliği (12-20 ng/ml) tespit edildi. D vitamini eksikliği ve yetersizliği en fazla kış mevsiminde (sırasıyla %18 ve %29) yapılan analizlerde tespit edildi. D vitamini eksikliği ve yetersizliği en sık inflamatuvar bağırsak hastalığı, Gastroözofageal reflü hastalığı ve Çölyak hastalığı olan hastalarda tespit edildi. Yaş gruplarına göre en düşük D vitamini düzeyleri adolesan yaştaki hastalarda izlendi. Sonuç olarak çocuk gastroenterolojisi polikliniğinde adolesan yaştaki hastalar ile inflamatuvar bağırsak, çölyak ve gastroözofageal reflü hastalığı olan çocukların D vitamini eksikliği açısından izlenmesinin yararlı olacağı kanısına varıldı.

Keywords

çocuk, gastroenteroloji, vitamin D

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