ASSOCIATION OF VITAMIN D LEVEL WITH AGE, GENDER, LIVING PLACE AND SEASON OF THE YEAR IN CHILDREN AND ADOLESCENTS

Öz

The aim of the present study was to evaluate the association of 25(OH)D vitamin level with season of the year, age, gender and living place in children and adolescents of 0-17 years of age. Children and adolescents who were screened retrospectively from the hospital automation system between September 2016 and September 2017 were evaluated according to region, age, gender and 25 (OH) vitamin D levels. Average age of 5.356 individuals was 8.21±5.48, average 25(OH)D vitamin level was 20.54±13.04 ng/ml. Only 19.7% of all participants (n= 1056) had sufficient level of vitamin D. 25(OH)D vitamin levels of people living in urban and rural areas were similar (p=0.673). Girls had significantly lower 25(OH)D vitamin levels compared to boys (18.5±13.07 and 23.03±12.58 ng/ml, respectively, p<0.001). In terms of age groups, the highest 25(OH)D vitamin levels were observed in 1-6 years of age group (26.97±14.34 ng/ml) while 7-17 years of age group had the lowest level (15.77±9.19 ng/ml) (p<0.001). The highest 25(OH)D vitamin levels were observed in summer season (25.62±14 ng/ml) and the lowest in winter (16.95±11.76 ng/ml) (p<0.001). Vitamin D level was associated with age, gender and season of the years. Health professionals should consider vitamin D deficiency in children and adolescents of 0-17 years of age, a period significant for the development of skeletal system. Vitamin D supplements should be taken in all seasons, and vitamin D deficiency and associated health problems should be eliminated early.

Anahtar Kelimeler

• Age
• Gender
• Living place
• Season of the year
• Vitamin D

ÇOCUK VE ERGENLERDE D VİTAMİNİ DÜZEYİNİN YAŞ, CİNSİYET, YERLEŞİM YERİ VE MEVSİM İLE İLİŞKİSİ

Öz

Çalışmanın amacı 0-17 yaş arası çocuk ve ergenlerde 25(OH)D vitamini seviyesinin mevsim, yaş, cinsiyet ve yerleşim yeri ile ilişkisinin değerlendirilmesidir. Eylül 2016-Eylül 2017 tarihleri arasında hastane otomasyon sisteminden retrospektif olarak taranan çocuklar ve ergenler bölge, yaş, cinsiyet ve 25 (OH) D vitamini düzeyine göre değerlendirildi. Çalışmada yaş ortalaması 8.21±5.48; 25(OH)D vitamini ortalaması 20.54±13.04 ng/ml olarak bulundu. Çalışmaya dahil edilen 5356 çocuk ve ergenin yalnızca %19.7’sinin (n=1056) D vitamini düzeyi yeterli olarak tespit edildi. 25(OH)D vitamini düzeyi ortalaması kırsal ve kentsel alanda yaşayanlarda benzer bulundu (p=0.673). Kızların 25(OH)D vitamini düzeyi ortalaması erkeklere göre anlamlı şekilde daha düşüktü (sırasıyla 18.5±13.07 ng/ml - 23.03±12.58 ng/ml) (p<0.001). Yaş gruplarına göre 25(OH)D vitamini düzeyi ortalaması en yüksek 1- 6 yaş grubunda görülürken (26.97±14.34 ng/ml), en düşük 7-17 yaş grubunda saptandı (15.77±9.19 ng/ml) (p<0.001). 25(OH)D vitamin düzeyi ortalaması en yüksek yaz mevsiminde (25.62±14 ng/ml) iken en düşük kış mevsiminde (16.95±11.76 ng/ml) tespit edildi (p<0.001). D vitamini düzeyi yaş, cinsiyet ve mevsim ile ilişkili bulundu. Sağlık profesyonelleri iskelet sistemi gelişimi için önemli bir dönemde olan çocuk ve ergenlerde D vitamini eksiliği sıklığını göz önünde bulundurmalıdır. Tüm mevsimlerde D vitamini desteği planlanarak, D vitamini eksikliğinin ve bunun getirdiği sağlık sorunlarının erkenden önüne geçilmelidir.

Anahtar Kelimeler

• Cinsiyet
• D vitamini
• Mevsim
• Yaş
• Yerleşim Yeri

Kaynakça

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