Osmangazi Tıp Dergisi

1305-4953 2587-1579

Eskişehir Osmangazi Üniversitesi

10.20515/otd.52389

Health Care Administration

Sağlık Kurumları Yönetimi

Güneydoğu Bölgesinde Erişkinlerde D Vitamini Eksikliği/Vitamin D Deficiency In Adult Residents of Southern Turkey

Taşkıran

Bengür

Eskişehir Yunus Emre Devlet Hastanesi, Endokrinoloji ve Metabolizma Hastalıkları Kliniği Cansu

Güven Barış

Eskişehir Yunus Emre Devlet Hastanesi, Endokrinoloji ve Metabolizma Hastalıkları Kliniği

01 07 2017

39 1 13 20 05 27 2016 08 05 2016

2013

Osmangazi Tıp Dergisi

Özet: Dvitamini eksikliği gelişmekte olan ülkelerde daha belirgin olmak üzere tümdünyada yaygın bir sağlık sorunudur. D vitamini pek çok fizyolojik süreçtegörev alır. Türkiye’de güneydoğu bölgesinde sıcak ve kuru bir iklime sahipDiyarbakır şehrinde yaşayan kişilerde kış aylarında D vitamini eksikliğiniincelemeyi amaçladık. 215 kadın ve 49 erkek katılımcının geçmiş tıbbi kayıtlarıdeğerlendirildi. Serum 25(OH)D3 düzeyleri elektrokemiluminisans (ECLIA) yöntemi(Elecsys assay on Roche Modular E170 analyzer, Roche Diagnostics, Germany) ileölçüldü. Katılımcıların ortalama yaşı 41 (standart sapma 15 yaş) idi. Kesimdeğeri 20 ng/ml alındığında, D vitamini eksikliği oranı %94 bulundu. D vitaminidüzeyi kadınlarda erkeklere göre daha düşük belirlendi (9.6±5.2 ve 14.6±5.4ng/ml, p=0.0001). Örtünme, vücut kitle indeksi ve gelir düzeyine göre Dvitamini düzeyleri farklı değildi. Ancak sedanter olanlarda D vitamini düzeyiaktif kişilere göre daha düşük idi (9.6±5.2 ve 13.3±5.7 ng/ml, p=0.0001). Dvitamini eksikliği endemik bir sağlık sorunu olmakla birlikte kadın cinsiyet,sedanter yaşam ve düşük gelir grupları riskli gruplardır.AnahtarKelimeler: Dvitamini eksikliği, 25-hidroksi D vitamini, iklim, örtünmeAbstract: VitaminD insufficiency is a widespread public health problem in the world especiallyin developing countries. Vitamin D operates in various physiological processes.We aimed to evaluate deficiency of vitamin D in winter in residents ofDiyarbakır city, which is located at southern region of Turkey.Past medicalrecords of 215 female and 49 male subjects were retrospectively evaluated forvitamin D insufficiency. Serum concentrations of 25(OH)D3 was measured byelectrochemiluminescence immunassay (ECLIA) method (Elecsys assay on RocheModular E170 analyzer, Roche Diagnostics, Germany). The mean age of all subjectswas 41.0 years (SD 15.0). The frequency of vitamin D deficiency using cut-offpoint below 20 ng/ml was 94%. Vitamin D level was lower in women compared tomen (9.6±5.2 vs 14.6±5.4 ng/ml, p=0.0001). Vitamin D level was notsignificantly different regarding veiling, BMI, and monthly income. However,the subjects leading a sedentary lifestyle had significantly lower vitamin Dlevel compared to the active ones (9.6±5.2 vs 13.3±5.7 ng/ml, p=0.0001).Despite the fact that vitamin D is a worldwide endemic health issue, femalegender, sedentary lifestyle, and low income constitute risky groups.Keywords: vitamin D deficiency, 25-hydroxy vitaminD, climate, veiling

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