Vitamin D Deficiency in Nursing Home Residents Underdiagnosed

2006 ◽  
Vol 39 (8) ◽  
pp. 27
Author(s):  
DOUG BRUNK
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Vitamin D Deficiency ◽  
Nursing Home Residents

Vitamin D Status of Adults in the Community, in Outpatient Clinics, in Hospital, and in Nursing Homes in the West of Ireland

2020 ◽  
Vol 75 (12) ◽  
pp. 2418-2425 ◽  
Author(s):  
Tomás Patrick Griffin ◽  
Deirdre Wall ◽  
Liam Blake ◽  
Damian Gerard Griffin ◽  
Stephaine M Robinson ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Nursing Homes ◽  
Hospital Stay ◽  
Vitamin D Deficiency ◽  
Nursing Home Residents ◽  
Outpatient Clinics ◽  
Vitamin D Status ◽  
The West ◽  
West Of Ireland

Abstract Background Approximately 1 billion people worldwide have Vitamin D deficiency. The aim of this study was to compare Vitamin D status and serum 25-hydroxyvitamin D (25(OH)D) concentrations among adults sampled in the community, in outpatient clinics, as hospital inpatients and in nursing homes in the West of Ireland. The secondary aim was to determine the associations between length of hospital stay (inpatients) at the time of serum 25(OH)D sampling and Vitamin D status. Methods A cross-sectional study was carried out. Patients who had serum 25(OH)D analysis carried out in Galway University Hospitals (January 2011–December 2015) were identified following interrogation of the electronic laboratory data system. Baseline demographics, location, and date of sample collection were recorded. Vitamin D deficiency was defined as a serum 25(OH)D concentration <25 nmol/L. Results In total, 24,302 patient samples were eligible for inclusion: community 15,319; outpatient clinics 6,371; inpatients 2,339; and nursing home residents 273. Vitamin D deficiency was more common in nursing home residents than inpatients, or those sampled in outpatient clinics or in the community (42% vs 37% vs 17% vs 13%; p < .001). Inpatients sampled further into their hospital stay (≥3 days) had greater Vitamin D deficiency than inpatients sampled on 0–2 days (p = .007). Season (p < .001), sex (p < .001), and age (p < .001) were associated with 25(OH)D concentrations. Vitamin D deficiency was more common in Winter/Spring, in males, and in those aged ≥80 years. Conclusions Nursing home residents and inpatients are at the highest risk for Vitamin D deficiency. Season, sex, age, and day of hospital stay on which serum 25(OH)D concentrations were sampled were associated with Vitamin D status.

scholarly journals Association Between Depressive Symptoms and Vitamin D Deficiency in Recently Admitted Nursing Home Residents

2016 ◽  
Vol 64 (4) ◽  
pp. 893-895 ◽  
Author(s):  
Gotaro Kojima ◽  
Marianne Tanabe ◽  
Kamal Masaki ◽  
Geroge W. Ross ◽  
Anna Tamai ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Depressive Symptoms ◽  
Vitamin D Deficiency ◽  
Nursing Home Residents

Prevalence of Vitamin D Deficiency and Association with Functional Status in Newly Admitted Male Veteran Nursing Home Residents

2013 ◽  
Vol 61 (11) ◽  
pp. 1953-1957 ◽  
Author(s):  
Gotaro Kojima ◽  
Anna Tamai ◽  
Kamal Masaki ◽  
Gregory Gatchell ◽  
James Epure ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Functional Status ◽  
Vitamin D Deficiency ◽  
Nursing Home Residents ◽  
Male Veteran

scholarly journals Differences in the prevalence of vitamin D deficiency and hip fractures in nursing home residents and independently living elderly

2016 ◽  
Vol 60 (3) ◽  
pp. 217-222 ◽  
Author(s):  
Alexander Shinkov ◽  
Anna-Maria Borissova ◽  
Lilia Dakovska ◽  
Jordan Vlahov ◽  
Lidia Kassabova ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Vitamin D Deficiency ◽  
Hip Fractures ◽  
Nursing Home Residents

scholarly journals SEVERE VITAMIN D DEFICIENCY, FUNCTIONAL IMPAIRMENT AND MORTALITY IN ELDERLY NURSING HOME RESIDENTS

2014 ◽  
pp. 1-5
Author(s):  
V. Centeno Peláez ◽  
L. Ausín ◽  
M. Ruiz Mambrilla ◽  
M. Gonzalez-Sagrado ◽  
J.L. Pérez Castrillón
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Vitamin D Deficiency ◽  
Functional Impairment ◽  
Nursing Home Residents ◽  
Lower Extremity Function ◽  
Hydroxyvitamin D ◽  
Severe Vitamin ◽  
Cardiovascular Morbidity And Mortality ◽  
Clinical Fractures

Background: Vitamin D deficiency is independently associated with functional impairment in elderly patients and is an independent risk factor for mortality. Objective: To assess the influence of severe vitamin D deficiency on the functional status, falls, fractures, cardiovascular morbidity and mortality and all-cause mortality in elderly nursing home residents. Design: Non-interventional, prospective, observational study. Setting: Nursing home. Participants: Non-dependent elderly. Measurements: Urea, creatinine, cholesterol, triglycerides, calcium, phosphorus, 25-OH vitamin D, parathyroid hormone (PTH), and cystatin C were determined in blood and microalbuminuria in urine. All patients were administered the Katz Index of Independence in Activities of Daily Living (Katz ADL), the Tinetti Balance and Gait Evaluation, lower extremity function tests and the Mini-Mental State Examination. Patients were divided in two groups: those with 25-hydroxyvitamin D <12.48 nmol/l (severe vitamin D deficiency) and those with 25-hydroxyvitamin D ≥ 12.48 nmol/l. Falls, clinical fractures, and cardiovascular morbidity and mortality and all-cause mortality were recorded during the 20-month follow up. Results: Patients with severe vitamin D deficiency were older (87 ± 7 vs. 83 ± 7 yrs., p = 0.025) and more often female (96% vs 4%, p = 0.028) and had lower levels and calcium and albumin and higher levels of PTH, a higher frequency of heart disease (p = 0.02), and worse lower extremity function: Tinetti gait (10 ± 2.39 vs 11.21 ± 1.44, p = 0.034), Tinetti balance (1.83 ± 1.11 vs 2.5 ± 1.19, p = 0.011). These patients had a non-significant higher number of falls and clinical fractures, and significantly greater mortality (29% vs 2%, p = 0.01). Conclusions: Non-dependent elderly nursing home residents with severe vitamin D deficiency have greater mortality, functional impairment of the lower extremities and a trend to a greater number of falls and clinical fractures.

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