scholarly journals Vitamin D Deficiency among the Children: A Silent Epidemic in a Selected Rural Area of Bangladesh

2021 ◽  
Vol 10 (2) ◽  
pp. 93-98
Author(s):  
Sarker Shamima Ahmed
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Venous Blood ◽  
Research Work ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Enzyme Linked Immunosorbent Assay ◽  
Age Group ◽  
Cross Sectional ◽  
One Year

Background: Vitamin D deficiency is widespread among the children worldwide. Most of the third world countries have the high prevalence of vitamin D deficiency, especially among the children. Unfortunately very less research work has been conducted on this subject and Bangladesh is no exception to this. Vitamin D deficiency among the Bangladeshi children has not been investigated at a level that could bring the phenomenon to the fore of the concerned stakeholders and policy makers. Objective: To assess the prevalence of vitamin D deficiency among children in Kaliakoir Upazila, Gazipur District, Bangladesh. Materials and Methods: A cross-sectional study was conducted in children aged 0 month to <18 years attending Upazila Health (pediatrics) Complex and community clinics with minor illness. After obtaining informed written consent, venous blood was taken and serum 25(OH) D levels were determined by direct enzyme linked immunosorbent assay. Serum 25(OH) D was categorized as deficient (<10 ng/mL), insufficient (10–29 ng/mL) and sufficient (30–100 ng/mL). Results: Deficient serum 25(OH) D level was found in 30.15% infants of up to one year age group, 35% in 2–5 years, 35.21% in 6–11 years and 37.21% in 12–16 years age group. Insufficient level was found in 52.38% in infants up to one year, 50% in 2–5 years, 54.93% in 6–11 years and 59.30% in 12–16 years age group. Conclusion: The prevalence of vitamin D deficiency and insufficiency among children in rural Bangladesh is high. The study recommends that vitamin D supplementation in rural Bangladeshi children should be formally launched from first day of birth up to minimum adolescence. J Enam Med Col 2020; 10(2): 93-98

scholarly journals Evaluation of Vitamin D Status among the Doctors of Bangladesh – A Multi-Center Cross-Sectional Study

2021 ◽  
Vol 32 (1) ◽  
pp. 31-38
Author(s):  
Quazi Tarikul Islam ◽  
Md Alimur Reza ◽  
Md Khalilur Rahman ◽  
AFM Nazmul Islam ◽  
Saiyeedur Rahman ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Health Care Professionals ◽  
Integrated Approach ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Sunlight Exposure ◽  
Activity Level ◽  
Vitamin D Status ◽  
Cross Sectional

Introduction: Vitamin D deficiency has been linked to a whole spectrum of diseases including osteoporosis, cancer, diabetes, and cardiovascular and immune disorders. Though Bangladesh is low latitude country, vitamin D Deficiency is serious and wide spread problem in Bangladesh. Physicians of Bangladesh are more vulnerable to low vitamin D status due to long indoor work hours and lack of sunlight exposure in both government & private institute. So, the aim of this study to evaluate vitamin D status among the physicians working around the Bangladesh. Methods: This was a cross-sectional, multicenter study where we enrolled 1112 doctors from 9 different areas of Bangladesh from May 2018 to June 2019. A Blood sample was collected from all participants to measure Serum 25(OH)D and various patient data such as age, gender, BMI, physical activity level during leisure time, use of vitamins and medications, sunlight exposure time, tea/coffee drinking, smoking, H/O comorbidities etc. was collected. Results: Of the 1112 doctors assessed in the study,794 (71.4%) was male and 318 (28.6%) was female. Mean age of the participants was 45.5±11.1 Years. Vitamin D deficiency and insufficiency was found in 734 (65.8%) and 105 (9.4%) participants respectively. Mean vitamin D level was 18.9 ng/ml (±8.6 ng/ml). Less than 5% of participants of Rajshahi, Rangpur, Dhaka, Bogura and Sylhet had sufficient vitamin D level. Vitamin D deficiency was significantly associated with age, obesity, sunlight exposure, physical inactivity, hypertension and vitamin D supplementation. Conclusion: Vitamin D deficiency is very common among physicians of all over Bangladesh. The high prevalence of vitamin D deficiency in the present study points towards urgent need of an integrated approach to detect vitamin D deficiency among health care professionals and treat appropriately. Bangladesh J Medicine January 2021; 32(1) : 31-38

scholarly journals Geographic and Seasonal Variation of Vitamin D: A Retrospective Study in Two Centers of Nepal

2020 ◽  
Vol 18 (1) ◽  
pp. 103-107
Author(s):  
Arun Sedhain ◽  
Gandhi R Bhattarai ◽  
Sanjaya Raya Yadav ◽  
Bhupendra Raj Pandey ◽  
Thakur Prasad Pant
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Winter Season ◽  
Hypovitaminosis D ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Age Group ◽  
Cross Sectional ◽  
Study Results ◽  
The Status

Background: Vitamin D deficiency is a common problem in many countries throughout the world. This study aimed at understanding the status of vitamin D deficiency in relation to age, gender, geography and season among relatively bigger numbers of population residing in central and western regions of Nepal.Methods: This retrospective cross-sectional study was carried out by reviewing the records of vitamin D tests in two centers of Nepal- namely united reference laboratories at Pokhara and Chitwan Medical College at Chitwan. A total of 3320 individuals who were tested for clinical suspicion of vitamin D deficiency over a period of one year were included in the study. Results: Mean vitamin D level was 18.7 ng/mL. Majority of subjects tested for vitamin D were females (71.36 %) with female to male ratio of 2.49:1. Hypovitaminosis D (? 30 ng/mL) was found in 84.5% subjects and was moderate to severely deficit (<10 ng/mL) in 25.9% of subjects. Status of hypovitaminosis D was found to be less in ?50 years (79.9%) than the younger subjects (89.9% in ?18 years and 87.0% in 19-49 years age group). Vitamin D deficiency was found lower in hills districts (80.8% vs 89.7% in the plains), which was found to be more pronounced during winter through summer seasons as compared to fall season.Conclusions: Population residing in plain areas and summer, spring and winter season are found to have increased problem of Hypovitaminosis D. It is also found to be common among younger children and female of reproductive age group. We have also found out the increased problem of hypovitaminosis D among population residing in the plain areas than in the hills especially in the summer, spring and winter season.Keywords: Geographic variation; hypovitaminosis D; Nepal

25-hydroxyvitamin D status of pregnant women is associated with the use of antenatal vitamin supplements and ambient ultraviolet radiation

2016 ◽  
Vol 7 (4) ◽  
pp. 350-356 ◽  
Author(s):  
A. P. Jones ◽  
K. Rueter ◽  
A. Siafarikas ◽  
E.-M. Lim ◽  
S. L. Prescott ◽  
...  
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Vitamin D Deficiency ◽  
Uv Radiation ◽  
South Australia ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Blood Draw ◽  
Cross Sectional ◽  
Hydroxyvitamin D

Previous research suggests prevalent vitamin D deficiency in pregnant women residing in South Australia and the Eastern Seaboard, however recent data from Perth, Western Australia (WA) is lacking. This cross-sectional study ofn=209 pregnant women (36–40 weeks of gestation, 84% white Caucasian) reports on the vitamin D (25[OH]D) status of a contemporary population of pregnant women in Perth, WA, with a focus on the relative contributions of supplemental vitamin D and ambient ultraviolet (UV) radiation to 25(OH)D levels. Mean (SD) season-adjusted 25(OH)D levels were 77.7 (24.6) nmol/l. The prevalence of vitamin D deficiency (25[OH]D<50 nmol/l) was 13.9%. Ambient UV radiation levels in the 90 days preceding blood draw were significantly correlated with serum 25(OH)D levels (unstandardized coefficient 2.82; 95% CI 1.77, 3.86,P<0.001). Vitamin D supplementation expressed as dose per kg of body weight was also positively correlated with serum 25(OH)D levels (unstandardized coefficient 0.744; 95% CI 0.395, 1.092,P<0.001). In conclusion, this study finds that vitamin D deficiency in a predominantly white Caucasian cohort of pregnant women is less prevalent than has been reported in other studies, providing useful information relating to supplementation and screening in this, and similar, populations.

scholarly journals Correlation of Vitamin D Serum Level of Mothers and Their Newborns

2021 ◽  
Vol 18 (2) ◽  
Author(s):  
Hassan Boskabadi ◽  
Elahe Heidari
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Serum Levels ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
High Rate ◽  
Cross Sectional ◽  
Maternal Vitamin ◽  
Premature Newborns ◽  
Vitamin D Levels

Background: The possibility of vitamin D deficiency is high among mothers and their premature newborns. Objectives: Due to the high rate of vitamin D deficiency in Iranian women, this study aimed to determine the association between the serum levels of vitamin D in the blood of premature newborns and their mothers in the Iranian population. Methods: This cross-sectional study was conducted on 324 mothers and their 324 newborns with gestational age less than 37 weeks, who were referred to Ghaem Hospital affiliated to Mashhad University of Medical Sciences, Mashhad, Iran, during 2016-2020. After clamping, 1.5 cc blood samples were obtained through the umbilical cord to determine the neonates’ vitamin D levels. Finally, the serum levels of vitamin D were measured, and the correlation between the levels of vitamin D of mothers and their newborns was calculated. Results: The mean vitamin D levels of newborns and mothers were 15.75 ± 11.18 and 20.16 ± 13.41 ng/mL, respectively. Moreover, there was a high correlation between the vitamin D levels of mothers and their newborns (r = 0.672; P < 0.001). Furthermore, a significant correlation was observed between the vitamin D levels of mothers, who used vitamin D supplementation during pregnancy and their neonates’ levels (r = 0.773; P < 0.001). Conclusions: The findings suggest a positive correlation between neonatal and maternal vitamin D levels. Moreover, it seems that maternal vitamin D levels can predict neonatal vitamin D deficiency.

scholarly journals Vitamin D Status of Adults in the Outpatient Department in Bangladesh

2018 ◽  
Vol 27 (1) ◽  
pp. 94-97
Author(s):  
NA Chowdhury ◽  
Mohammad Zaid Hossain ◽  
MM Mia ◽  
S Hoque ◽  
NA Chowdhury ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Adult Population ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Vitamin D Insufficiency ◽  
Outpatient Department ◽  
Cross Sectional ◽  
Hydroxyvitamin D ◽  
Males And Females

Background: Vitamin D deficiency (VDD) is widespread, yet it is the most underdiagnosed and undertreated nutritional deficiency in the world. The prevalence of VDD is estimated to affect over 1 billion people worldwide. The present study was conducted to estimate the prevalence of VDD among adults aged 18–89 years visiting the outpatient department in a clinic/chamber. Objective: To assess the status of vitamin D deficiency (VDD) among the adult population in Bangladesh. Methods: A cross sectional study was conducted among 189 adults in the year 2017 including both males and females aged 18–89 years in outpatient department of a clinic/chamber. Venous blood sample was collected for the measurement of Vitamin D (25 hydroxyvitamin D). Results: This study included a total of 189 adults (29 males and 160 females) aged between 18 and 89 years. Majority of the patients were vitamin D deficient, 67.2% and 20.6% were suffering from vitamin D insufficiency. Maximum males and females are deficient, 69% and 66.9% respectively where as a very small percentage has sufficient level of vitamin D. Conclusions: Vitamin D deficiency (VDD) is alarmingly high. Screening services should be implemented while researchers focus on strategies to lessen the incidence and morbidity associated with these conditions. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 94-97

scholarly journals Level of adherence to vitamin D supplementation guidelines in an antenatal centre in Birmingham, UK, and its effect on biochemical and obstetrical outcomes: a single-centre cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048705
Author(s):  
Liana Yamanouchi ◽  
Maheshwari Srinivasan ◽  
Nicola Barlow ◽  
Ansu Basu
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Sectional Study ◽  
Single Centre ◽  
Cross Sectional ◽  
Clinician Training ◽  
Obstetrical Outcomes ◽  
Increased Risk

ObjectivesA third of pregnant women in the UK are vitamin D deficient, which may confer deleterious consequences, including an increased risk of pre-eclampsia, gestational diabetes mellitus and intrauterine growth restriction. This study aims to determine the proportion of women that met National Institute for Health and Care Excellence (NICE) standards for vitamin D supplementation in pregnancy and compare biochemical and obstetrical outcomes according to supplementation status.Design and settingThis is a single-centre cross-sectional study in an antenatal centre in Birmingham, UK. Participants received a questionnaire regarding their experiences with vitamin D supplementation during their pregnancy with their general practitioner. Serum 25-hydroxyvitamin D and bone profile results were obtained during the same appointment and obstetrical outcomes were collected retrospectively once participants had delivered.Results41.8% of participants (n=61) received written and/or verbal advice about supplementation, (NICE standards=100%). 72.6% (n=106) had one or more risk factors for vitamin D deficiency, of which 38.7% (n=41, NICE standards=100%) were asked about supplementation. Among those asked, 85.4% (n=41, NICE standards=100%) received the correct dosage. Compared with the supplementation group, the non-supplementation group had offspring that were 1.40 cm (95% CI 0.01 to 2.80, p=0.04) longer at birth; which was significant after adjusting for confounding factors. No significant differences in any biochemical parameters were observed between supplementation categories (p>0.05).ConclusionsAdherence to NICE standards was suboptimal. This may be attributed to insufficient training for general practitioners on the importance of supplementation, causing them to underestimate the consequences of gestational vitamin D deficiency. Recommendations include implementing a mandatory screening tool to identify ‘at-risk’ women and providing more clinician training to ensure that supplementation during pregnancy is standard of care.

scholarly journals A Survey of Bluetongue Infection and Associated Risk Factors among the One-Humped Camel (Camelus dromedaries) in Gadarif State, Eastern Sudan

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Hatim H. Abraheem ◽  
Amira M. Elhassan ◽  
Mohammed O. Hussien ◽  
Khalid A. Enan ◽  
Azza B. Musa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Viral Disease ◽  
Cross Sectional Study ◽  
Enzyme Linked Immunosorbent Assay ◽  
Seroprevalence Rate ◽  
Age Group ◽  
Cross Sectional ◽  
One Year ◽  
Associated Risk Factors ◽  
Eastern Sudan

Bluetongue (BT) is an infectious, noncontagious, vector-borne viral disease that affects wild and domestic ruminants transmitted by Culicoides spp. A cross-sectional study was carried out during the period 2016-2017 in Gadarif state. A total of 276 sera samples were collected from camels in six localities of Gadarif state, eastern Sudan, to investigate bluetongue virus (BTV) seroprevalence and associated risk factors of BTV infection including age, sex, breed, locality, and ecology of the region. Enzyme-linked immunosorbent assay (ELISA) was used for estimation of BTV seroprevalence rate. The overall BTV seroprevalence rate was 96.7% in the study area ranging from 93.5% to 100% in six screened localities with no significant differences. The findings revealed similar BTV seroprevalence rates in both males and females, but high rates were found in age group of less than one year and two to three years with estimated 100%. However, the lowest seroprevalence was found in the age group of five to four years with estimated BTV to be 92.3%. BTV seropositivity was not found to be statistically associated with examined different camel breeds which revealed 93%, 94.4%, 97.6%, and 97.8% seroprevalence in Bushari, Rashide, Arabi, and Anafi, breeds, respectively. Epidemiology of BTV assessment according to the ecology of the area showed high BTV seroprevalence in desert and savanna with estimated 100% and lower BTV seroprevalence in arid and rich savanna with estimated 94.8% and 95.7%, respectively. There was no significant association between BTV ELISA positivity and sex, breed, and ecology of the area.

scholarly journals Vitamin D deficiency in patients with tuberculosis and its correlation with glycemic status

2019 ◽  
Vol 8 (1) ◽  
pp. 239
Author(s):  
Ritu Karoli ◽  
Shobhit Shakya ◽  
Prem Shanker Singh
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Serum Vitamin ◽  
Cross Sectional Study ◽  
Vitamin D Supplementation ◽  
Glycemic Status ◽  
Cross Sectional ◽  
Serum Vitamin D ◽  
Vitamin D Levels ◽  
Patients With Diabetes

Background: Comorbidity of diabetes and tuberculosis has serious health implications. Presence of diabetes at least three times increases the risk of tuberculosis which may be mediated by an abnormal innate immune response due to hyperglycaemia or low vitamin D levels.Aim of the study- Present study was carried out to investigate whether lower serum 25(OH) D might be associated with higher prevalence of pulmonary or extra pulmonary tuberculosis which might provide an evidence for a role of vitamin D in the comorbidity of these two diseases and does it have any correlation with glycemic status.Methods: In a hospital based cross sectional study, 264 patients with newly diagnosed tuberculosis were enrolled and according to glycemic status they were divided into three groups. They were assessed for vitamin D deficiency in addition to routine laboratory and biochemical parameters.Results: The patients with diabetes had significantly lower vitamin D levels. The prevalence of severe vitamin D deficiency was highest in patients who had diabetes with tuberculosis. There was negative correlation between vitamin D levels and Hba1C and extensiveness of pulmonary tuberculosisConclusions: Serum vitamin D levels were significantly lower in tuberculosis patients with pre-diabetes and type 2 diabetes compared with those, who had normal glycemic status. We suggest that there is a need to pay more attention to vitamin D status in this country and if there is coexisting diabetes or impaired glucose intolerance, emphasis on vitamin D supplementation can be of utmost importance.

scholarly journals Human Astrovirus and Cryptosporidium Co-infection among Children with Gastroenteritis in Diyala Governorate

2020 ◽  
Vol 19 (2) ◽  
pp. 66-77
Author(s):  
Amal I Naif ◽  
◽  
Areej A Hussein ◽  
Mohammed J Shaker ◽  
Rawaa A Hussein
Keyword(s):  
Demographic Data ◽  
Cross Sectional Study ◽  
Enzyme Linked Immunosorbent Assay ◽  
Age Group ◽  
Cross Sectional ◽  
Cryptosporidium Spp ◽  
Study Population ◽  
Human Astrovirus ◽  
The Difference ◽  
One Year

Background: Gastroenteritis is the second leading cause of death in children under five years old. The highest mortality from diarrheal diseases in children lived crowded areas were poor sanitary and hygienic conditions found. Objective: To determine the co-infections between human astrovirus and Cryptosporidium spp. among children with gastroenteritis below 5 years of age in the Diyala governorate. Patients and Methods: A cross-sectional study was carried out for 100 patients with acute gastroenteritis who attended the Emergency Department of Pediatrics in Al-Batool Teaching Hospital for Maternity and Pediatric in Baqubah city, during the period from July 2019 to February 2020. Real time-PCR was used to detect human astrovirus while enzyme- linked immunosorbent assay was used to detect Cryptosporidium spp. A specific formula sheet was used to collect demographic data such as age, gender, mother education, and type of milk feeding. Results: Out of 100 samples, 14 samples were positive for human astrovirus and 38 samples were positive for Cryptosporidium. The infection rate is more common in males (9 cases) (25cases) rather than females, and in age group less than years 11(78.58%) and 34(89.47%) respectively. Artificial feeding showed higher frequencies of infection than others in the study population. Co-infection astrovirus and Cryptosporidium found in four patients, all of whom were males aged under one-year and the difference was statistically significant with all parameters. Conclusion: A high proportion of positive cases for human astrovirus and Cryptosporidium spp. were notes in males and the age group less than one year’s co-infection showed high frequency in the study population. Keywords: Gastroenteritis, human astrovirus, Cryptosporidium, co-infection

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