Vitamin D (25-OH) concentrations in hospitalized patients, outpatients and dialysis patients depending on seasonal variation
Vitamin D deficiency, which is a global health problem, may result in numerous diseases, such as rickets in children and osteoporosis and osteomalacia in adults. The occurrence of the above-mentioned disorders is promoted by the wintertime and higher latitudes. The aim of the study was to compare the concentrations of vitamin D (25-OH) in hospitalized patients and outpatients in different seasons of the year (summer and winter), as well as in dialysis patients in December and May. The Roche test for the quantitativedetermination of total vitamin D (25-OH) was used in the study. The range from 30 to 80 ng/ml was accepted as the optimum concentration. In hospitalized patients and outpatients, both in summer and winter mean concentration of vitamin D (25-OH) reached the values below 30 ng/ml in over 80% of the patients. Only in the hospitalized patient group mean concentration of vitamin D (25-OH) in the summer was significantly higher than in the winter (p=0.0016). In the dialysis patients mean concentration of vitamin (25-OH) in May was significantly higher than in December (p=0.0085) and the percent of the results below 30 ng/ml amounted to 96.39% in December and 77.27% in May. In conclusion, the 25(OH)D concentrations in the whole population under study are lower than those recommended and undergo periodical seasonal changes in hospitalized patients.