No abstract
The purpose was to develop a vitamin D screening tool for use in community health/wellness settings. Fifty‐four healthy Caucasian women of normal weight (body mass index = 18–24.9) and obese weight (body mass index ≥30) had anthropometrics measured, and completed three‐day food records, vitamin D screening tools, and serum 25‐hydroxyvitamin D tests. Findings provided evidence of usefulness of three specific screening tool items (sunscreen use, obesity, dairy consumption) and indicated need for more precision about sunscreen use. Odds for vitamin D inadequacy were 5 times lower with sunscreen use, 6 times higher with low dairy consumption, and 10 times higher with self‐reported obesity, X2 (5, n = 54) = 43.24, P <.01. The study provided initial verification of self‐report items useful in assessing vitamin D inadequacy. Following refinement and testing with larger, less homogeneous samples, the instrument can serve as a useful, cost‐effective vitamin D screening tool in community health/wellness settings.
Vital signs: blood pressure 150/84; pulse rate 78; respiratory rate 18; afebrile; weight 209 lb; height 5′4″. Head/eyes/ears/nose/throat: normocephalic. Eyes: anicteric, pale conjunctivae, extraocular muscles intact. Pupils are equally round and reactive to light and accommodation. Mouth and oropharynx: normal. Neck: supple, no jugulo-venous distension. Thyroid normal to palpation. Nodes: no adenopathy detected in the cervical neck or supraclavicular, axillary, or inguinal areas. Lungs: normal breath sounds in all lung fields bilaterally. Cardiovascular: heart rate in rhythm regular. Breasts: large, with no skin change. No dominant mass in either breast. No nipple discharge. Both axilla clear. Last mammogram (February 2002) normal. Abdomen: obese, with well-healed midline incision. No organomegaly pain or rebound. Normal bowel sounds. pelvic: normal groin, vulva, vagina, and rectum. Bimanual rectovaginal examination was normal. Lower extremities: no edema or calf tenderness. Peripheral lower extremity pulses normal. Neurologic: alert and oriented to time, place, and person. Cranial nerves II-XII grossly intact. Laboratory tests: from January 2002: normal CBC and metabolic panel. Cholesterol 186 mg/dL, high-density lipoprotein 51 mg/dL, low-density lipoprotein 99 mg/dL, triglycerides 86 mg/dL.
frequency of exercise decreased to approximately 50%. Current exercises: swimming, walking, bicycling, gardening, breath exercise. She also did qi gong-19 postures. Musculoskeletal issues: No problems reported with posture, gait, or coordination. Supplement history: Patient has always taken supplements. Prior to diagnosis, she took a multivitamin with kelp, and cod liver oil. Emotional/stress factors: Patient characterizes herself as a fearful person, always worrying. She has a deep faith in God and the body's ability to heal itself. She has tried to maintain a positive attitude throughout the course of her illness.Marital/home issues: Patient characterizes her marriage as very loving and reports that she and her husband are supportive of each other. Husband is healthy.Current symptoms/date started: Dizziness on change of position (June 2001 ) , difficulty swallowing (November 2000), chest pain (January 2001), shortness of breath when ascending 1 flight of stairs (since surgery), belching (since surgery), getting up 3 times at night to urinate, avoiding foods (hard crusts) (since surgery), trembling in extremities (hands) (since surgery), fatigue with no obvious reason (since surgery), change in hair texture (since surgery).Life patterns: Childhood regarded as happy; middle child. More recent concern about adult children. During working career, had stress due to expectations for job performance. Wishes to let go of anxiety, concern about adult children, keep positive attitude about cancer. Activities for relaxation: exercise, reading, needlework, and travel. Interested in good diet, exercise, and relaxation techniques. Currently uses some tapes for imaging relaxation and has made an area at home to meditate (20 minutes per day). Enjoys being outdoors, adapts well to change. Sleep patterns: Sleeps 10 hours per night. Sleep habits are routine. Falls asleep quickly but awakens to void. Awakens slowly but refreshed. Most alert during the day. Does not eat close to bedtime. Recent stressful life events: Retirement.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.