2014
DOI: 10.1590/0004-2730000003320
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Abstract: Vitamin D deficiency has been linked to bone fragility in children and adults, and to an increased risk of chronic diseases. The main sources of vitamin D are the diet and cutaneous synthesis, the latter being the most important one, since foods are relatively poor in vitamin D. The main factors influencing this endogenous production are the seasons, the time of day, latitude and skin phototype. Due to the contribution of sun exposure in maintaining vitamin D levels, it would be expected that this deficiency w… Show more

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Cited by 41 publications
(31 citation statements)
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“…Other studies of (24), and 98.8% in Iran (25). However, this wide range is unsurprising, as ethnicity is related to both food intake and the metabolism of vitamin D (26). In Brazil, a study of 894 adults (mean age: 58.1 ± 12.0 years) in the State of Pernambuco found that the mean 25(OH) D concentration was 26.0 ± 10.3 ng/mL and that the prevalence of vitamin D deficiency was 28.5% (27).…”
Section: Resultsmentioning
confidence: 92%
“…Other studies of (24), and 98.8% in Iran (25). However, this wide range is unsurprising, as ethnicity is related to both food intake and the metabolism of vitamin D (26). In Brazil, a study of 894 adults (mean age: 58.1 ± 12.0 years) in the State of Pernambuco found that the mean 25(OH) D concentration was 26.0 ± 10.3 ng/mL and that the prevalence of vitamin D deficiency was 28.5% (27).…”
Section: Resultsmentioning
confidence: 92%
“…Additionally, skin pigmentation can modulate the synthesis of vitamin D, since the amount of melanin restricts the radiation of photons that are necessary for its endogenous production. Consequently, dark/black skin individuals need longer exposure to the sun to get optimal levels of vitamin D (Hagenau et al 2009, Gordon et al 2012, Correia et al 2014.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, due to sunlight exposure increasing the risk of skin cancer, especially in sunny countries, sun avoidance and/or protection and regular use of sunscreen are recommended in many countries, and this may have had an adverse influence on vitamin D status (Correia et al . ).…”
Section: The Sunshine Vitaminmentioning
confidence: 97%
“…This observation highlights the need for more robust studies in sunny countries into the specific local, cultural and ethnic influences on vitamin D adequacy and recommendations (Correia et al . ).…”
Section: Vitamin D Status and Intake In Brazilmentioning
confidence: 97%