Vitamin D Insufficiency in a Sunshine-Sufficient Area: Southern Ethiopia

Gebreegziabher, Tafere; Stoecker, Barbara J.

doi:10.9734/ejnfs/2015/21164

Cited by 9 publications

(11 citation statements)

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“…A total of 174 study participants from the schools in 2 settings in Adama Town 89 (51.1%) and rural kebeles of Adama Woreda 85 (48.9%) participated in the study, yielding a response rate of 98%. The median (range) age of the students was 15 (11)(12)(13)(14)(15)(16)(17)(18) years. Higher proportions of students were females (56.9%) and in the age-group 15 to 18 years (55.7%) and most (79.9%) of them were Christian by religion.…”

Section: Resultsmentioning

confidence: 99%

“…16 Studies on other age-groups also indicated that vitamin D deficiency and insufficiency are commonly prevalent in Ethiopia. [17][18][19] There is evidence showing existence of the association between serum vitamin D levels and handgrip strength among adolescent girls in China. 20 However, there are no data on the association between serum 25(OH) D levels and handgrip strength among Ethiopian population including schoolchildren.…”

Section: Introductionmentioning

confidence: 99%

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Serum Vitamin D Level Associates With Handgrip Muscle Strength Among Ethiopian Schoolchildren: A Cross-Sectional Study

2017

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Serum 25(OH)D levels had significant positive association with handgrip strength of Ethiopian schoolchildren. The results imply the need for incorporating school nutrition education on consumption of foods rich in important nutrients including vitamin D-rich foods in the school curricula and also enhancing behavioral change communication toward exposure to sunlight in the school to produce adequate vitamin D. Further longitudinal study involving a larger sample is recommended to confirm the findings.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Serum Vitamin D Level Associates With Handgrip Muscle Strength Among Ethiopian Schoolchildren: A Cross-Sectional Study

2017

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“…There was no association between food security level and vitamin D status in females, whereas in males moderate food insecurity was associated with better vitamin D status. This may indicate that food is not the main source of vitamin D as reported among pregnant women in southern Ethiopia ( 20 ) . Therefore, the high prevalence of vitamin D deficiency and insufficiency in both HIV-positive and HIV-negative individuals in Ethiopia may be due to the combined effect of low sun exposure and low consumption of vitamin D-rich foods.…”

Section: Discussionmentioning

confidence: 93%

Change in serum 25-hydroxyvitamin D with antiretroviral treatment initiation and nutritional intervention in HIV-positive adults

et al. 2016

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Low vitamin D level in HIV-positive persons has been associated with disease progression. We compared the levels of serum 25-hydroxyvitamin D (25(OH)D) in HIV-positive and HIV-negative persons, and investigated the role of nutritional supplementation and antiretroviral treatment (ART) on serum 25(OH)D levels. A randomised nutritional supplementation trial was conducted at Jimma University Specialized Hospital, Ethiopia. The trial compared 200 g/d of lipid-based nutrient supplement (LNS) with no supplementation during the first 3 months of ART. The supplement provided twice the recommended daily allowance of vitamin D (10 μg/200 g). The level of serum 25(OH)D before nutritional intervention and ART initiation was compared with serum 25(OH)D of HIV-negative individuals. A total of 348 HIV-positive and 100 HIV-negative persons were recruited. The median baseline serum 25(OH)D level was higher in HIV-positive than in HIV-negative persons (42·5 v. 35·3 nmol/l, P17 kg/m2 were randomised to either LNS supplementation (n 189) or no supplementation (n 93) during the first 3 months of ART. The supplemented group had a 4·1 (95 % CI 1·7, 6·4) nmol/l increase in serum 25(OH)D, whereas the non-supplemented group had a 10·8 (95 % CI 7·8, 13·9) nmol/l decrease in serum 25(OH)D level after 3 months of ART. Nutritional supplementation that contained vitamin D prevented a reduction in serum 25(OH)D levels in HIV-positive persons initiating ART. Vitamin D replenishment may be needed to prevent reduction in serum 25(OH)D levels during ART.

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“…According to the recent study done among the adult population in southern Ethiopia in 2013, only 15.8% of the participants had 25(OH) D levels above 50 nmol/L, which shows the high prevalence of adult vitamin D de ciency in a community (14). However, this study found that one of the barriers for low knowledge, attitude, and poor practice of adult vitamin D de ciency was related to inappropriate and incorrect assumption given by the health care professionals that vitamin D is a common condition among children than adults.…”

Section: Discussionmentioning

confidence: 99%

Barriers in Adult Vitamin D Service Provision by Health Care Workers: a Qualitative Study in Three Ecologies of Ethiopia

Mekonnen¹,

Feleke²,

Asnake³

et al. 2021

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Background: Adult vitamin D deficiency, a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on minerals counseling on the benefits of vitamin D and its sources is not witnessed since their knowledge is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D.Methods: An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Thematic analysis is presented using themes and sub-themes.Result: The main barriers are related to health systems, HCWs’ understandings, health facilities, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the inadequacy of laboratory investigation and limited in-service training are barriers related to health facilities while the absence of studies and the focus of the medical curriculum on child vitamin D are barriers related to the education system. Conclusion: Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

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Vitamin D Insufficiency in a Sunshine-Sufficient Area: Southern Ethiopia

Cited by 9 publications

References 0 publications

Serum Vitamin D Level Associates With Handgrip Muscle Strength Among Ethiopian Schoolchildren: A Cross-Sectional Study

Serum Vitamin D Level Associates With Handgrip Muscle Strength Among Ethiopian Schoolchildren: A Cross-Sectional Study

Change in serum 25-hydroxyvitamin D with antiretroviral treatment initiation and nutritional intervention in HIV-positive adults

Barriers in Adult Vitamin D Service Provision by Health Care Workers: a Qualitative Study in Three Ecologies of Ethiopia

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