Vitamin D Levels in Routine Medical Examination

Şenyiğit, Abdülhalim; Orhanoğlu, Timur; İnce, Burak; Yaprak, Bülent

doi:10.26650/iuitfd.391192

Cited by 3 publications

(5 citation statements)

References 2 publications

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“…Certain changes in 25(OH)D metabolism occur as individuals age, including a reduction in vitamin D receptor levels, renal 1.25(OH)2D synthesis, and cutaneous 25(OH)D production [24]. Çağlayan et al [25] and Şenyiğit et al [26] have corroborated these findings, confirming a decline in 25(OH)D levels with increasing age. In our study, we identified a weak negative correlation between age and 25(OH)D levels.…”

Section: Discussionmentioning

confidence: 89%

Vitamin D distribution by month, sex, and season in Turkey, Niğde province: A retrospective cohort study

Bayram,

Ayan,

Balcı

et al. 2024

J Surg Med

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Background/Aim: Epidemiological investigations consistently indicate a widespread deficiency and insufficiency of vitamin D on a global scale. Vitamin D deficiency can lead to various acute and chronic diseases, including pre-eclampsia, autoimmune disorders, cardiovascular diseases, certain cancers, type 2 diabetes, and neurological disorders. However, the relationship between vitamin D status and its implications for global and public health has not been comprehensively explored. Notably, the differing clinical decision thresholds for diagnosing vitamin D deficiency and insufficiency established by various associations can create diagnostic confusion. Therefore, our study aimed to assess the distribution of vitamin D levels in Niğde province, considering variations by month, gender, and season, with respect to the clinical decision thresholds defined by different associations. Methods: The study sample comprised 57,731 cases (71% women and 19% men) admitted to our hospital between January 2021 and December 2022. We retrospectively evaluated 25-hydroxyvitamin D (25(OH)D) levels based on months, seasons, age, and gender. Additionally, we examined 25(OH)D levels separately using the clinical decision thresholds set by the Vitamin D Council, the Endocrine Society, and the Food and Nutrition Board. Patients with chronic renal insufficiency, hepatic insufficiency, and gastrointestinal malabsorption were excluded from the study, encompassing patients of all age groups. Furthermore, we categorized patients into different age decades and analyzed their vitamin D levels. We compared the same months in 2021 and 2022, monitoring changes in vitamin D levels throughout the year. Vitamin D levels were measured using the electrochemiluminescence assay (ECLIA) on a Roche Cobas E801 instrument. Results: When comparing the same months in 2021 and 2022, there was no statistically significant decrease or increase in 25(OH)D levels (The P-values for January and December were 0.066, 0.395, 0.907, 0.465, 0.705, 0.541, 0.625, 0.860, 0.695, 0.549, 0.892, and 0.838, respectively). Vitamin D insufficiency was observed in 70.3% of women and 29.7% of men. Participants under one year of age exhibited the highest mean 25(OH)D level (34.9 ng/mL), while participants between 20 and 29 years of age had the lowest mean 25(OH)D level (15.7 ng/mL). The lowest mean 25(OH)D level was recorded in April 2022 (15.6 ng/mL), whereas the highest mean 25(OH)D level was observed in July 2021 (22.7 ng/mL). There was a slight negative correlation between age and 25(OH)D levels (r=-0.038, P<0.001). The Vitamin D Council classification identified the highest number of patients with vitamin D deficiency (n=50,833; 88%). The Food and Nutrition Board included the lowest number of patients with vitamin D deficiency (n=15,049; 26.1%). Conclusion: Vitamin D deficiency is prevalent in Niğde province, particularly among women, and remains a significant public health concern. We advocate for the adoption of a unified clinical decision threshold and the expansion of the national vitamin D supplementation program to encompass adolescents and adults.

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Section: Discussionmentioning

confidence: 89%

Vitamin D distribution by month, sex, and season in Turkey, Niğde province: A retrospective cohort study

Bayram,

Ayan,

Balcı

et al. 2024

J Surg Med

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“…Furthermore, Slinin et al (30) associated lower 25-OHD levels with a higher likelihood of cognitive impairment and decline among older women. In a study of 688 patients in Turkey, Senyigit et al (31) found that older women had lower 25-OHD levels.…”

Section: One Of the Most Comprehensive Studies Of Vitamin D Status In...mentioning

confidence: 99%

25-hydroxyvitamin D (25-OHD) levels in Turkish geriatric population: A nationwide study

Çağlayan

Sönmez²,

Şeneş³

et al. 2022

J Med Biochemistry

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Background: 25-hydroxyvitamin D (25-OHD) deficiency is a major health problem worldwide and is associated with many chronic diseases in geriatric population. There is not any 25-OHD levels data among individuals overage 65 so far in Turkey. The aim of this study is to assess 25-OHD levels and the seasonal variations in people over the age of 65 living in Turkey. Methods: Working across Turkey, 2016, and 2017, the number of tests studied vitamin D in the population over the age of 65 in 2018 were included. Age, gender and seasonal average values were defined. The study data were obtained from the database of the Ministry of Health. Kolmogorov-Smirnov test was used for the distribution of the data. Median and interquartile range (IQR) were calculated for all categories, as the data were non-parametric. Results: The number of tests belonging to geriatric individuals included in the study was 305,329 tests for 2016, 576,452 tests for 2017 and 752,837 tests for 2018. The median and the IQR of the 25-OHD in elderly population were 16 ng/mL (IQR 7.45-24.55 ng/mL), 16.1 ng/mL (IQR 7.8-24.4 ng/mL), 16.4 ng/mL (IQR 8.95-23.85 ng/mL) respectively. Conclusions: In Turkey during the period of seasonal sunlight, although it is in 25-OHD levels in older men tend to increase this variability was observed in elderly women. This suggests that older women tend to live more sedentary and do not get enough of the sunrays. The median 25-OHD levels of individuals over the age of 65 tend to decrease each year.

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“…Osteoporosis is one of the most threatening conditions in the older population with the progression of age; the most important factor that causes osteoporosis is vitamin D deficiency [55,56]. Vitamin D is essential for calcium metabolism and bone quality [38,57,58].…”

Section: Vitamin D Deficiency and Health-promoting Practicesmentioning

confidence: 99%

“…Although there is plenty of sunlight in Turkey, insufficient exposure to sunlight and wearing plenty of clothing due to sociocultural/religious beliefs are factors leading to vitamin D deficiency in the elderly [57]. Routine health-promoting practices in this group in Turkey are focused in education and counseling [56]. Recommendations are made to encourage the consumption of seafood, milk and dairy products, to supplement vitamin D and Calcium, and to increase the exposure to sunlight during the day [56,60].…”

Section: Vitamin D Deficiency and Health-promoting Practicesmentioning

confidence: 99%

“…Routine health-promoting practices in this group in Turkey are focused in education and counseling [56]. Recommendations are made to encourage the consumption of seafood, milk and dairy products, to supplement vitamin D and Calcium, and to increase the exposure to sunlight during the day [56,60]. In particular, health professionals should enhance elderly people's knowledge about the importance of vitamin D, the risks of vitamin D deficiency and the ways to prevent it as well as treatment options [55,56,60].…”

Section: Vitamin D Deficiency and Health-promoting Practicesmentioning

confidence: 99%

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Health Promotion Among Home-Dwelling Elderly Individuals in Turkey

Körükçü

Kabukçuoğlu

2021

Health Promotion in Health Care – Vital Theories and Research

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Although the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.

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Vitamin D Levels in Routine Medical Examination

Cited by 3 publications

References 2 publications

Vitamin D distribution by month, sex, and season in Turkey, Niğde province: A retrospective cohort study

Vitamin D distribution by month, sex, and season in Turkey, Niğde province: A retrospective cohort study

25-hydroxyvitamin D (25-OHD) levels in Turkish geriatric population: A nationwide study

Health Promotion Among Home-Dwelling Elderly Individuals in Turkey

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