Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253 |
Resumo: | Introduction: Although vitamin D deficiency is increasingly recognized around the world, there are few studies on the Portuguese reality. This study aims to analyse vitamin D levels in the assays performed in our hospital and their relationship with age, genre, requesting specialty and moment of sample collection.Material and Methods: Cross-sectional study of measurements of 25(HO)D performed in our Hospital between June 2012 and November 2014. Included variables: gender, age, requesting specialty, month of sample collection. Vitamin D status classified as: ‘Deficiency’ (≤ 20 ng/mL), ‘Insufficiency’ (21 - 29 ng/ml) and ‘Sufficiency’ (≥ 30 ng/mL).Results: We included 5 439 assays; 55.0% from women; the median age was 64.0 years. Sixty per cent had ‘Deficiency’, 20.7% ‘Insufficiency’ and 18.9% ‘Sufficiency’. We found a negative correlation between age and vitamin D level (p < 0.001). We didn’t find differences in vitamin D levels between genres. Nine specialties requested 98% of the assays, namely Nephrology (56.2%). We found differences between specialties based on age and vitamin D level (p < 0.001). Vitamin D levels changed throughout the year, with higher levels in the summer, followed by autumn, spring and winter (p < 0.001). Despite this seasonal fluctuation, vitamin D sufficiency was only present in a minority of assays (27.8% in summer and 9.2% in winter).Discussion: Vitamin D deficiency is prevalent in this population, affects individuals of all ages and is not offset by the seasonal variation of sunlight.Conclusion: Vitamin D deficiency is a real and prevalent problem in our population that needs further attention and action, given its clinical implications. |
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Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory PerspectiveCarência de Vitamina D numa População Hospitalar: Uma Fotografia pela Perspetiva LaboratorialPortugalSeasonsVitamin DVitamin D Deficiency.Deficiência de Vitamina DEstações do AnoPortugalVitamina D.Introduction: Although vitamin D deficiency is increasingly recognized around the world, there are few studies on the Portuguese reality. This study aims to analyse vitamin D levels in the assays performed in our hospital and their relationship with age, genre, requesting specialty and moment of sample collection.Material and Methods: Cross-sectional study of measurements of 25(HO)D performed in our Hospital between June 2012 and November 2014. Included variables: gender, age, requesting specialty, month of sample collection. Vitamin D status classified as: ‘Deficiency’ (≤ 20 ng/mL), ‘Insufficiency’ (21 - 29 ng/ml) and ‘Sufficiency’ (≥ 30 ng/mL).Results: We included 5 439 assays; 55.0% from women; the median age was 64.0 years. Sixty per cent had ‘Deficiency’, 20.7% ‘Insufficiency’ and 18.9% ‘Sufficiency’. We found a negative correlation between age and vitamin D level (p < 0.001). We didn’t find differences in vitamin D levels between genres. Nine specialties requested 98% of the assays, namely Nephrology (56.2%). We found differences between specialties based on age and vitamin D level (p < 0.001). Vitamin D levels changed throughout the year, with higher levels in the summer, followed by autumn, spring and winter (p < 0.001). Despite this seasonal fluctuation, vitamin D sufficiency was only present in a minority of assays (27.8% in summer and 9.2% in winter).Discussion: Vitamin D deficiency is prevalent in this population, affects individuals of all ages and is not offset by the seasonal variation of sunlight.Conclusion: Vitamin D deficiency is a real and prevalent problem in our population that needs further attention and action, given its clinical implications.Introdução: Apesar da hipovitaminose D ser cada vez mais reconhecida em todo o mundo, existem poucos estudos sobre a realidade portuguesa. Este trabalho pretende analisar o nível de vitamina D nos doseamentos realizados no nosso hospital e sua relação com idade, sexo, especialidade requisitante e momento da colheita.Material e Métodos: Estudo observacional dos doseamentos de 25(OH)D realizados no nosso Hospital entre junho de 2012 e novembro de 2014. Variáveis estudadas: sexo, idade, especialidade requisitante, mês de colheita. O status de vitamina D foi classificado como: ‘Deficiência’ (≤ 20 ng/mL), ‘Insuficiência’ (21 – 29 ng/mL) e ‘Suficiência’ (≥ 30 ng/mL).Resultados: Incluímos 5 439 doseamentos; 55,0% pertenciam a mulheres; a idade mediana foi 64,0 anos. Sessenta por cento apresentavam ‘Deficiência’, 20,7% ‘Insuficiência’ e 18,9% ‘Suficiência’. Encontrámos uma correlação negativa entre idade e nível de vitamina D (p < 0,001), não havendo diferenças significativas entre sexos. Nove especialidades requisitaram 98% dos doseamentos, destacando-se a Nefrologia (56,2%). Encontrámos diferenças entre especialidades requisitantes relativamente à idade e nível de vitamina D (p < 0,001). O nível de vitamina D variou ao longo do ano, com níveis superiores no verão, seguido do outono, primavera e inverno (p < 0,001). Apesar desta variação sazonal, a suficiência de vitamina D foi sempre minoritária, sendo de 27,8% no Verão e 9,2% no Inverno.Discussão: A carência de vitamina D nesta população é elevada, transversal a todas as idades e não compensada pela variação sazonal da exposição solar.Conclusão: A hipovitaminose D é um problema real, prevalente e merecedor de atuação na nossa população, atendendo às suas implicações clínicas.Ordem dos Médicos2015-10-21info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegimage/jpegimage/jpegimage/jpegimage/jpegapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253oai:ojs.www.actamedicaportuguesa.com:article/6253Acta Médica Portuguesa; Vol. 28 No. 6 (2015): November-December; 726-734Acta Médica Portuguesa; Vol. 28 N.º 6 (2015): Novembro-Dezembro; 726-7341646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/4552https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/4748https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7502https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7503https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7504https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7505https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7506https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7991Santos, Maria JoanaFernandes, VeraGarcia, Fernando Motainfo:eu-repo/semantics/openAccess2022-12-20T11:04:47Zoai:ojs.www.actamedicaportuguesa.com:article/6253Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:16.983335Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective Carência de Vitamina D numa População Hospitalar: Uma Fotografia pela Perspetiva Laboratorial |
title |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
spellingShingle |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective Santos, Maria Joana Portugal Seasons Vitamin D Vitamin D Deficiency. Deficiência de Vitamina D Estações do Ano Portugal Vitamina D. |
title_short |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
title_full |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
title_fullStr |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
title_full_unstemmed |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
title_sort |
Vitamin D Insufficiency in a Hospital Population: A Photograph from the Laboratory Perspective |
author |
Santos, Maria Joana |
author_facet |
Santos, Maria Joana Fernandes, Vera Garcia, Fernando Mota |
author_role |
author |
author2 |
Fernandes, Vera Garcia, Fernando Mota |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Santos, Maria Joana Fernandes, Vera Garcia, Fernando Mota |
dc.subject.por.fl_str_mv |
Portugal Seasons Vitamin D Vitamin D Deficiency. Deficiência de Vitamina D Estações do Ano Portugal Vitamina D. |
topic |
Portugal Seasons Vitamin D Vitamin D Deficiency. Deficiência de Vitamina D Estações do Ano Portugal Vitamina D. |
description |
Introduction: Although vitamin D deficiency is increasingly recognized around the world, there are few studies on the Portuguese reality. This study aims to analyse vitamin D levels in the assays performed in our hospital and their relationship with age, genre, requesting specialty and moment of sample collection.Material and Methods: Cross-sectional study of measurements of 25(HO)D performed in our Hospital between June 2012 and November 2014. Included variables: gender, age, requesting specialty, month of sample collection. Vitamin D status classified as: ‘Deficiency’ (≤ 20 ng/mL), ‘Insufficiency’ (21 - 29 ng/ml) and ‘Sufficiency’ (≥ 30 ng/mL).Results: We included 5 439 assays; 55.0% from women; the median age was 64.0 years. Sixty per cent had ‘Deficiency’, 20.7% ‘Insufficiency’ and 18.9% ‘Sufficiency’. We found a negative correlation between age and vitamin D level (p < 0.001). We didn’t find differences in vitamin D levels between genres. Nine specialties requested 98% of the assays, namely Nephrology (56.2%). We found differences between specialties based on age and vitamin D level (p < 0.001). Vitamin D levels changed throughout the year, with higher levels in the summer, followed by autumn, spring and winter (p < 0.001). Despite this seasonal fluctuation, vitamin D sufficiency was only present in a minority of assays (27.8% in summer and 9.2% in winter).Discussion: Vitamin D deficiency is prevalent in this population, affects individuals of all ages and is not offset by the seasonal variation of sunlight.Conclusion: Vitamin D deficiency is a real and prevalent problem in our population that needs further attention and action, given its clinical implications. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-21 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253 oai:ojs.www.actamedicaportuguesa.com:article/6253 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253 |
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oai:ojs.www.actamedicaportuguesa.com:article/6253 |
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por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/4552 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/4748 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7502 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7503 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7504 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7505 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7506 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6253/7991 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf image/jpeg image/jpeg image/jpeg image/jpeg image/jpeg application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 28 No. 6 (2015): November-December; 726-734 Acta Médica Portuguesa; Vol. 28 N.º 6 (2015): Novembro-Dezembro; 726-734 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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