The first Russian multicenter non-interventional registry study to study the incidence of vitamin D deficiency and insufficiency in Russian Federation
- 作者: Suplotova L.1, Avdeeva V.1, Pigarova E.2, Rozhinskaya L.2, Karonova T.3, Troshina E.2
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隶属关系:
- Tyumen State Medical University
- Endocrinology Research Centre
- Almazov National Medical Research Centre
- 期: 卷 93, 编号 10 (2021)
- 页面: 1209-1216
- 栏目: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/86966
- DOI: https://doi.org/10.26442/00403660.2021.10.201071
- ID: 86966
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Aim. To assess the incidence of vitamin D deficiency and insufficiency among the adult population living in the regions of the Russian Federation located at latitudes from 45 to 70º.
Materials and methods. Russian multicenter non-interventional registry study using the "cross-sectional" method.
Results. In this study, 72.1% of the examined have the status of vitamin D deficiency and insufficiency, while an adequate level was diagnosed in 27.8% of cases. When assessing the degree of vitamin D deficiency depending on the season, statistically significant differences (p<0.00001) were found between the periods: vitamin D deficiency or insufficiency was observed in 84.2% of autumn and in 62.4% of spring. The highest incidence of vitamin D deficiency and insufficiency was recorded in males compared with females (p=0.013, 79 and 70.3% respectively). Vitamin D deficiency is observed in young people in the age subgroup of 18–25 years (p<0.001, 54% in the study as a whole) much more often than in older people
Conclusion. The widespread high prevalence of vitamin D deficiency in the Russian Federation is not related to geographic region of residence, but to some extent depends on the season. The high-risk group for vitamin D deficiency and insufficiency is young men. The significant role of vitamin D in the human body justifies the need to supplement and clarify a single concept for the prevention, diagnosis and treatment of conditions associated with deficiency, so higher implementation of National Clinical Guidelines is needed.
作者简介
Lyudmila Suplotova
Tyumen State Medical University
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0001-9253-8075
д-р мед. наук, проф., проф. каф. терапии ИНПР с курсами эндокринологии, ультразвуковой и функциональной диагностики
俄罗斯联邦, TyumenValeria Avdeeva
Tyumen State Medical University
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0002-8642-9435
канд. мед. наук, ассистент каф. пропедевтической и факультетской терапии
俄罗斯联邦, TyumenEkaterina Pigarova
Endocrinology Research Centre
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0001-6539-466X
д-р мед. наук, вед. науч. сотр., дир. Института высшего и дополнительного профессионального образования
俄罗斯联邦, MoscowLiudmila Rozhinskaya
Endocrinology Research Centre
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0001-7041-0732
д-р мед. наук, проф., гл. науч. сотр. отд-ния нейроэндокринологии и остеопатий
俄罗斯联邦, MoscowTatiana Karonova
Almazov National Medical Research Centre
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0002-1547-0123
д-р мед. наук, проф., гл. науч. сотр., рук. научно-исследовательской лаборатории клинической эндокринологии Института эндокринологии
俄罗斯联邦, Saint PetersburgEkaterina Troshina
Endocrinology Research Centre
编辑信件的主要联系方式.
Email: dr.avdeeva@yahoo.com
ORCID iD: 0000-0002-8520-8702
член-кор. РАН, д-р мед. наук, проф., зав. отд. терапевтической эндокринологии, зам. дир. по координации эндокринологической службы
俄罗斯联邦, Moscow参考
- Gaksch M, Jorde R, Grimnes G, et al. Vitamin D and mortality: Individual participant data meta-analysis of standardized 25 hydroxyvitamin D in 26916 individuals from a European consortium. PLoS ONE. 2017. doi: 10.1371/journal.pone.0170791
- Tagliabue E, Raimondi S, Gandini S. Vitamin D, cancer risk, and mortality. Adv Food Nutr Res. 2015;75:1-52. doi: 10.1016/bs.afnr.2015.06.003
- Al Mheid I, Quyyumi AA. Vitamin D and cardiovascular disease: Controversy unresolved. J Am Coll Cardiol. 2017;70:89-100. doi: 10.1016/j.jacc.2017.05.031
- Berridge MJ. Vitamin D deficiency and diabetes. Biochem J. 2017;474:1321-32. doi: 10.1042/bcj20170042
- Altieri B, Muscogiuri G, Barrea L, et al. Does vitamin D play a role in autoimmune endocrine disorders? A proof of concept. Rev Endocr Metab Dis. 2017;18:335-46. doi: 10.1007/s11154-016-9405-9
- Fung JL, Hartman TJ, Schleicher RL, Goldman MB. Association of vitamin D intake and serum levels with fertility: Results from the Lifestyle and Fertility Study. Fertil Steril. 2017;108:302-11. doi: 10.1016/j.fertnstert.2017.05.037
- Громова О.А., Торшин И.Ю. Витамин D − смена парадигмы. Под ред. И.Н. Захаровой. М.: Торус-Пресс, 2015 [Gromova OA, Torshin IYu. Vitamin D – paradigm change. Ed. IN Zakharova. Moscow: Torus-Press, 2015 (in Russian)].
- Коденцова В.М., Мендель О.И., Хотимченко С.А., и др. Физиологическая потребность и эффективные дозы витамина Д для коррекции его дефицита: современное состояние проблемы. Вопросы питания. 2017;86(2):47-62 [Kodentsova V.M., Mendel O.I., Khotimchenko S.A., et al. Physiological needs and effective doses of vitamin D for deficiency correction. Current state of the problem. Voprosy pitaniia [Problems of Nutrition]. 2017; 86 (2): 47–62 (in Russian)].
- Зазерская И.Е., Дорофейков В.В., Кузнецова Л.В., и др. Витамин D и репродуктивное здоровье женщины. СПб.: Эко-Вектор, 2017 [Zazerskaya IE, Dorofeykov VV, Kuznetsova LV, et al. Vitamin D and Women's Reproductive Health. Saint Petersburg: Eco-Vector; 2017 (in Russian)].
- Петрушкина А.А., Пигарова Е.А., Рожинская Л.Я. Эпидемиология дефицита витамина D в Российской Федерации. Остеопороз и остеопатии. 2018;21(3):15-20 [Petrushkina AA, Pigarova EA, Rozhinskaya LYa. The prevalence of vitamin D deficiency in Russian Federation. Osteoporosis and Bone Diseases. 2018;21(3):15-20 (in Russian)]. doi: 10.14341/osteo10038
- Суплотова Л.А., Авдеева В.А., Рожинская Л.Я. Статус витамина D у жителей Тюменского региона. Ожирение и метаболизм. 2019;16(2):69-74 [Suplotova LA, Avdeeva VA, Rozhinskaya LYa. Vitamin D status in residents of Tyumen region. Obesity and metabolism. 2019;16(2):69-74 (in Russian)]. doi: 10.14341/omet10162
- Каронова Т.Л., Гринева Е.Н., Никитина И.Л., и др. Уровень обеспеченности витамином D жителей Северо-Западного региона РФ (г. Санкт-Петербург и г. Петрозаводск). Остеопороз и остеопатии. 2013;3:3-7 [Karonova TL, Grinyova EN, NikitiM IL, et al. The prevalence of vitamin D deficiency in the Northwestern Region of the Russian Federation among the residents of St. Petersburg and Petrozavodsk. Osteoporosis and Bone Diseases. 2013;16(3):3-7 (in Russian)]. doi: 10.14341/osteo201333-7
- Пигарова Е.А., Рожинская Л.Я., Белая Ж.Е., и др. Клинические рекомендации Российской ассоциации эндокринологов по диагностике, лечению и профилактике дефицита витамина D у взрослых. Проблемы эндокринологии. 2016;62(4):60-84 [Pigarova EA, Rozhinskaya LYa, Belaya ZhE, et al. Russian Association of Endocrinologists recommendations for diagnosis, treatment and prevention of vitamin D deficiency in adults. Problems of Endocrinology. 2016;62(4):60-84 (in Russian)]. doi: 10.14341/probl201662460-84
- Громова О.А., Мальцев С.В., Захарова И.Н., Намазова-Баранова Л.С. Роль витамина D в формировании здоровья ребенка. Национальная программа по обеспеченности витамином D. Обзор симпозиума. Consilium Medicum. Pediatrics (Suppl.). 2015;1:5-13 [Gromova OA, Maltsev SV, Zakharova IN, Namazova-Baranova LS. The role of vitamin D in the formation of child health. The National Program of vitamin D provision. Symposium overview. Consilium Medicum. Pediatrics (Suppl.). 2015;1:5-13 (in Russian)].
- Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010. Available at: https://www.ncbi.nlm.nih.gov/books/NBK56070/pdf/Bookshelf_NBK56070.pdf. Accessed: 17.09.2021.
- Шмакин А.Б. Развитие климатологических исследований в Институте географии Российской академии наук. Известия РАН. 2008;5:95-105 [Shmakin A.B. Development of climatological research at the Institute of Geography of the Russian Academy of Sciences Izvestiya RAN. 2008;5:95-105 (in Russian)].
- Holick MF. Vitamin D Deficiency. N Engl J Med. 2007;357:266-81. doi: 10.1056/nejmra070553
- Huotari A, Herzig KH. Vitamin D and living in northern latitudes: an endemic risk area for vitamin D deficiency. Int J Circumpolar Health. 2008;67:164-78. doi: 10.3402/ijch.v67i2-3.18258
- Буралкина Н.А., Арутюнова Е.Э., Власова Г.А. Глобальные проблемы витамин-D-статуса: причины, патогенетические механизмы, лечение, меры профилактики. Медицинский Совет. 2018;12:152-8 [Buralkina NA, Arutyunova EE, Vlasova GA. Global vitamin D status problems: causes, pathogenetic mechanisms, treatment, prevention measures. Meditsinskiy sovet = Medical Council. 2018;12:152-8 (in Russian)]. doi: 10.21518/2079-701X-2018-12-152-158
- Garland CF, Gorham ED, Mohr SB, Garland FC. Vitamin D for cancer prevention: Global perspective. Ann Epi. 2009;19:468-83. doi: 10.1016/j.annepidem.2009.03.021
- Yetley EA. Assessing the vitamin D status of the US population. Am J Clin Nutr. 2008;88:558-642. doi: 10.1093/ajcn/88.2.558s
- Maxwell JD. Seasonal variation in vitamin D. Proceeding Soft Nutrition Society. 1994;53:533-43. doi: 10.1079/pns19940063
- Cinar N, Harmanci A, Bulent O. Vitamin D status and seasonal changes in plasma concentrations of 25-hydroxyvitamin D in office workers in Ankara, Turkey. Eur J Intern Med. 2013;25(2):197-201. doi: 10.1016/j.ejim.2013.11.004
- Kull M, Kallikorm R, Tamm A, Lember M. Seasonal variance of 25(OH) vitamin D in the general population of Estonia a Northern European country. BMC Public Health. 2009;9:22. DOI:10.1186/ 1471-2458-9-22
- Maeda SS, Saraiva GL, Hayashi LF, et al. Seasonal variation in the serum 25-hydroxyvitamin D levels of young and elderly active and inactive adults in Sao Paulo, Brazil: The Sao Paulo Vitamin D Evaluation Study (SPADES). Dermato-Endocrinology. 2013;5(1):211-7. doi: 10.4161/derm.24476
- Wacker M, Holick MF. Sunlight and Vitamin D. Dermatoendocrinol. 2014;5(1):51-108. doi: 10.4161/derm.24494
- Webb AR, Kline L, Holick MF. Infl uence of season and latitude on the cutaneous synthesis of vitamin D3: Exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 Synthesis in Human Skin. J Clin Endocr Metab. 1988;67(2):373-8. doi: 10.1210/jcem-67-2-373
- Пигарова Е.А., Рожинская Л.Я., Белая Ж.Е., и др. Клинические рекомендации Российской ассоциации эндокринологов по диагностике, лечению и профилактике дефицита витамина D у взрослых. Проблемы Эндокринологии. 2016;62(4):60-84. [Pigarova EA, Rozhinskaya LYa, Belaya ZhE., et al. Russian Association of Endocrinologists recommendations for diagnosis, treatment and prevention of vitamin D deficiency in adults. Problems of Endocrinology. 2016;62(4):60-84 (in Russian)].
- Bjelakovic G, Gluud LL, Nikolova D, et al. Vitamin D supplementation for prevention of mortality in adults. Cochrane Database Syst Rev. 2014;1:CD007470. doi: 10.1002/14651858.cd007470.pub3