The prevalence and factors associated with vitamin D deficiency among patients at the primary clinic of Pranangklao Hospital
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Abstract
Background: Vitamin D, in addition to its role in controlling calcium and phosphate, plays an important role in the treatment of cardiovascular disease, cancer, and non-communicable diseases (NCDs). Previous studies conducted abroad have revealed a high prevalence of vitamin D deficiency in patients attending primary care clinics. Estimating the magnitude of this problem in Thai primary care clinics can help develop appropriate support plans for affected individuals. Objective: This study aimed to investigate the prevalence and factors associated with vitamin D deficiency in patients attending primary care clinics. Methods: A cross-sectional study was conducted at Pranangklao Hospital’s primary care clinic from 1st January to 31st December 2022. Data on the vitamin D level of 514 patients were collected and analyzed using multiple logistic regression in STATA version 14. Results: Most of the patients were female, with an average age of 62.42 years, and dyslipidemia was the most common diagnosis. The prevalence of vitamin D insufficiency and deficiency was 46.69% and 34.24%, respectively. Hypertensive patients had a lower likelihood of vitamin D deficiency, with an odds ratio of 0.53. Conclusion: The study highlights a high prevalence of vitamin D insufficiency and deficiency among primary care clinic patients. Effective strategies are needed to identify and provide appropriate treatment for these conditions.
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References
Chroenngam N, Shrivani A, Holick MF. Vitamin D for skeletal and non-skeletal health: what we should know. J clini orthop trauma. 2019;10(6):1082-93.
Lopez AG, Kerlan V, Desailloud R. Non-classical effects of vitamin D: Non-bone effects of vitamin D. Ann Endocrinol. 2021;82:43-51.
Álvarez-Mercado AI, Mesa MD, Gil Á. Vitamin D: Role in chronic and acute diseases. Encyclopedia of Human Nutrition. 2023:535-44.
Bolland MJ, Grey A, Gamble GD, Reid IR. Calcium and vitamin D supplements and health outcomes: a reanalysis of the Women Health’s Initiative (WHI) limited-access data set1234. Am J Clin Nutr. 2011;94(4):1144-9.
Manson JE, Bassuk SS, Buring JE; VITAL Research Group. Principal results of the VITamin D and OmegA-3 TriaL (VITAL) and updated meta-analyses of relevant vitamin D trials. J Steroid Biochem Mol Biol. 2020;198:105522.
Mirhosseini N, Vatanparast H, Mazidi M, Kimball SM. Vitamin D Supplementation, Glycemic Control, and Insulin Resistance in Prediabetics: A Meta-Analysis. J Endocr Soc. 2018;2(7):687-709.
Gupta D, Vashi PG, Trukova K, Lis CG, Lammersfeld CA. Prevalence of serum vitamin D deficiency and insufficiency in cancer: Review of the epidemiological literature. Exp Ther Med. 2011;2(2):181-93.
Kweder H, Eidi H. Vitamin D deficiency in elderly: Risk factors and drugs impact on vitamin D status. Avicenna J Med. 2018;8(4):139-46.
Bouloukaki I, Markakis M, Pateli R, Lyronis I, Schiza S, Tsiligianni I. Vitamin D levels in primary care patients: correlations with clinical, seasonal, and quality-of-life parameters. Fam Pract. 2022;39(4):678-84.
Lin KW. Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm. Am Fam Physician. 2018;97(4):226-7.
Endocrine Society of Thailand. Recommendation of Vitamin D deficiency in Thailand [internet]. 2017 [cited 1 Jan 2022]. Available from: http://www.thaiendocrine.org/th/2017 /10/16.
Cochran WG. Sampling Techniques. 3rd Edition. New York: John Wiley& Sons; 1977
Abbot laboratories. Architect 25-OH Vitamin D [Internet]. [Cite 2022 Jan 1]. Available from: https://www.ilexmedical.com/files/download/1306390706e06Sh.pdf.
Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911-30.
Siwamogsatham O, Ongphiphadhanakul B, Tangpricha V. Vitamin D deficiency in Thailand. J Clin Transl Endocrinol. 2014;2(1):48-9.
Chaiyodsilp S, Pureekul T, Srisuk Y, Euathanikkanon C. A cross section study of vitamin D levels in Thai office worker. Bangkok Med J. 2015;9:8-11
Rajatanavin N, Kanokrungsee S, Aekplakorn W. Vitamin D status in Thai dermatologists and working-age Thai population. J Dermatol. 2019;46(3):206-12.
Charoenngam N, Srisussadaporn S. Prevalence of inadequate vitamin D status in ambulatory Thai patients with cardioembolic disorder who had and had no vitamin D supplementation. J Med Assoc Thai. 2018;101:739-52.
Scragg R, Sowers M, Bell C. Serum 25-hydroxyvitamin D, ethnicity, and blood pressure in the Third National Health and Nutrition Examination Survey. Am J Hypertens. 2007;20(7):713-9.
Akbari R, Adelani B, Ghadimi R. Serum vitamin D in hypertensive patients versus healthy controls is there an association? Caspian J Intern Med. 2016;7(3):168-72.
