Age and sex-specific variations of vitamin D level in Bangladeshi population: a laboratory-based study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250665Keywords:
Vitamin D deficiency, Insufficiency, Retrospective study, Prevalence, FemaleAbstract
Background: In Bangladesh, vitamin D deficiency (VDD) is a silent epidemic that is neither recognized nor managed properly. The purpose of this research was to compare vitamin D levels across age groups and sexes in the population of Bangladesh.
Methods: This was a laboratory-based retrospective study conducted in Dhaka, Bangladesh. Data on the age, gender, and vitamin D status of all 1074 people of all ages and both sexes who had their vitamin D levels checked at Ibn Sina D. Lab and Consultation Centre, Doyagonj, Dhaka, on a doctor’s recommendation were collected. Vitamin D levels (ng/ml) were categorized as deficiency (0 to <20), insufficiency (20-<30), sufficiency (30-100), and potential toxicity (>100). Participants were then divided into 0-10, >10-25, >25-50, and >50 years age group.
Results: The participants’ average age was 29.15±20.32 years, with the majority (39.5%) being over 25-50 years old. Nearly two-thirds [702 (65.4%)] of the participants were female. Participants aged 0-10, >10-25, >25-50, and >50 years had mean vitamin D levels of 26.68±20.30, 16.47±7.18, 20.30±9.35, and 22.73±13.55 ng/ml, respectively. The participants' average vitamin D levels varied dramatically with age. Among the subjects, 605 (56.3%) were vitamin D deficient (95% confidence interval: 53.4-59.1). VDD was detected in 52.2% of males and 58.5% of females, indicating that females are significantly more affected.
Conclusions: VDD is extremely common among Bangladeshi people. It is more prevalent among young and females. Ensuring proper nutritional supplementation among at-risk groups can help to prevent the long-term negative health consequences of VDD.
Metrics
References
Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-81. DOI: https://doi.org/10.1056/NEJMra070553
Akhtar S. Vitamin D status in south Asian populations- risks and opportunities. Crit Rev Food Sci Nutr. 2016;56(11):1925-40. DOI: https://doi.org/10.1080/10408398.2013.807419
Islam MZ, Lamberg-Allardt C, Kärkkäinen M, Outila T, Salamatullah Q, Shamim AA. Vitamin D deficiency: a concern in premenopausal Bangladeshi women of two socio-economic groups in rural and urban region. Eur J Clin Nutr. 2002;56(1):51-6. DOI: https://doi.org/10.1038/sj.ejcn.1601284
Islam MZ, Akhtaruzzaman M, Lamberg-Allardt C. Hypovitaminosis D is common in both veiled and nonveiled Bangladeshi women. Asia Pac J Clin Nutr. 2006;15(1):81-7.
Islam MZ, Shamim AA, Kemi V, Nevanlinna A, Akhtaruzzaman M, Laaksonen M, et al. Vitamin D deficiency and low bone status in adult female garment factory workers in Bangladesh. Br J Nutr. 2008;99(6):1322-9. DOI: https://doi.org/10.1017/S0007114508894445
Combs GF, Hassan N, Dellagana N, Staab D, Fischer P, Hunt C, et al. Apparent efficacy of food-based calcium supplementation in preventing rickets in Bangladesh. Biol Trace Elem Res. 2008;121(3):193-204. DOI: https://doi.org/10.1007/s12011-007-8053-z
Alam MS, Kamrul-Hasan M, Kalam ST, Selim S, Akter F, Saifuddin M. Vitamin D status in newly diagnosed type 2 diabetes patients attending in a tertiary hospital of Bangladesh. Mymensingh Med J. 2018;27(2):362-8.
ICDDR,B, UNICEF, Bangladesh, GAIN, Institute of Public Health and Nutrition. National Micronutrients Status Survey 2011-12. Centre for Nutrition and Food Security, ICDDR,B. 2013. Available from: https://www.gainhealth.org/sites/default/files/publications/documents/bangladesh-national-micronutrient-survey-final-report-2013.pdf. Accessed on 27 July 2024.
Islam MZ, Bhuiyan NH, Akhtaruzzaman M, Allardt CL, Fogelholm M. Vitamin D deficiency in Bangladesh: A review of prevalence, causes and recommendations for mitigation. Asia Pac J Clin Nutr. 2022;31(2):167-80.
DeLuca HF. The metabolism and functions of vitamin D. Adv Exp Med Biol. 1986;196:361-75. DOI: https://doi.org/10.1007/978-1-4684-5101-6_24
Fleet JC. The role of vitamin D in the endocrinology controlling calcium homeostasis. Mol Cell Endocrinol. 2017;453:36-45. DOI: https://doi.org/10.1016/j.mce.2017.04.008
Ahmed S, Goldberg GR, Raqib R, Roy SK, Haque S, Braithwaite VS, et al. Aetiology of nutritional rickets in rural Bangladeshi children. Bone. 2020;136:115357. DOI: https://doi.org/10.1016/j.bone.2020.115357
Craviari T, Pettifor JM, Thacher TD, Meisner C, Arnaud J, Fischer PR. Rickets: an overview and future directions, with special reference to Bangladesh. J Health Popul Nutr. 2008;26(1):112-21.
Alswat KA. Gender disparities in osteoporosis. J Clin Med Res. 2017;9(5):382-7. DOI: https://doi.org/10.14740/jocmr2970w
Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008;87(4):1080S-6S. DOI: https://doi.org/10.1093/ajcn/87.4.1080S
Holick MF. Vitamin D: a d-lightful solution for health. J Investig Med. 2011;59(6):872-80. DOI: https://doi.org/10.2310/JIM.0b013e318214ea2d
Dai L, Liu M, Chen L. Association of serum 25-hydroxyvitamin D concentrations with all-cause and cause-specific mortality among adult patients with existing cardiovascular disease. Front Nutr. 2021;8:740855. DOI: https://doi.org/10.3389/fnut.2021.740855
van Schoor N, Lips P. Global overview of vitamin D status. Endocrinol Metab Clin North Am. 2017;46(4):845-70. DOI: https://doi.org/10.1016/j.ecl.2017.07.002
Prentice A. Vitamin D deficiency: a global perspective. Nutr Rev. 2008;66(10 Suppl 2):S153-64. DOI: https://doi.org/10.1111/j.1753-4887.2008.00100.x
Saha A, Shakur MS, Laila R, Shakur S, Shomik MS, Habib RB. Assessment of risk factors associated with vitamin D status among children of an urban and rural areas of Bangladesh. Bangladesh Med Res Counc Bull. 2020;46(2):134-41. DOI: https://doi.org/10.3329/bmrcb.v46i2.49024
Islam AKMM, Hasan M, Rahman K, Asaduzzaman M, Rahim M, Zaman S, et al. Vitamin D status in Bangladeshi subjects: a laboratory based study. BIRDEM Med J. 2019;9:202-6. DOI: https://doi.org/10.3329/birdem.v9i3.43081
Shukla K, Sharma S, Gupta A, Raizada A, Vinayak K. Current scenario of prevalence of vitamin D deficiency in ostensibly healthy indian population: a hospital based retrospective study. Indian J Clin Biochem. 2016;31(4):452-7. DOI: https://doi.org/10.1007/s12291-016-0552-2
Hassan S, Muzammil SM, Jafri L, Khan AH. An audit of clinical laboratory data of 25 [OH]D at Aga Khan University as reflecting vitamin D deficiency in Pakistan. J Pak Med Assoc. 2015;65(11):1247-50.
Sachan A, Gupta R, Das V, Agarwal A, Awasthi PK, Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr. 2005;81(5):1060-4. DOI: https://doi.org/10.1093/ajcn/81.5.1060
Al-Taiar A, Rahman A, Al-Sabah R, Shaban L, Al-Harbi A. Vitamin D status among adolescents in Kuwait: a cross-sectional study. BMJ Open. 2018;8(7):e021401. DOI: https://doi.org/10.1136/bmjopen-2017-021401
Dawodu A, Wagner CL. Mother-child vitamin D deficiency: an international perspective. Arch Dis Childhood. 2007;92(9):737–40. DOI: https://doi.org/10.1136/adc.2007.122689
Sinkar P, Sivapandi K, Kallathiyan K, Iyer S. Vitamin D deficiency picture: an Indian laboratory retrospective study of over 10,000 subjects. AJBLS. 2018;7(3):93-7. DOI: https://doi.org/10.5530/ajbls.2018.7.11
Goel S. Vitamin D status in Indian subjects: a retrospective analysis. Int J Res Orthopaed. 2020;6(3):603-10. DOI: https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20201735
Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients. 2014;6(2):729-75. DOI: https://doi.org/10.3390/nu6020729
Shivane VK, Sarathi V, Bandgar T, Menon P, Shah NS. High prevalence of hypovitaminosis D in young healthy adults from the western part of India. Postgrad Med J. 2011;87(1030):514-8. DOI: https://doi.org/10.1136/pgmj.2010.113092
Garg R, Agarwal V, Agrawal P, Singh S, Malhotra N. Prevalence of vitamin D deficiency in Indian women. Int J Reprod Contracept Obstet Gynecol. 2018;7:2222-5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20182324
Kiani RA, Asad MJ, Abbasi S, Farooq N, Khan MU. Prevalence of vitamin-D deficiency in urban population: a retrospective analysis. Ann Pak Inst Med Sci. 2015;11:90-4.
Khan H, Ansari MA, Waheed U, Farooq N. Prevalence of vitamin D deficiency in general population of Islamabad, Pakistan. Ann Pak Inst Med Sci. 2013;9(1):45-7.