Socio-economic Determinants of Vitamin D Deficiency in the Older Polish Population: Results from the PolSenior Study

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2018 Jan 22

PMID 29352837

Citations 5

Authors

Magdalena Wyskida

Aleksander Owczarek

Aleksandra Szybalska

Aniceta Brzozowska

Irena Szczerbowska

Katarzyna Wieczorowska-Tobis

Monika Puzianowska-Kuznicka

Edward Franek

Malgorzata Mossakowska

Tomasz Grodzicki

Andrzej Wiecek

Magdalena Olszanecka-Glinianowicz

Jerzy Chudek

Affiliations

Soon will be listed here.

Abstract

Objective: Numerous studies have reported an association between vitamin D (25-hydroxyvitamin D; 25(OH)D) deficiency and low economic status, lower educational level, drugs exposure, smoking and reduced physical activity. Our study analysed the association between sociodemographic factors and 25(OH)D status in Polish (Caucasian) seniors.

Design: Cross-sectional study (part of the PolSenior study). Serum 25(OH)D concentration was measured by a solid-phase ELISA method; a standardized questionnaire evaluated educational level, economic status, alcohol consumption, current or past cigarette smoking, physical activity, activities of daily living (ADL) and instrumental activities of daily living.

Setting: Community-dwelling randomly selected individuals aged 65 years or older, selected using three-stage stratified, proportional draw.

Subjects: Seniors (n 3472; 1658 women and 1814 men).

Results: Mean serum 25(OH)D concentration was 20·5 (sd 9·6) ng/ml. Values below the recommended level (30 ng/ml) were detected in 82·8 % of men and 90·4 % of women. Regression analysis revealed that the difference between sexes was associated with decreased walking activity in women, probably resulting in less sunlight exposure. There was a positive association between any disability in ADL and the presence of vitamin D deficiency/insufficiency. In the sex-adjusted analysis, older age, alcohol abstinence and lack of cycling and long-distance walking were explanatory variables for vitamin D deficiency.

Conclusions: Vitamin D deficiency/insufficiency is frequent in the older Polish population and associated with functional disability and impaired mobility of seniors.

Citing Articles

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Lech M, Warpechowski M, Wojszel A, Rentflejsz J, Swietek M, Wojszel Z Nutrients. 2024; 16(2).

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Moderate Sun Exposure Is the Complementor in Insufficient Vitamin D Consumers.

Wu S, Chen W Front Nutr. 2022; 9:832659.

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Socioeconomic status and vitamin D deficiency among women of childbearing age: a population-based, case-control study in rural northern China.

Lin S, Jiang L, Zhang Y, Chai J, Li J, Song X BMJ Open. 2021; 11(3):e042227.

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Optimizing ultraviolet B radiation exposure to prevent vitamin D deficiency among pregnant women in the tropical zone: report from cohort study on vitamin D status and its impact during pregnancy in Indonesia.

Judistiani R, Nirmala S, Rahmawati M, Ghrahani R, Natalia Y, Sugianli A BMC Pregnancy Childbirth. 2019; 19(1):209.

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Severity of Vitamin D Deficiency Predicts Mortality in Ischemic Stroke Patients.

Wajda J, Swiat M, Owczarek A, Brzozowska A, Olszanecka-Glinianowicz M, Chudek J Dis Markers. 2019; 2019:3652894.

PMID: 31191749 PMC: 6525921. DOI: 10.1155/2019/3652894.

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