Determinants of Vitamin D Supplementation Among Individuals with Type 1 Diabetes

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Jan 26

PMID 31979092

Authors

Mikolaj Kaminski

Magdalena Molenda

Agnieszka Banas

Aleksandra Uruska

Dorota Zozulinska-Ziolkiewicz

Affiliations

Soon will be listed here.

Abstract

Half of the individuals with type 1 diabetes (T1DM) may present Vitamin D (VD) deficiency. There is little known about factors determining a decision on VD supplementation. The study aimed to determine the factors affecting vitamin D supplementation in people with T1DM. A cross-sectional survey study using the authors' questionnaire paper and its digital version was performed. The questions involved data on the basic characteristics of the respondent, medical history, VD supplementation status, influence of the social environment, self-education, and the most important personal motivator for VD supplement use. Multivariate logistic regression analysis was performed. We collected a total of = 184 papers and = 550 digital complete surveys. From 734 total respondents, 62.0% declared VD supplementation. The main personal rationale for VD supplementation were recommendation of medical specialist 172 (37.8%) and self-education 135 (29.7%). The main reasons for non-supplementation of VD were lack of knowledge about VD 159 (57.0%) and lack of motivation 77 (27.6%). VD supplementation was independently associated with a family doctor (odds ratio (OR), 95% confidence interval (CI): 4.67, 2.32-9.40) or medical specialist recommendation (16.20, 9.57-27.43), and self-education (5.97, 3.90-9.13). Most Polish individuals with T1DM use VD supplements, and the decision is related to physicians' recommendations and self-education.

References

Kaminski M, Uruska A, Rogowicz-Frontczak A, Lipski D, Niedzwiecki P, Rozanska O . Insulin Resistance in Adults with Type 1 Diabetes is Associated with Lower Vitamin D Serum Concentration. Exp Clin Endocrinol Diabetes. 2019; 129(5):396-402. DOI: 10.1055/a-0895-5166. View

Skowron K, Pawlicka I, Gil K . The role of vitamin D in the pathogenesis of ocular diseases. Folia Med Cracov. 2018; 58(2):103-118. DOI: 10.24425/fmc.2018.124662. View

Wieder-Huszla S, Jurczak A, Szkup M, Barczak K, Dolegowska B, Schneider-Matyka D . Relationships between Vitamin D₃ and Metabolic Syndrome. Int J Environ Res Public Health. 2019; 16(2). PMC: 6352038. DOI: 10.3390/ijerph16020175. View

Zadka K, Palkowska-Gozdzik E, Rosolowska-Huszcz D . The State of Knowledge about Nutrition Sources of Vitamin D, Its Role in the Human Body, and Necessity of Supplementation among Parents in Central Poland. Int J Environ Res Public Health. 2018; 15(7). PMC: 6068672. DOI: 10.3390/ijerph15071489. View

Broussard D . Public health in pharmacy: improving vitamin D status in the U.S. population. J Am Pharm Assoc (2003). 2013; 53(2):206-9. DOI: 10.1331/JAPhA.2013.12106. View

Wierzbicka E, Szalecki M, Pludowski P, Jaworski M, Brzozowska A . Vitamin D status, body composition and glycemic control in Polish adolescents with type 1 diabetes. Minerva Endocrinol. 2016; 41(4):445-55. View

Windrim C, Crosby D, Mitchell K, Brophy C, Mahony R, Higgins M . Vitamin D supplementation in pregnancy-a survey of compliance with recommendations. Ir J Med Sci. 2017; 187(3):709-712. DOI: 10.1007/s11845-017-1707-8. View

Kiely M, Cashman K . Summary Outcomes of the ODIN Project on Food Fortification for Vitamin D Deficiency Prevention. Int J Environ Res Public Health. 2018; 15(11). PMC: 6266662. DOI: 10.3390/ijerph15112342. View

Goodman S, Morrongiello B, Meckling K . A randomized, controlled trial evaluating the efficacy of an online intervention targeting vitamin D intake, knowledge and status among young adults. Int J Behav Nutr Phys Act. 2016; 13(1):116. PMC: 5106840. DOI: 10.1186/s12966-016-0443-1. View

10.

Ewers B, Trolle E, Jacobsen S, Vististen D, Almdal T, Vilsboll T . Data on the use of dietary supplements in Danish patients with type 1 and type 2 diabetes. Data Brief. 2018; 22:241-244. PMC: 6305888. DOI: 10.1016/j.dib.2018.11.144. View

11.

Mathyssen C, Gayan-Ramirez G, Bouillon R, Janssens W . Vitamin D supplementation in respiratory diseases: evidence from randomized controlled trials. Pol Arch Intern Med. 2017; 127(11):775-784. DOI: 10.20452/pamw.4134. View

12.

Harris P, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J . Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2008; 42(2):377-81. PMC: 2700030. DOI: 10.1016/j.jbi.2008.08.010. View

13.

McCormack D, Mai X, Chen Y . Determinants of vitamin D supplement use in Canadians. Public Health Nutr. 2015; 20(10):1768-1774. PMC: 10261614. DOI: 10.1017/S1368980015001950. View

14.

Beck F, Richard J, Nguyen-Thanh V, Montagni I, Parizot I, Renahy E . Use of the internet as a health information resource among French young adults: results from a nationally representative survey. J Med Internet Res. 2014; 16(5):e128. PMC: 4051740. DOI: 10.2196/jmir.2934. View

15.

de Nooijer J, Onnink M, van Assema P . Vitamin D supplementation in young children: associations with Theory of Planned Behaviour variables, descriptive norms, moral norms and habits. Public Health Nutr. 2010; 13(8):1279-85. DOI: 10.1017/S1368980010000777. View

16.

Hansen L, Tjonneland A, Koster B, Brot C, Andersen R, Cohen A . Vitamin D Status and Seasonal Variation among Danish Children and Adults: A Descriptive Study. Nutrients. 2018; 10(11). PMC: 6265892. DOI: 10.3390/nu10111801. View

17.

Bonevski B, Girgis A, Magin P, Horton G, Brozek I, Armstrong B . Prescribing sunshine: a cross-sectional survey of 500 Australian general practitioners' practices and attitudes about vitamin D. Int J Cancer. 2011; 130(9):2138-45. DOI: 10.1002/ijc.26225. View

18.

Ziaei-Kajbaf T, Aminzadeh M, Fatahinezhad E, Aletayeb S . Vitamin D status in diabetic children and adolescents. Diabetes Metab Syndr. 2018; 12(6):849-852. DOI: 10.1016/j.dsx.2018.03.007. View

19.

Yeum K, Song B, Joo N . Impact of Geographic Location on Vitamin D Status and Bone Mineral Density. Int J Environ Res Public Health. 2016; 13(2):184. PMC: 4772204. DOI: 10.3390/ijerph13020184. View

20.

Norman A, Frankel J, Heldt A, GRODSKY G . Vitamin D deficiency inhibits pancreatic secretion of insulin. Science. 1980; 209(4458):823-5. DOI: 10.1126/science.6250216. View