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Evaluation of vitamin D levels in children and adolescents after the first year of the COVID-19 pandemic: 1-year results of a secondary-level state hospital - 04/04/24

Doi : 10.1016/j.arcped.2023.11.001 
Fatma Özgüç Çömlek a, , Ali Toprak b, Ahmet Ziya Birbilen c, Semine Özdemir Dilek a, Fatma Coşkun d
a Pediatric Endocrinology, Gaziantep Children Hospital, Turkey 
b Biostatistics, Bezmialem Vakıf University, İstanbul, Turkey 
c Child Emergency, Gaziantep Children Hospital, Gaziantep, Turkey 
d Anesthesia and Reanimation, Gaziantep Children Hospital, Gaziantep, Turkey 

Corresponding author at: Gaziantep Children's Hospital, Clinics of Pediatric Endocrinology, Gaziantep, Turkey.Gaziantep Children's HospitalClinics of Pediatric EndocrinologyGaziantepTurkey

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Abstract

Background

The COVID-19 pandemic caused a global public health problem with high morbidity and mortality rates. In this study, we aimed to evaluate the 25-hydroxyvitamin D (25(OH)D) status of patients presenting to the Pediatrics Department of Gaziantep Maternity and Children's Hospital in the 1-year period after the onset of the COVID-19 pandemic according to ethnicity, age, and gender.

Method

This cross-sectional study included the data of 7640 patients whose 25(OH)D levels were assessed at our hospital between March 2021 and March 2022. Vitamin D levels, age, gender, and the ethnic origin of the patients were retrospectively scanned and recorded from the laboratory results system. Based on the World Health Organization (WHO) classification of vitamin D levels, patients were divided into three groups: <10 ng/mL = vitamin D deficiency; 10–19 ng/mL = vitamin D insufficiency, and 20 ng/mL and over = normal vitamin D status.

Results

The mean age of the 7640 patients who presented to the pediatrics department was 7.47 (±5.3) years. Of these patients, 48 % (3665) were male and 52 % (3975) were female. The mean vitamin D level of girls was 18.1 (±15.2) ng/mL, and of boys it was 20.2 (±15.4) ng/mL, with a statistically significant difference (p < 0.001). In total, 21.2 % (1650) of patients had deficient, 43.3 % (3310) of patients had insufficient, and 35.5 % (2710) of patients had normal 25(OH)D levels. Overall, 21.8 % of the patients (1667) were immigrants, and in this group the deficiency was found to be statistically significantly higher at 27.4 % (n = 456; p < 0.001). There was a low negative correlation between the age of the patients and their 25(OH)D levels (r=−0.35; p < 0.001).

Conclusions

Vitamin D deficiency remains a serious public health problem. Since the most important production source is exposure to the sun, it must be kept in mind that vitamin D should be supported during lockdown pandemic processes.

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Keywords : Vitamin D, Deficiency, COVID-19, Pandemic


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© 2024  French Society of Pediatrics. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 31 - N° 3

P. 179-182 - avril 2024 Regresar al número
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