Vitamin D Status Among Children aged 2 months to 13 years-a Hospital Based Study

Hem Sagar Rimal, Shripad J Walavalkar
2018 Birat Journal of Health Sciences  
<p><strong>Introduction: </strong>Vitamin D is an important micronutrient having crucial role in calcium and phosphate homeostasis but there is emerging evidence to suggest its role in prevention of infectious, inflammatory and neoplastic diseases. The vitamin D insufficiency/deficiency is a widely recognized problem among children in developed as well as developing countries.</p><p><strong>Objective: </strong>To find out the prevalence of vitamin D deficiency/insufficiency among children aged
more » ... months to 13 yrs and its correlation with serum calcium, phosphate and demographic factors.</p><p><strong>Methodology: </strong>Prospective, cross sectional, hospital based study conducted at Birat Medical College Teaching Hospital for a period of one year among children presented to pediatric OPD in whom pediatrician had a suspicion of Vitamin D Insufficiency /Deficiency. Venous blood Samples were taken for the estimation of 25(OH) Vitamin D, Calcium and Phosphate. Statistical analysis was done using SPSS software version 16. <strong>Results </strong>Among 174 children aged 2 months to 13 years, the prevalence of vitamin D insufficiency at the cutoff of &lt;30ng/ml was 82.75% where as no cases of vitamin D deficiency was noted at cut off level of &lt; 10 ng/ml. Children residing in urban area, samples taken in the winter season had higher prevalence of vitamin D insufficiency (p value &lt;0.05). Serum calcium and phosphate level were found positively correlated with Vitamin D level (p&lt;.05). However the relationship was very strong between Vitamin D and Calcium (r=0.402, p-value &lt;0.001) and weak positive correlation was noted with phosphate(r=0.155, p value &lt;0.05).</p><p><strong>Conclusion: </strong>There is very high prevalence of Vitamin D insufficiency among children. The vitamin D insufficiency was significantly higher in winter season as compared to summer. Children living in the urban area are more prone to Vitamin D insufficiency. Moderately strong positive correlation was observed between Vitamin D level and calcium but weak correlation existed with phosphate.</p><p> </p><p>BJHS 2018;3(1)5 : 381-384</p>
doi:10.3126/bjhs.v3i1.19766 fatcat:qpb6cwtmpvfyvi25ne7bzsb2q4