Estimated vitamin D synthesis and dietary vitamin D intake among Asians in two distinct geographical locations (Kuala Lumpur, 3°N v. Aberdeen, 57°N) and climates

Public Health Nutr. 2018 Dec;21(17):3118-3124. doi: 10.1017/S1368980018002057. Epub 2018 Sep 4.

Abstract

Objective: To compare the contributions of UVB exposure and diet to total vitamin D among Asians living in Kuala Lumpur (KL) and Aberdeen (AB).

Design: Longitudinal study.

Setting: UVB exposure (using polysulfone film badges) and skin colour and dietary vitamin D intake (by web-based questionnaire) were measured at each season in AB and during south-west (SWM) and north-east monsoons (NEM) in KL.

Subjects: One hundred and fifteen Asians in KL and eighty-five Asians in AB aged 20-50 years.

Results: Median summer UVB exposure of Asians in AB (0·25 SED/d) was higher than UVB exposure for the KL participants (SWM=0·20 SED/d, P=0·02; NEM= 0·14 SED/d, P<0·01). UVB exposure was the major source of vitamin D in KL year-round (60%) but only during summer in AB (59%). Median dietary vitamin D intake was higher in AB (3·50 µg/d (140 IU/d)), year-round, than in KL (SWM=2·05 µg/d (82 IU/d); NEM=1·83 µg/d (73 IU/d), P<0·01). Median total vitamin D (UVB plus diet) was higher in AB only during summer (8·45 µg/d (338 IU/d)) compared with KL (SWM=6·03 µg/d (241 IU/d), P=0·04; NEM=5·35 µg/d (214 IU/d), P<0·01), with a comparable intake across the full year (AB=5·75 µg/d (230 IU/d); KL=6·15 µg/d (246 IU/d), P=0·78).

Conclusions: UVB exposure among Asians in their home country is low. For Asians residing at the northerly latitude of Scotland, acquiring vitamin D needs from UVB exposure alone (except in summer) may be challenging due to low ambient UVB in AB (available only from April to October).

Keywords: Ethnic; Polysulfone badges; Sunlight exposure behaviour; UVB exposure.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asian People*
  • Climate*
  • Diet*
  • Female
  • Humans
  • Longitudinal Studies
  • Malaysia
  • Male
  • Middle Aged
  • Nutritional Status
  • Rain
  • Scotland
  • Seasons*
  • Skin Pigmentation
  • Sunlight*
  • Surveys and Questionnaires
  • Vitamin D Deficiency* / etiology
  • Vitamin D* / administration & dosage
  • Vitamin D* / biosynthesis
  • Vitamins / administration & dosage
  • Vitamins / biosynthesis
  • Young Adult

Substances

  • Vitamins
  • Vitamin D