Vitamin D Levels of Out-Patients in Lithuania: Deficiency and Hypervitaminosis

Medicina (Kaunas). 2018 Apr 26;54(2):25. doi: 10.3390/medicina54020025.

Abstract

Aim: Data on the prevalence of vitamin D deficiency in Lithuania are scarce. The aim was to assess the reserves of vitamin D in different age groups of out-patients, regarding the season of the year. Methods: Data on serum 25-hydroxyvitamin D (25(OH)D) levels from blood tests made in 2012⁻2014 were obtained from one laboratory, and a retrospective cross-sectional analysis was performed. Results: A total of 9581 subjects were included. The mean age of the participants was 33 ± 23 years. The mean levels of vitamin D were higher in males than in females (p < 0.001). The highest mean 25(OH)D levels were in 0⁻9-year-old group, the lowest were in the 10⁻19-year-old group and in the group of participants that were 70 years and older (p < 0.001). The lowest vitamin D status was found in January, February, March, and April. The highest status was found in August and September. Overall, vitamin D deficiency, sufficiency, and hypervitaminosis were detected in 67%, 21%, and 12% of cases, respectively. Most cases with hypervitaminosis were in the group of children up to 2 years of age. Conclusion: Vitamin D status demonstrated clear seasonality. Significant sex-related differences of vitamin D statuses were also determined. Vitamin D deficiency was very prevalent in almost all age groups. Young children (aged up to 2 years) are of special interest for further research involving other types of 25(OH)D assays, such as those based on high-performance liquid chromatography (HPLC), since the real prevalence of "true" vitamin D hypervitaminosis in Lithuania's children is still to be determined.

Keywords: age factors; seasons; sex factors; vitamin D.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Age Factors
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Lithuania / epidemiology
  • Male
  • Middle Aged
  • Outpatients*
  • Prevalence
  • Retrospective Studies
  • Seasons*
  • Sex Distribution
  • Sex Factors
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood*
  • Vitamin D Deficiency / epidemiology
  • Young Adult

Substances

  • Vitamin D
  • 25-hydroxyvitamin D