To Assess And Compare Vitamin D Levels Between Genders, Age Groups And Geographical Locations In A Secondary Care Hospital Of Dimapur, Nagaland, India.

Authors

  • Shelomith K Chawang Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India. https://orcid.org/0009-0000-0984-9287
  • Nokchur Imchen Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India.
  • Pamela Christudoss Christian Medical College, Vellore, Tamil Nadu, India.

DOI:

https://doi.org/10.37506/g7k2zb89

Keywords:

Deficient, Insufficient, Latitude, Prevalent, Sunlight, Vitamin D

Abstract

Introduction: The deficiency of Vitamin D is a widely unacknowledged and disregarded health issue globally. The prevalence of this condition is observed across all age groups and genders, affecting various systems in the body.

Objectives: To assess the prevalence of hypovitaminosis D among the adult population and compare vitamin D levels between genders, age groups and geographical locations in patients visiting a secondary care hospital at Dimapur.

Methods: A retrospective study was carried out over the period of one year from January 2022 to December 2022 on 665 patients (male: 33%, female: 64%) attending the outpatient and inpatient departments. Vitamin D levels were analyzed using enhanced chemiluminescence (vitros 5600).

Results: Out of 665 patients, 90 (14%) were found to be vitamin D deficient, 281 (42%) insufficient, 289 (43%) sufficient and 5 (1%) had toxic levels. Males showed a higher percentage (64%) in the vitamin D deficiency and insufficiency groups as compared with females (46%). In the age group of 42-53 years, a higher percentage of people (57%) were found to be affected with vitamin D deficiency and insufficiency. In the regional distribution of vitamin D status, it is observed that the people in the hilly regions have a higher percentage (61%) of vitamin D deficiency and insufficiency as compared with the valley regions (50%). However, there is no statistical difference in mean vitamin D levels within the deficient, insufficient and sufficient groups between genders, different age groups and geographical regions.

Conclusion:  The present study carried out on patients from a secondary care hospital at Dimapur, Nagaland, shows that males have a higher percentage in vitamin D deficiency and insufficiency. In the age group of 42-53 years, a higher percentage of people were found to be affected with vitamin D deficiency and insufficiency. The vitamin D status of those living in the hilly region shows a higher percentage of vitamin D deficiency and insufficiency. However, there is no statistical difference in mean vitamin D levels within the deficient, insufficient and sufficient groups between genders, different age groups, and between hilly regions and valley regions.

Author Biographies

  • Shelomith K Chawang, Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India.

    Assistant Professor, Clinical Biochemistry Department

  • Nokchur Imchen, Christian Institute of Health Sciences and Research, Dimapur, Nagaland, India.

    Consultant, Department of Medicine 

  • Pamela Christudoss, Christian Medical College, Vellore, Tamil Nadu, India.

    Professor, Department of Clinical Biochemistry

References

Weaver CM. Vitamin D, calcium homeostasis, and skeleton accretion in children. J Bone Miner Res. 2007 Dec;22 Suppl 2:V45-49. PMID: 18290721

Heaney RP, Dowell MS, Hale CA, Bendich A. Calcium absorption varies within the reference range for serum 25-hydroxyvitamin D. J Am Coll Nutr. 2003 Apr;22(2):142–146. PMID: 12672710

Holick MF. Vitamin D deficiency. N Engl J Med. 2007 Jul 19;357(3):266–281. PMID: 17634462

Harinarayan CV, Joshi SR. Vitamin D status in India--its implications and remedial measures. J Assoc Physicians India. 2009 Jan;57:40–48. PMID: 19753759

van Schoor NM, Lips P. Worldwide vitamin D status. Best Pract Res Clin Endocrinol Metab. 2011 Aug;25(4):671–680. PMID: 21872807

Mithal A, Wahl DA, Bonjour JP, Burckhardt P, Dawson-Hughes B, Eisman JA, El-Hajj Fuleihan G, Josse RG, Lips P, Morales-Torres J, IOF Committee of Scientific Advisors (CSA) Nutrition Working Group. Global vitamin D status and determinants of hypovitaminosis D. Osteoporos Int. 2009 Nov;20(11):1807–1820. PMID: 19543765

van der Meer IM, Middelkoop BJC, Boeke AJP, Lips P. Prevalence of vitamin D deficiency among Turkish, Moroccan, Indian and sub-Sahara African populations in Europe and their countries of origin: an overview. Osteoporos Int. 2011 Apr;22(4):1009–1021. PMCID: PMC3046351

Hashemipour S, Lalooha F, Zahir Mirdamadi S, Ziaee A, Dabaghi Ghaleh T. Effect of vitamin D administration in vitamin D-deficient pregnant women on maternal and neonatal serum calcium and vitamin D concentrations: a randomized clinical trial. Br J Nutr. 2013 Nov 14;110(9):1611–1616. PMID: 23628132

Moussavi M, Heidarpour R, Aminorroaya A, Pournaghshband Z, Amini M. Prevalence of vitamin D deficiency in Isfahani high school students in 2004. Horm Res. 2005;64(3):144–148. PMID: 16192739

Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007 Mar;103(3–5):620–625. PMID: 17287117

Vitamin and mineral requirements in human nutrition, 2nd edition [Internet]. [cited 2023 Dec 13]. Available from: https://www.who.int/publications-detail-redirect/9241546123

V A, R B, Mm G, A M. Vitamin D status and its relationship with bone mineral density in healthy Asian Indians. Osteoporosis International : a journal established as a result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA [Internet]. Osteoporos Int; 2004 Jan [cited 2023 Dec 13];15(1). Available from: https://pubmed.ncbi.nlm.nih.gov/13680103/ PMID: 13680103

Sachan A, Gupta R, Das V, Agarwal A, Awasthi PK, Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr. 2005 May;81(5):1060–1064. PMID: 15883429

Puri S, Marwaha RK, Agarwal N, Tandon N, Agarwal R, Grewal K, Reddy DHK, Singh S. Vitamin D status of apparently healthy schoolgirls from two different socioeconomic strata in Delhi: relation to nutrition and lifestyle. Br J Nutr. 2008 Apr;99(4):876–882. PMID: 17903343

Petimani MS, Aithal A, Adake P. Comparison of Vitamin D Levels between Genders, Age Groups and Geographical Locations in a Tertiary Care Hospital of Dakshina Kannada: A Cross-Sectional Study. SIJB. 2020 Feb 29;03(02):27–30.

Zargar AH, Ahmad S, Masoodi SR, Wani AI, Bashir MI, Laway BA, Shah ZA. Vitamin D status in apparently healthy adults in Kashmir Valley of the Indian subcontinent. Postgrad Med J. 2007 Nov;83(985):713–716. PMCID: PMC2659966

Arti Muley, Uma Iyer. Vitamin D status of the adult population aged 30-60 years in Vadodara city- A cross-sectional study. Asian Journal of Biomedical and Pharmaceutical Sciences. 2014;4(30):34–38.

Selvarajan S, Gunaseelan V, Anandabaskar N, Xavier AS, Srinivasamurthy S, Kamalanathan SK, Sahoo JP. Systematic Review on Vitamin D Level in Apparently Healthy Indian Population and Analysis of Its Associated Factors. Indian J Endocrinol Metab. 2017;21(5):765–775. PMCID: PMC5628552

Harinarayan CV, Sachan A, Reddy PA, Satish KM, Prasad UV, Srivani P. Vitamin D status and bone mineral density in women of reproductive and postmenopausal age groups: a cross-sectional study from south India. J Assoc Physicians India. 2011 Nov;59:698–704. PMID: 22616335

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Published

2024-09-20

How to Cite

To Assess And Compare Vitamin D Levels Between Genders, Age Groups And Geographical Locations In A Secondary Care Hospital Of Dimapur, Nagaland, India. (2024). Indian Journal of Public Health Research & Development, 15(4), 396-401. https://doi.org/10.37506/g7k2zb89