Niveles de vitamina d y prevalencia de déficit de vitamina d en mujeres postmenopáusicas mayores de 50 años en Bogotá


Autoria(s): Diaz Machicado, Mario; Llinas Volpe, Adolfo Mario
Contribuinte(s)

Trillos Peña, Carlos Enrique

Data(s)

17/11/2014

Resumo

Objetivo: Describir los niveles de vitamina D y calcular prevalencia de déficit de vitamina D en mujeres postmenopáusicas mayores de 50 años que asisten a consulta de medicina general en una muestra en de la ciudad de Bogotá durante el periodo 2013-2014. Pacientes y métodos: Realizamos un estudio descriptivo para estimar el déficit de VD en mujeres postmenopáusicas entre 50 y 80 años en la ciudad de Bogotá y la prevalencia de hipovitaminosis D. Durante el periodo octubre 2013 a octubre 2014 se analizaron 320 muestras, se identificaron las características socio-demográficas, patológicas y la exposición a radiación ultravioleta de cada participante. Se realizó un análisis descriptivo de las variables, se estableció su asociación con el déficit de vitamina D su aporte estadístico con al mismo. Resultados :El promedio de edad en la muestra fue de 61 años y el promedio de edad en la que reportaron la ultima menstruación fue a los 43 años. Con respecto a las características socio-demográficas 50% de las mujeres pertenecieron a los estratos 3 y 4, únicamente 11% de los pacientes realizaron una carrera universitaria y 73% de la mujeres fueron amas de casa. Con respecto a los niveles de vitamina D, 81% de los pacientes presentaron niveles anormales y el promedio de 25(OH)D en la población estudio fue de 19,81ng/ml. Conclusión: La prevalencia de déficit de vitamina D en mujeres bogotanas postmenopáusicas es significativo. Se requiere incrementar la exposición solar o dar suplencia con vitamina D para disminuir el riesgo de fracturas.

Lafrancol

Objective: To describe the levels of vitamin D and calculate its deficiency in postmenopausal women older than 50 years who attend a general doctor in Bogota from October 2013 to October 2014. Methods: We completed a descriptive study to estimate de prevalence of vitamin D deficiency in postmenopausal women. During the period October 2013 and October 2014, we analyzed 320 samples, social-demographic and pathological characteristics were assessed and solar exposition was calculated for each individual. A descriptive analysis was conducted and the association with vitamin D deficiency was established. Results: The average age was 61 and the mean age at which last menstruation was reported was 43 years. Respectively social-demographic characteristics, 50% of the women correspond to stratum three and four, only 11% of them had a university title, and 73 were housewives. With respect to vitamin D levels, 81% of the women had abnormal results and the 25(OH)D average was 18,91ng/cc. Conclusion: The prevalence of vitamin D deficiency in postmenopausal women in Bogota is important. Vitamin D supply or improvement in sun exposure is mandatory to decrease fracture risk.

Formato

application/pdf

Identificador

http://repository.urosario.edu.co/handle/10336/9037

Idioma(s)

spa

Publicador

Facultad de medicina

Direitos

info:eu-repo/semantics/openAccess

Fonte

instname:Universidad del Rosario

reponame:Repositorio Institucional EdocUR

Saraiva GL, Cendoroglo MS, Ramos LR, Araujo LMQ, Vieira JGH, Kunii I, et al. Influence of ultraviolet radiation on the production of 25 hydroxyvitamin D in the elderly population in the city of Sao Paulo (23 o 34’S), Brazil. Osteoporosis International. 2005;16(12):1649-54.

1. van Schoor NM, Lips P. Worldwide vitamin D status. Best Practice & Research Clinical Endocrinology & Metabolism. 2011;25(4):671-80.

2. LeBoff MS, Kohlmeier L, Hurwitz S, Franklin J, Wright J, Glowacki J. Occult vitamin D deficiency in postmenopausal US women with acute hip fracture. JAMA: the journal of the American Medical Association. 1999;281(16):1505

3. Gordon CM, DePeter KC, Feldman HA, Grace E, Emans SJ. Prevalence of vitamin D deficiency among healthy adolescents. Archives of Pediatrics and Adolescent Medicine. 2004;158(6):531.

4. Gaugris S, Heaney R, Boonen S, Kurth H, Bentkover J, Sen S. Vitamin D inadequacy among post-menopausal women: a systematic review. Qjm. 2005;98(9):667.

5. González G, Alvarado JN, Rojas A, Navarrete C, Velásquez CG, Arteaga E. High prevalence of vitamin D deficiency in Chilean healthy postmenopausal women with normal sun exposure: additional evidence for a worldwide concern. Menopause. 2007;14(3):455.

7. González Devia D, Zúñiga Libreros C, Kattah Calderón W. Insuficiencia de vitamina D en pacientes adultos con baja masa ósea y osteoporosis en la Fundación Santa Fe de Bogotá 2008-2009. Revista Colombiana de Reumatología. 2010;17(4):212-8.

8. Holick MF. Vitamin D deficiency. New England Journal of Medicine. 2007;357(3):266-81.

9. Boonen S, Bischoff-Ferrari H, Cooper C, Lips P, Ljunggren O, Meunier P, et al. Addressing the musculoskeletal components of fracture risk with calcium and vitamin D: a review of the evidence. Calcified tissue international. 2006;78(5):257-70.

10. Larsen ER, Mosekilde L, Foldspang A. Vitamin D and calcium supplementation prevents osteoporotic fractures in elderly community dwelling residents: a pragmatic population‐based 3‐year intervention study. Journal of Bone and Mineral Research. 2004;19(3):370-8.

11. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. New England Journal of Medicine. 1997;337(10):670-6.

12. Chapuy MC, Arlot ME, Duboeuf F, Brun J, Crouzet B, Arnaud S, et al. Vitamin D3 and calcium to prevent hip fractures in elderly women. New England Journal of Medicine. 1992;327(23):1637-42.

13. Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B. Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. The American journal of clinical nutrition. 2006;84(1):18-28.

14. Boonen S, Lips P, Bouillon R, Bischoff-Ferrari HA, Vanderschueren D, Haentjens P. Need for additional calcium to reduce the risk of hip fracture with vitamin D supplementation: evidence from a comparative metaanalysis of randomized controlled trials. Journal of Clinical Endocrinology & Metabolism. 2007;92(4):1415.

16. Heaney RP, Dowell MS, Hale CA, Bendich A. Calcium absorption varies within the reference range for serum 25-hydroxyvitamin D. Journal of the American college of nutrition. 2003;22(2):142-6.

17. Lips P, Wiersinga A, Van Ginkel F, Jongen M, Netelenbos J, Hackeng W, et al. The effect of vitamin D supplementation on vitamin D status and parathyroid function in elderly subjects. Journal of Clinical Endocrinology & Metabolism. 1988;67(4):644-50.

18. Krall EA, Sahyoun N, Tannenbaum S, Dallal GE, Dawson-Hughes B. Effect of vitamin D intake on seasonal variations in parathyroid hormone secretion in postmenopausal women. New England Journal of Medicine. 1989;321(26):1777-83.

19. Ross AC, Manson JAE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. Journal of Clinical Endocrinology & Metabolism. 2011;96(1):53-8

20. McKenna MJ, Freaney R. Secondary Hyperparathyroidism in the Elderly: Means to Defining Hypovitaminosis D. Osteoporosis International. 1998;8(8):S003-S6

21. Hill T, Collins A, O'Brien M, Kiely M, Flynn A, Cashman K. Vitamin D intake and status in Irish postmenopausal women. European journal of clinical nutrition. 2004;59(3):404-10.

22. Macdonald H, Mavroeidi A, Fraser W, Darling A, Black A, Aucott L, et al. Sunlight and dietary contributions to the seasonal vitamin D status of cohorts of healthy postmenopausal women living at northerly latitudes: a major cause for concern? Osteoporosis International. 2011;22(9):2461-72.

23. Oliveri B, Plantalech L, Bagur A, Wittich A, Rovai G, Pusiol E, et al. High prevalence of vitamin D insufficiency in healthy elderly people living at home in Argentina. European journal of clinical nutrition. 2004;58(2):337-42.

24. Macdonald HM, Mavroeidi A, Barr RJ, Black AJ, Fraser WD, Reid DM. Vitamin D status in postmenopausal women living at higher latitudes in the UK in relation to bone health, overweight, sunlight exposure and dietary vitamin D. Bone. 2008;42(5):996-1003

25. Bischoff-Ferrari HA, Willett WC, Wong JB, Giovannucci E, Dietrich T, Dawson-Hughes B. Fracture prevention with vitamin D supplementation. JAMA: the journal of the American Medical Association. 2005;293(18):2257-64.

26. Salamone L, Dallal G, Zantos D, Makrauer F, Dawson-Hughes B. Contributions of vitamin D intake and seasonal sunlight exposure to plasma 25-hydroxyvitamin D concentration in elderly women. The American journal of clinical nutrition. 1994;59(1):80-6

27. hlebowski RT, Johnson KC, Lane D, Pettinger M, Kooperberg CL, Wactawski-Wende J, et al. 25-hydroxyvitamin D concentration, vitamin D intake and joint symptoms in postmenopausal women. Maturitas [Internet]. Elsevier Ireland Ltd; 2011 Jan [cited 2014 Nov 15];68(1):73–8. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3860096&tool=pmcentrez&rendertype=abstract

28. Dell SN, Scanlon KS, Cogswell ME, Gillespie C, Hollis BW, Looker AC, et al. Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age : third National Health and Nutrition Examination Survey , 1988 – 1994 1 , 2. 2002;(1):1–6.

29. Article O. Sunlight and dietary contributions to the seasonal vitamin D status of cohorts of healthy postmenopausal women living at northerly latitudes : a major cause for concern ? 2011;2461–72

30. Sheikh A, Saeed Z, Ali S, Jafri D, Yazdani I, Hussain SA. Vitamin D Levels in Asymptomatic Adults-A Population Survey in Karachi , Pakistan. 2012;7(3):1–7.

31. Schoor NM Van, Ph D, Epidemiologist S, Lips P. Best Practice & Research Clinical Endocrinology & Metabolism Worldwide vitamin D status. Best Pract Res Clin Endocrinol Metab [Internet]. Elsevier Ltd; 2011;25(4):671–80. Available from: http://dx.doi.org/10.1016/j.beem.2011.06.007

TEME

Palavras-Chave #612.399 #Vitaminas #Vitamina D #Menopausia #Epidemiología #woman, postmenopausal, vitamin D
Tipo

info:eu-repo/semantics/bachelorThesis

info:eu-repo/semantics/acceptedVersion