Vitamin D Status Of Filipino High School Students In Selected Schools In Quezon City
Hazel V Arnaldo | Randy P. Urtula | Maria Estela R. Nolasco
Discipline: medicine by specialism
Abstract:
BACKGROUND: Vitamin D deficiency has been documented as a frequent problem in almost every region of the world even in tropical countries and its health consequences are enormous. Infancy and adolescence are age groups particularly at risk of developing vitamin D deficiency. However, there are no data on the Vitamin D status of Filipino adolescents.
OBJECTIVES: To determine the serum 25-hydroxyvitamin D levels in Filipino high school students in selected schools in Quezon City.
METHODS: A cross-sectional study of Filipino high school students was undertaken. A total of 97 boys and girls aged 11-18 years old, attending selected private and public secondary schools in Quezon City participated in the study after parents' consent and students' assent were taken. Serum 25(OH)D levels were determined by electrochemiluminescence immunoassay (ECLIA) using Roche HITACHI Cobas e immunoassay analyzer.
RESULTS: The total serum 25-hydroxyvitamin D levels of the students ranged from 19.92 nmol/L to 88.63 nmol/L with a mean of 52.43 nmol/L. Among the 97 high school students, there was a prevalence of hypovitaminosis D (serum 25(OH)D <50 nmol/L) of 41.2% with 20.6% having deficient (<37.5 nmol/L) and 20.6% insufficient (37.5-<50 nmol/L) serum 25-hydroxyvitamin D levels. In a final multivariate model, low vitamin D intake, BMI Z-score outside the normal range of 0 to <1 SD and upper socioeconomic status were significant independent predictors of hypovitaminosis D.
CONCLUSION: Hypovitaminosis D is highly prevalent among Filipino adolescents in secondary school despite abundance of sunlight. Appropriate interventions are needed to address the problem of poor vitamin D status in schoolchildren.
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