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Seasonal Differences in Outdoor Activity Time and Serum 25-(OH) Vitamin D Status of Korean Young Women

젊은 여성의 계절별 옥외활동시간과 혈청 25-(OH) 비타민 D 영양상태

  • Received : 2014.02.25
  • Accepted : 2014.06.16
  • Published : 2014.06.30

Abstract

Objectives: This study was intended to examine the seasonal differences in outdoor activity times and dietary vitamin D intakes, and explicates their relative impact on improving serum 25-(OH) vitamin D status among Korean young women. Methods: A cross-sectional study was conducted with 135 free-living women aged 19-39 years in Daegu-Kyungbook, Korea. We compared the results from 52 women for the summer and 83 women for the winter. Dietary intake of vitamin D was assessed by 24 hour recall method for non-consecutive three days as well as by food frequency method. Daily outdoor activity times were derived from 24 hour physical activity diary. Results: The average dietary intake of vitamin D of the participants by 24 hour recall method was 3.1 ${\mu}g$ during the summer, 3.3 ${\mu}g$ during the winter, showing no significant difference between the two seasons. Times spent on outdoor activities (p < 0.01) in the summer (= $23.8{\pm}23.6$ min) were much longer than that in the winter (= $10.8{\pm}13.4$ min). The serum 25-(OH) vitamin D levels of participants were $17.5{\pm}7.5$ ng/mL in the summer and $13.4{\pm}4.3$ ng/mL in the winter, showing that the latter was significantly lower than that of the former (p<0.001). The serum 25-(OH) vitamin D levels of subjects were positively related to outdoor activities (r=0.315, p<0.05) during the summer, while related to dietary intake (r=0.252, p<0.05) during the winter. Conclusions: In order to improve the current vitamin D status of Korean young women, nutrition education programs should focus on increasing more dietary intake especially during the winter, and performing more outdoor activities in other seasons.

Keywords

References

  1. Adams JS, Clemens TL, Parrish JA, Holick MF (1982): Vitamin-D synthesis and metabolism after ultraviolet irradiation of normal and vitamin-D-deficient subjects. N Engl J Med 306(12): 722-725 https://doi.org/10.1056/NEJM198203253061206
  2. Barnard ND, Scialli AR, Hurlock D, Bertron P (2000): Diet and sexhormone binding globulin, dysmenorrhea, and premenstrual symptoms. Obstet Gynecol 95(2): 245-250 https://doi.org/10.1016/S0029-7844(99)00525-6
  3. Chapuy MC, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S, Meunier PJ (1997): Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int 7(5): 439-443 https://doi.org/10.1007/s001980050030
  4. Choi JH, Kim SK (2008): Comparison of the dietary factors between normal and osteopenia groups by bone mineral density in Korean female college students. J Korean Soc Food Sci Nutr 37(7): 869-878 https://doi.org/10.3746/jkfn.2008.37.7.869
  5. Choi SH, Lee DJ, Kim KM, Kim BT (2011): Association between seasonal changes in vitamin D and Bone mineral Density. J Korean Soc Menopause 17(2): 88-93 https://doi.org/10.1258/mi.2011.011027
  6. Cinar N, Harmanci A, Yildiz BO, Bayraktar M (2014): Vitamin D status and seasonal changes in plasma concentrations of 25- hydroxyvitamin D in office workers in Ankara, Turkey. Eur J Intern Med 25(2): 197-201 https://doi.org/10.1016/j.ejim.2013.11.004
  7. Darling AL, Hart KH, Gibbs MA, Gossiel F, Kantermann T, Horton K, Johnsen S, Berry JL, Skene DJ, Eastell R, Vieth R, Lanham- New SA (2014): Greater seasonal cycling of 25-hydroxyvitamin D is associated with increased parathyroid hormone and bone resorption. Osteoporos Int 25(3): 933-941 https://doi.org/10.1007/s00198-013-2493-4
  8. Dattani JT, Exton-Smith AN, Stephen JM (1984): Vitamin D status of the elderly in relation to age and exposure to sunlight. Hum Nutr Clin Nutr 38(2): 131-137
  9. Devgun MS, Paterson CR, Johnson BE, Cohen C (1981): Vitamin D nutrition in relation to season and occupation. Am J Clin Nutr 34(8): 1501-1504 https://doi.org/10.1093/ajcn/34.8.1501
  10. Holick MF (1990): The use and interpretation of assays for vitamin D and its metabolites. J Nutr 120(suppl 11): 1464-1469 https://doi.org/10.1093/jn/120.suppl_11.1464
  11. Holick MF (1994): Mccollum award lecture, 1994: Vitamin D-new horizons for the 21st century. Am J Clin Nutr 60(4): 619-630 https://doi.org/10.1093/ajcn/60.4.619
  12. Holick MF (2007): Vitamin D deficiency. N Engl J Med 357(3): 266-281 https://doi.org/10.1056/NEJMra070553
  13. Kim HB, Park JG (1987): A study on the solar UVA and UVB doses at kongju. Korean J Dermatol 25(1): 16-24
  14. Koo JO, Ahn HS, Yoo SY (2008): Study of bone mineral density, body composition and dietary habits of 20-30 years women. Korean J Community Nutr 13(4): 489-498
  15. Korean Nutrition Society (2009): Korea Food Value, Seoul, Korea, pp. 2-503
  16. Korean Nutrition Society (2010): Dietary reference intakes for Koreans, Seoul, Korea, pp.xxv-xxix
  17. Lamberg-Allardt C (1984): Vitamin D intake, sunlight exposure and 25-hydroxyvitamin D levels in the elderly during one year. Ann Nutr Metab 28(3): 144-150 https://doi.org/10.1159/000176796
  18. Lee WS (2003): Prevalence of osteoporosis in Korean women. MS Thesis, Chung-Ang University, pp. 9-10
  19. Lim HJ (2005): Serum 25-hydroxyvitamin D status and associated factors in premenopausal working women. Korean J Community Nutr 10(1): 79-90
  20. Lim HJ, Kim JI (2006): Serum 25-hydroxyvitamin D status in winter time in premenopausal working women. Korean J Nutr 39(7): 649-660
  21. Lips P, Chapuy MC, Dawson-Hughes B, Pols HA, Holick MF (1999): An international comparison of serum 25-hydroxyvitamin D measurements. Osteoporos Int 9(5): 394-397 https://doi.org/10.1007/s001980050162
  22. Matsuoka LY, Wortsman J, Dannenberg MJ, Hollis BW, Lu Z, Holick MF (1992): Clothing prevents ultraviolet-B radiationdependent photosynthesis of vitamin D3. J Clin Endocrinol Metab 75(4): 1099-1103
  23. Matsuoka LY, Wortsman J, Hollis BW (1990): Use of topical sunscreen for the evaluation of regional synthesis of vitamin D3. J Am Acad Dermatol 22(5 Pt 1): 772-775 https://doi.org/10.1016/0190-9622(90)70107-S
  24. Metz JA, Anderson JJ, Gallagher PN (1993): Intakes of calcium, phosphorus, and protein, and physical-activity level are related to radial bone mass in young adult women. Am J Clin Nutr 58(4): 537-542 https://doi.org/10.1093/ajcn/58.4.537
  25. Ministy of Health, Welfare and Family Affairs & Korea Center for Disease Control and Prevention (2010): Korea health statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Korea Center for Disease Control and Prevention, Seoul, Korea
  26. Moon SJ, Kim JH (1998): The effect of vitamin D status on bone mineral density of Korean adults. Korean J Nutr 31(1): 46-61
  27. Moon SJ, Kim SW, Kim JH, Lim SK, Kim JH (1996): A study on vitamin D status and factors affecting it in young adults. Korean J Nutr 29(7): 747-757
  28. National Rural Development Institute (2007): Food composition table, Suwon, Korea, pp. 16-95
  29. National Rural Development Institute (2013): One portion size food composition table for consumer, Suwon, Korea
  30. Park HM, Kim JG, Choi WH, Lim SK, Kim GS (2003): The vitamin D nutritional status of postmenopausal women in Korea. Korean J Bone Metab 10(1): 47-55
  31. Park SY, Yim CH, Kim SH, Han KO, Yoon HK (2008): Changes of serum parathyroid hormone and bone turnover status according to serum vitamin D levels in Korean postmenopausal women. Korean J Bone Metab 15(1): 17-24
  32. Thuesen B, Husemoen L, Fenger M, Jakobsen J, Schwarz P, Toft U, Ovesen L, Jørgensen T, Linneberg A (2012): Determinants of vitamin D status in a general population of Danish adults. Bone 50(3): 605-610 https://doi.org/10.1016/j.bone.2011.12.016
  33. Webb AR, Kline L, Holick MF (1988): Influence of season and latitude on the cutaneous synthesis of vitamin D3: Exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J Clin Endocrinol Metab 67(2): 373-378 https://doi.org/10.1210/jcem-67-2-373
  34. Webb AR, Pilbeam C, Hanafin N, Holick MF (1990): An evaluation of the relative contributions of exposure to sunlight and of diet to the circulating concentrations of 25-hydroxyvitamin D in an elderly nursing home population in Boston. Am J Clin Nutr 51(6): 1075-1081 https://doi.org/10.1093/ajcn/51.6.1075

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