• 제목/요약/키워드: Vitamin D sufficiency

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Sex-specific relationships between alcohol consumption and vitamin D levels: The Korea National Health and Nutrition Examination Survey 2009

  • Lee, Ka-Young
    • Nutrition Research and Practice
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    • 제6권1호
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    • pp.86-90
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    • 2012
  • This study assessed the association between vitamin D sufficiency (serum 25(OH)D ${\geq}30ng/mL$) and alcohol consumption using data from the Korea National Health and Nutrition Examination Survey conducted in 2009. The following characteristics were obtained in 7,010 Korean participants ${\geq}19$-years-of-age: serum 25(OH)D level, alcohol consumption (drinking frequency, drinking number of alcoholic beverages on a typical occasion, average daily-alcohol intake), and potential confounders (age, residence, housing status, occupation, total fat and lean mass, smoking, physical activity, history of liver diseases, liver function, and daily intake of energy, protein, and calcium). After adjusting for confounders, vitamin D sufficiency in men was significantly associated with drinking frequency, number of alcoholic drinks consumed, and average daily alcohol intake; odds ratio of 1.21-1.72, 2.17-3.04, and 2.27-3.09, respectively. Increase in the three alcohol drinking-related behaviors was also linearly associated with increase in serum 25(OH)D level in men. By comparison, there was no significant association between alcohol intake and serum 25(OH)D level in women. The positive association between vitamin D sufficiency and alcohol consumption was evident only in Korean men.

한국 성인 여성의 비타민 D 영양상태와 비만지표와의 관계 (Relationship of vitamin D status and obesity index in Korean women)

  • 박지영;허영란
    • Journal of Nutrition and Health
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    • 제49권1호
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    • pp.28-35
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    • 2016
  • 한국 성인 여성들을 대상으로 비타민 D 영양상태에 대한 기초자료를 얻고자 혈청 $25(OH)D_3$ 수준, 신체계측 및 체조성 분석, 일조시간 활동량, 혈중 지질 농도 및 아디포카인 농도를 측정하여, 혈중 $25(OH)D_3$ 수준과 비만지표와의 관계를 분석하였다. 156명의 연구 대상자 중 혈중 $25(OH)D_3$ 농도가 12 ng/ml 미만은 77% (121명)로 결핍상태에 해당하였고, 12~19.9 ng/ml는 19.2% (30명)으로 불충분상태에 해당하였으며 충분상태에 해당하는 20 ng/ml 이상은 3.2% (5명)으로 나타났다. 혈중 $25(OH)D_3$ 농도는 체중, 체질량지수, 체지방량, 허리엉덩이 비율과 유의한 양의 상관관계가 있어 비만지표와 양의 상관성을 보였다. 이러한 결과는 우리나라 성인 여성의 비타민 D 영양상태가 취약한 상태이고, 비만과의 관련 가능성이 있음을 나타내며, 이에 비타민 D 결핍예방을 위한 방안 강구가 필요함을 시사한다.

한국 성인과 노인의 계절별 혈중 25-hydroxyvitamin D 농도와 비타민 D 급원식품 섭취빈도와의 관계 (Associations between Serum 25-hydroxyvitamin D and Consumption Frequencies of Vitamin D Rich Foods in Korean Adults and Older Adults)

  • 유아름;김지혜;권오란;오세영;김정현;양윤정
    • 대한지역사회영양학회지
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    • 제19권2호
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    • pp.122-132
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    • 2014
  • Objectives: This study was conducted to investigate the vitamin D status and to determine the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and consumption frequencies of vitamin D rich foods in Korean adults and older adults. Methods: Subjects were 10,374 adults and 2,792 older adults participating in the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Consumption frequencies of vitamin D rich foods were estimated by using a qualitative food frequency questionnaire (FFQ). Eleven food items such as beef, egg, mackerel, tuna, yellow corvina, pollack, anchovy, mushroom, milk, yogurt, and ice cream were selected as vitamin D rich foods based on previous research. Results: The proportions of deficiency (< 12 ng/mL), inadequacy (12-20 ng/mL) and sufficiency (${\geq}20ng/mL$) of serum 25(OH)D concentrations from June to November and December to May in adults were 8.8%, 42.3%, 48.8%, and 28.2%, 52.8%, 19.1%, respectively. The proportions of deficiency, inadequacy and sufficiency of serum 25(OH)D concentrations from June to November and December to May in older adults were 10.1%, 32.4%, 57.5%, and 24.1%, 45.4%, 30.5%, respectively. The mean serum 25(OH)D concentrations in adults were positively related to the consumption frequencies of mackerel, anchovy, all fish, milk and milk dairy products. The mean serum 25(OH)D concentrations in older adults were positively related to the consumption frequencies of yellow corvina and negatively related to the consumption frequencies of ice cream. Conclusions: Our results suggest that Korean adults were more deficient in serum 25(OH)D concentrations than older adults. The consumption of vitamin D rich foods may affect vitamin D status in Korean adults. Further studies are required to confirm these findings.

대한민국 성인에서 대사증후군, 비타민 D 및 뇨 중 미세알부민의 관련성 (The Association of Metabolic Syndrome and Vitamin D and Urine Microalbumin in Korean Adults)

  • 윤현;이건우;고재성;김광욱
    • 한국콘텐츠학회논문지
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    • 제17권1호
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    • pp.378-386
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    • 2017
  • 본 연구는 대한민국 20세 이상 성인(n=4,948)에서 대사증후군과 비타민 D 및 뇨 중 미세알부민(microalbumin, MA)의 관련성을 연구하는 것을 목표로 하였다. 비타민 D의 수준(비타민 D 결핍, 비타민 D 불충분, 비타민 D 충분)에 따른 뇨 중 미세알부민에서, 비 대사증후군에서는 연령, 성별, 흡연습관, 음주 습관, 운동습관, 허리둘레, 체질량지수, 총콜레스테롤, 중성지방, 고밀도 콜레스테롤, 혈당 및 신사구체 여과율 등을 보정한 후에 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의하게 감소하였지만(p<0.001), 대사증후군에서는 관련변수를 보정한 후의 결과에서 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의한 차이가 없었다(p=0.892). 결론적으로, 비 대사증후군에서는 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의하게 감소하였지만, 대사증후군에서는 유의한 관련성이 없었다.

Effects of cord blood vitamin D levels on the risk of neonatal sepsis in premature infants

  • Say, Birgul;Uras, Nurdan;Sahin, Suzan;Degirmencioglu, Halil;Oguz, Serife Suna;Canpolat, Fuat Emre
    • Clinical and Experimental Pediatrics
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    • 제60권8호
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    • pp.248-253
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    • 2017
  • Purpose: Vitamin D plays a key role in immune function. Vitamin D deficiency may play a role in the pathogenesis of infections, and low levels of circulating vitamin D are strongly associated with infectious diseases. In this study, we aimed to evaluate the effects of low vitamin D levels in cord blood on neonatal sepsis in preterm infants. Methods: One hundred seventeen premature infants with gestational age of <37 weeks were enrolled. In the present study, severe vitamin D deficiency (group 1) was defined as a 25-hydroxyvitamin D (25(OH)D) concentration <5 ng/mL; vitamin D insufficiency (group 2), 25(OH)D concentration ${\geq}5ng/mL$ and <15 ng/mL; and vitamin D sufficiency (group 3), 25(OH)D concentration ${\geq}15ng/mL$. Results: Sixty-three percent of the infants had deficient levels of cord blood vitamin D (group 1), 24% had insufficient levels (group 2), and 13% were found to have sufficient levels (group 3). The rate of neonatal sepsis was higher in group 2 than in groups 1 and 3. Conclusion: There was no significant relationship between the cord blood vitamin D levels and the risk of neonatal sepsis in premature infants.

Vitamin D Sufficiency: How Should it be Defined and what are its Functional Indicators?

  • Hollis Broce W.
    • Nutritional Sciences
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    • 제8권2호
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    • pp.111-117
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    • 2005
  • It has been more than three decades since the first assay assessing circulating 25 (OH)D in human subjects was performed That publication as well as several that followed it defined 'normal' nutritional vitamin D status in human populations. Recently, the wisdom by which 'normal' circulating 25 (OH)D levels in human subjects were assigned in the past has come under question. It appears that sampling human subjects, who appear to be free from disease, and assessing 'normal' circulating 25 (OH)D levels by plotting a Gaussian distribution is grossly inaccurate. There are many reasons why this method is inaccurate, including race, lifestyle habits, sunscreen usage, age, latitude, and inappropriately low dietary recommendations for vitamin D. For instance, a 400 IU/day. AI for vitamin D is insignificant when one considers that a 10-15 minute whole body exposure to peak summer sun will generate and release up to 20,000 IU vitamin $D_3$ into the circulation. Recent studies, which orally administered up to 10,000 IU/day vitamin $D_3$ to human subjects for several months, have successfully elevated circulating 25 (OH)D levels to those observed in individuals from sun-rich environments. Further, we are now able to accurately assess sufficient circulating 25 (OH)D levels utilizing specific biomarkers instead of guessing what an adequate level is. These biomarkers include intact parathyroid hormone (PTH), calcium absorption, bone mineral density (BMD), insulin resistance and pancreatic beta cell function. Using the data from these biomarkers, vitamin D deficiency should be defined as circulating levels of 25 (OH)D$\leq$30 ng/mL. In certain cases, such as pregnancy and lactation, significantly higher circulating 25 (OH)D levels would almost certainly be beneficial to both the mother and recipient fetus/infant.

Vitamin D Sufficiency: How should it be defined and what are its functional indicators?

  • Hollis Bruce W.
    • 한국영양학회:학술대회논문집
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    • 한국영양학회 2004년도 추계학술대회
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    • pp.22-33
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    • 2004
  • It has been more than three decades since the first assay assessing circulating 25(OH)D in human subjects was performed. That publication as well as several that followed it defined 'normal' nutritional vitamin D status in human populations. Recently, the wisdom by which 'normal' circulating 25(OH)D levels in human subjects were assigned in the past has come under question. It appears that sampling human subjects, who appear to be free from disease, and assessing 'normal' circulating 25(OH)D levels by plotting a Gaussian distribution is grossly inaccurate. There are many reasons why this method is inaccurate, including race, lifestyle habits, sunscreen usage, age, latitude, and inappropriately low dietary recommendations for vitamin D. For instance, a 400IU/day. AI for vitamin D is insignificant when one considers that a 10-15 minute whole body exposure to peak summer sun will generate and release up to 20,000 IU vitamin $D_3$ into the circulation. Recent studies, which orally administered up to 10,000 IU/day vitamin $D_3$ to human subjects for several months, have successfully elevated circulating 25(OH)D levels to those observed in individuals from sun-rich environments. Further, we are now able to accurately assess sufficient circulating 25(OH)D levels utilizing specific biomarkers instead of guessing what an adequate level is. These biomarkers include intact parathyroid hormone (PTH), calcium absorption, bone mineral density (BMD), insulin resistance and pancreatic beta cell function. Using the data from these biomarkers, vitamin D deficiency should be defined as circulating levels of $25(OH)D{\leq}30ng/mL$. In certain cases, such as pregnancy and lactation, significantly higher circulating 25(OH)D levels would almost certainly be beneficial to both the mother and recipient fetus/infant.

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25 Vitamin D3 측정에 있어서 화학발광미세입자 측정법과 화학발광면역 측정법 간의 비교 및 고찰 (Comparison between the method of the measurement 25 Vitamin D3)

  • 김대원;이정희;정안나;서소연
    • 핵의학기술
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    • 제19권2호
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    • pp.112-114
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    • 2015
  • Purpose Vitamin D to Anti- Rickets both steroid compounds showing activity, By acting on bone tissue secretary and the key to maintain serum Ca homeostasis. The blood level of vitamin D is the largest in D3 that the concentration of the metabolite is reflected in the holding state of vitamin D in vivo. Sunlight to change the 7-dehydrocholesterol in the skin and through the skin to D3, In the liver in combination with the D2 and D3 D4 changes. The Radioimmunoassay(RIA) method is measuring the D 3, the sensitivity can be measured also difficult trace substance to measure the normal test because it is very sensitive, but recently, a check is possible, for the Total D3 in Chemimicroparticle immunoassay(CMIA) or Chemiluminescent immunoassay(CLIA) measuring using microparticle RIA and CMIA(Architect i2000SR) / use the CLIA(DXI-800) method to compare and evaluate the correlation between the tests in the same test items. Materials and Methods Commissioned from January 2014 to March 2015 patients were enrolled in a total of 273 people. 29 out of 273 people conducted by RIA were compared with CMIA, 244 patients were compared with CLIA. Using reagents and equipment were used RIA(Diasource), CMIA(Architect i2000SR, Abbott Diagnostics) / CLIA( Unicel DXi-800, Beckman coulter). Results Correlation of the RIA and CLIA was a R2 = 0.1844 (y = 0.7303x + 3.9005), and the correlation of RIA CMIA is R2 = 0.2762 (y = 0.8862x + 4.56) respectively. (According to statistics, during the same period RIA is Deficiency 4.31%, Insufficiency 90.53%, Sufficiency 5.16%, was Excess 0%, CLIA / CMIA is Deficiency 17.02%, Insufficiency 75.91%, Sufficiency 7.03%, indicating the distribution of 0.03 % Excess) Conclusion Serum vitamin D and parathyroid hormone that show an inverse relationship, the level above which are not parathyroid hormone and vitamin D reduced the increase. The density is different for each study, at most 20 is reported to be the maximum between 30 ng / ml. In Korea it requires a proposed standard of vitamin D deficiency, reference to the WHO lack the case more than 10ng/ml, 20ng/ml and defined by the lack of, if not more than, the IOM, but looking at 12ng/ml or less to the normal to lack, at least 20ng/ml, the reference do not match the deficit under 20ng/ml, 21-29ng/ml relative lack between, was also defined as a sufficient condition for more than 30ng/ml. Although not statistically is between RIA and CLIA two ways to vitamin D levels change according to season match, when seasonally seen in summer as commonly known (April to September), winter (October to March) relative to the increase measured than it was found. Finally, the study on the correlation between the two methods have been expected to result in a consistent and apply the same view high reference value on the graph is difficult. However, there may be differences between the test equipment and methods, and could be especially the case of RIA method using an organic solvent is difficult to compare different methods and correlated view similar trend in vitamin D deficiency and quarterly aspect ratio.

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사무직 근로자의 혈청 Vitamin D 수준과 생활습관위험인자와의 연관성 (The Relationship between Serum Vitamin D Levels and Lifestyle Risk Factors in Office Workers)

  • 진영윤;강현식
    • 한국체육학회지인문사회과학편
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    • 제54권5호
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    • pp.727-737
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    • 2015
  • 본 연구는 사무직 근로자를 대상으로 비타민 D 상태와 생활습관위험인자간의 연관성을 조사하고자 하였다. S시의 30세 이상 사무직 근로자 515명(남 336명, 여 179명)을 대상으로 혈청 비타민 D 수준, 비만지표, 체력, 대사성위험인자 및 혈중 지질 그리고 좌식습관을 포함한 생활습관위험인자를 측정하였다. 혈청 비타민 D 수준을 기준으로 결핍(<20 ng/mL), 부족(20-29 ng/mL), 충분(≥30 ng/mL) 집단으로 구분하고, 집단 간 생활습관위험인자를 비교하였다. 분석결과, 비타민 D 수준이 높아질수록 체지방율(p=.030)과 좌식습관(p<.001)은 통계적으로 유의하게 감소하는 선 경향성이 나타났으며, 골격근량(p=.037), 심폐체력(p<.001) 그리고 HDL-C(p=.013)은 통계적으로 유의하게 증가하는 선 경향성이 나타났다. 또한 심폐체력이 낮은 집단이 높은 집단보다 비타민 D 부족 또는 결핍에 노출될 상대적 위험도가 남녀 각각 2.144배(95%CI .469-1.808, p=.042), 1.971배(95%CI .305-1.974, p=.045) 정도 높게 나타났으며, 좌식시간이 가장 많은 집단이 가장 적은 집단보다 비타민 D 부족 또는 결핍에 노출될 상대적 위험도는 여성 사무직 근로자 집단에서만 1.262배(95%CI 0.074-1.527 p=.043) 정도 높게 나타났다. 이와 같이 본 연구에서는 사무직 근로자의 낮은 비타민 D 수준은 낮은 심폐체력 및 장시간의 좌식습관과 관련성이 있는 것으로 나타났다. 따라서 사무직 근로자의 건강증진과 충분한 비타민 D 공급을 위해 건강한 생활습관 변화와 근무 환경 개선이 우선적으로 필요할 것으로 판단된다.