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Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients

Background. Generally, most vitamin D in the human body (90–95%) is produced in the skin during exposure to sunlight. The effectiveness of this process depends on several biological and physical factors, e.g., age or latitude. Skin synthesis of vitamin D among elderly people is reduced. The aim of t...

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Autores principales: Nowak, Justyna, Hudzik, Bartosz, Jagielski, Paweł, Kulik-Kupka, Karolina, Danikiewicz, Aleksander, Zubelewicz-Szkodzińska, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916205/
https://www.ncbi.nlm.nih.gov/pubmed/33572447
http://dx.doi.org/10.3390/ijerph18041676
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author Nowak, Justyna
Hudzik, Bartosz
Jagielski, Paweł
Kulik-Kupka, Karolina
Danikiewicz, Aleksander
Zubelewicz-Szkodzińska, Barbara
author_facet Nowak, Justyna
Hudzik, Bartosz
Jagielski, Paweł
Kulik-Kupka, Karolina
Danikiewicz, Aleksander
Zubelewicz-Szkodzińska, Barbara
author_sort Nowak, Justyna
collection PubMed
description Background. Generally, most vitamin D in the human body (90–95%) is produced in the skin during exposure to sunlight. The effectiveness of this process depends on several biological and physical factors, e.g., age or latitude. Skin synthesis of vitamin D among elderly people is reduced. The aim of the study was to assess serum 25-hydroxyvitamin D [25(OH)D] seasonal variations in elderly patients hospitalized at the geriatric department. Methods. The study was carried out on 242 patients aged 60 years or older hospitalized at the geriatric department. The study group was categorized by four seasons as well as month. Results. The median (interquartile range) 25(OH)D concentration among all patients (n = 242) was 33.95 (26.96–45.18) nmol/L. There was no statistical significance in the median serum 25(OH)D concentration with regard to each of the four seasons: in the spring 32.95 (25.96–43.68) nmol/L, in the summer 38.69 (27.46–50.67) nmol/L, in the autumn 33.45 (27.08–44.18) nmol/L, in the winter 34.57 (23.46–43.93) nmol/L, (p = 0.48). Conclusions. Vitamin D deficiency was observed in all geriatric patients, irrespective of the season. The results of the study indicate no significant differences in median vitamin D concentration among the hospitalized patients across all four seasons. Even in the summer months, in our climate, it is fairly difficult for an elderly person to produce an adequate amount of vitamin D through the skin. Therefore, proper vitamin D supplementation is recommended and should be implemented in the elderly irrespective of the season.
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spelling pubmed-79162052021-03-01 Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients Nowak, Justyna Hudzik, Bartosz Jagielski, Paweł Kulik-Kupka, Karolina Danikiewicz, Aleksander Zubelewicz-Szkodzińska, Barbara Int J Environ Res Public Health Article Background. Generally, most vitamin D in the human body (90–95%) is produced in the skin during exposure to sunlight. The effectiveness of this process depends on several biological and physical factors, e.g., age or latitude. Skin synthesis of vitamin D among elderly people is reduced. The aim of the study was to assess serum 25-hydroxyvitamin D [25(OH)D] seasonal variations in elderly patients hospitalized at the geriatric department. Methods. The study was carried out on 242 patients aged 60 years or older hospitalized at the geriatric department. The study group was categorized by four seasons as well as month. Results. The median (interquartile range) 25(OH)D concentration among all patients (n = 242) was 33.95 (26.96–45.18) nmol/L. There was no statistical significance in the median serum 25(OH)D concentration with regard to each of the four seasons: in the spring 32.95 (25.96–43.68) nmol/L, in the summer 38.69 (27.46–50.67) nmol/L, in the autumn 33.45 (27.08–44.18) nmol/L, in the winter 34.57 (23.46–43.93) nmol/L, (p = 0.48). Conclusions. Vitamin D deficiency was observed in all geriatric patients, irrespective of the season. The results of the study indicate no significant differences in median vitamin D concentration among the hospitalized patients across all four seasons. Even in the summer months, in our climate, it is fairly difficult for an elderly person to produce an adequate amount of vitamin D through the skin. Therefore, proper vitamin D supplementation is recommended and should be implemented in the elderly irrespective of the season. MDPI 2021-02-09 2021-02 /pmc/articles/PMC7916205/ /pubmed/33572447 http://dx.doi.org/10.3390/ijerph18041676 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nowak, Justyna
Hudzik, Bartosz
Jagielski, Paweł
Kulik-Kupka, Karolina
Danikiewicz, Aleksander
Zubelewicz-Szkodzińska, Barbara
Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title_full Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title_fullStr Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title_full_unstemmed Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title_short Lack of Seasonal Variations in Vitamin D Concentrations among Hospitalized Elderly Patients
title_sort lack of seasonal variations in vitamin d concentrations among hospitalized elderly patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916205/
https://www.ncbi.nlm.nih.gov/pubmed/33572447
http://dx.doi.org/10.3390/ijerph18041676
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