Vitamin D deficiency in Bangladesh: A review of prevalence, causes and recommendations for mitigation.
Study Goal
The researchers aimed to review the prevalence and underlying factors of vitamin D deficiency in different population groups in Bangladesh and its impact on calcium homeostasis and bone health.
Results Summary
The study found high prevalences of hypovitaminosis D across various population groups in Bangladesh, with factors like dark skin, insufficient sunlight exposure, and sedentariness contributing to the deficiency. The paper calls for comprehensive strategies, including public awareness, sunlight exposure, and supplementation, to address vitamin D deficiency.
Population
Infants, children, adolescents, premenopausal women, pregnant women, adult men, and postmenopausal women in Bangladesh.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Vitamin D | neutral | calcium homeostasis | - | - | essential for the maintenance | #1 |
Vitamin D | neutral | bone mineralization | - | - | essential for the maintenance | #2 |
Overt deficiency of vitamin D | increase | rickets | children | - | causes | #3 |
Overt deficiency of vitamin D | increase | osteomalacia | adults | - | causes | #4 |
Hypovitaminosis D | increase | prevalence | infants, children, and adolescents | 21 to 75 % | ranged | #5 |
Hypovitaminosis D | increase | prevalence | premenopausal women | 38 to 100 percent | ranged | #6 |
Hypovitaminosis D | increase | prevalence | pregnant women | 66 to 94.2 % | ranged | #7 |
Hypovitaminosis D | increase | prevalence | adult men | 6 to 91.3 % | ranged | #8 |
Hypovitaminosis D | increase | prevalence | postmenopausal women | 82 to 95.8 % | ranged | #9 |
exposure to sunlight | decrease | vitamin D deficiency | - | - | refrain | #10 |
regular exercise | decrease | vitamin D deficiency | - | - | - | #11 |
food fortification | decrease | vitamin D deficiency | - | - | - | #12 |
supplementation with vitamin D | decrease | vitamin D deficiency | - | - | - | #13 |
Vitamin D is essential for the maintenance of calcium homeostasis and bone mineralization. Overt deficiency of vitamin D causes rickets in children and osteomalacia in adults. Vitamin D deficiency is an important public health problem worldwide. This review examines the available published data from all peer-reviewed original research articles of community and hospital-based research carried out on vitamin D status in different population groups in Bangladesh. Baseline data of intervention trials are also included. The available selected articles were in English and retrieved from 2002 to January 2022. The paper concentrates on underlying factors for increased prevalence of vitamin D deficiency in Bangladesh. Studies uniformly report very high prevalences of hypovitaminosis D among different population groups. Age and sex-specific comparisons indicate that prevalence is higher for the elderly and women. Hypovitaminosis D ranged from 21 to 75 % for infants, children, and adolescents, 38 to 100 percent for premenopausal women, 66 to 94.2 % for pregnant women, 6 to 91.3 % for adult men and 82 to 95.8 % for postmenopausal women. Important underlying factors related to this silent epidemic include dark skin colour, homebound and sedentariness, insufficient sunlight exposure, atmospheric pollution, clothing style, obesity, use of sunscreen and no supplementation. A comprehensive strategy to alleviate and control the health consequences of vitamin D deficiency is needed. This would include the creation of public awareness, refrain in sunscreen usage, exposure to sunlight, regular exercise, food fortification, and supplementation with vitamin D (bearing in mind potential differences between them and food-based sources).