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Vitamin D deficiency in Bangladesh: A review of prevalence, causes and recommendations for mitigation.

Asia Pacific journal of clinical nutrition
January 1, 2022
Md Zahirul Islam et al. (5 authors)
Journal ArticleReviewHuman Study
Study Details

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

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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).

Medical Subject Headings (MeSH)
AdolescentAdultAgedBangladeshChildDietary SupplementsFemaleHumansInfantMalePregnancyPrevalenceSunscreening AgentsVitamin DVitamin D DeficiencyVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations11
Citations/Year3.7
Relative Citation Ratio2.09
NIH Percentile75.9%
Research Impact Scores
APT Score0.75
Weight Score2.66
Normalized Score0.66
Related Supplements
Vitamin D deficiency in Bangladesh: A review of prevalence, ... | Panacea Index