Influence of ultraviolet radiation on the production of 25 hydroxyvitamin d in the elderly population in the city of São Paulo (23 ° 34's), Brazil

The lack of vitamin D is a major changeable factor involved in the pathophysiology of osteoporosis. Since the major source for this hormone is its cutaneous synthesis via ultraviolet radiation (UVR), we studied the serum level of 25-hydroxyvitamin D (25OHD) in 250 free-living elderly people (79.1 ye...

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Veröffentlicht in:Osteoporosis international 2005-12, Vol.16 (12), p.1649-1654
Hauptverfasser: LUPORINI SARAIVA, Gabriela, SEABRA CENDOROGLO, Maysa, RAMOS, Luiz Roberto, QUIRINO, Lara Miguel, VIEIRA, Araujo José Gilberto H, KUNII, Ilda, HAYASHI, Lillian F, CORREA, Marcelode Paula, LAZARETTI-CASTRO, Marise
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container_issue 12
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container_title Osteoporosis international
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creator LUPORINI SARAIVA, Gabriela
SEABRA CENDOROGLO, Maysa
RAMOS, Luiz Roberto
QUIRINO, Lara Miguel
VIEIRA, Araujo José Gilberto H
KUNII, Ilda
HAYASHI, Lillian F
CORREA, Marcelode Paula
LAZARETTI-CASTRO, Marise
description The lack of vitamin D is a major changeable factor involved in the pathophysiology of osteoporosis. Since the major source for this hormone is its cutaneous synthesis via ultraviolet radiation (UVR), we studied the serum level of 25-hydroxyvitamin D (25OHD) in 250 free-living elderly people (79.1 years old) from a subtropical region according to the UVR incidence and its correlations with parathormone (PTH) and ionized calcium. UVR and 25OHD differed according to the season of the year (P
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Since the major source for this hormone is its cutaneous synthesis via ultraviolet radiation (UVR), we studied the serum level of 25-hydroxyvitamin D (25OHD) in 250 free-living elderly people (79.1 years old) from a subtropical region according to the UVR incidence and its correlations with parathormone (PTH) and ionized calcium. UVR and 25OHD differed according to the season of the year (P&lt;0.001), with greater radiation in the summer and less in the winter, whereas the 25OHD peak and nadir occurred in autumn and spring, respectively. The highest 25OHD mean was 67.2 nmol/l, and the lowest was 29.1 nmol/l corresponding, respectively, to the measure of the month subsequent to the one of most and least sunlight incidence. Clustered by season, the correlation between UVR and 25OHD for the following seasons was r=0.98 and between the PTH and 25OHD of corresponding seasons, r=-0.95. Vitamin D deficiency occurred in 15.4% of patients, insufficiency in 41.9% and secondary hyperparathyroidism in 55%. In conclusion, we found a seasonal variation in 25OHD levels that strongly correlated with the PTH levels when separated by the seasons of the year. The 25OHD levels correlated with the UVR of the previous quarter, requiring no less than 30 days for serum changes arising from exposure to or deprivation of UVR to be observed. The prevalence of vitamin D deficiency/insufficiency found was greater than expected, even when compared to countries exposed to less solar irradiation. Thus, measures to encourage greater sun exposure and food enrichment policies should also be considered.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-005-1895-3</identifier><identifier>PMID: 15947862</identifier><language>eng</language><publisher>London: Springer</publisher><subject>Aged ; Biological and medical sciences ; Brazil - epidemiology ; Calcium - blood ; Climate ; Cross-Sectional Studies ; Diseases of the osteoarticular system ; Exercise ; Female ; Fractures ; Humans ; Life Style ; Male ; Medical sciences ; Older people ; Osteoporosis ; Osteoporosis. Osteomalacia. Paget disease ; Parathyroid Hormone - blood ; Pathophysiology ; Patients ; Prevalence ; Seasons ; Sex Distribution ; Sunlight ; Ultraviolet radiation ; Ultraviolet Rays ; Vitamin D ; Vitamin D - analogs &amp; derivatives ; Vitamin D - biosynthesis ; Vitamin D - blood ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - ethnology</subject><ispartof>Osteoporosis international, 2005-12, Vol.16 (12), p.1649-1654</ispartof><rights>2006 INIST-CNRS</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-c4775be91521763c7beec41376ec70128915f87e1fcd70aa7f41f5f162b0d9153</citedby><cites>FETCH-LOGICAL-c422t-c4775be91521763c7beec41376ec70128915f87e1fcd70aa7f41f5f162b0d9153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17355034$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15947862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LUPORINI SARAIVA, Gabriela</creatorcontrib><creatorcontrib>SEABRA CENDOROGLO, Maysa</creatorcontrib><creatorcontrib>RAMOS, Luiz Roberto</creatorcontrib><creatorcontrib>QUIRINO, Lara Miguel</creatorcontrib><creatorcontrib>VIEIRA, Araujo José Gilberto H</creatorcontrib><creatorcontrib>KUNII, Ilda</creatorcontrib><creatorcontrib>HAYASHI, Lillian F</creatorcontrib><creatorcontrib>CORREA, Marcelode Paula</creatorcontrib><creatorcontrib>LAZARETTI-CASTRO, Marise</creatorcontrib><title>Influence of ultraviolet radiation on the production of 25 hydroxyvitamin d in the elderly population in the city of São Paulo (23 ° 34's), Brazil</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><description>The lack of vitamin D is a major changeable factor involved in the pathophysiology of osteoporosis. Since the major source for this hormone is its cutaneous synthesis via ultraviolet radiation (UVR), we studied the serum level of 25-hydroxyvitamin D (25OHD) in 250 free-living elderly people (79.1 years old) from a subtropical region according to the UVR incidence and its correlations with parathormone (PTH) and ionized calcium. UVR and 25OHD differed according to the season of the year (P&lt;0.001), with greater radiation in the summer and less in the winter, whereas the 25OHD peak and nadir occurred in autumn and spring, respectively. The highest 25OHD mean was 67.2 nmol/l, and the lowest was 29.1 nmol/l corresponding, respectively, to the measure of the month subsequent to the one of most and least sunlight incidence. Clustered by season, the correlation between UVR and 25OHD for the following seasons was r=0.98 and between the PTH and 25OHD of corresponding seasons, r=-0.95. Vitamin D deficiency occurred in 15.4% of patients, insufficiency in 41.9% and secondary hyperparathyroidism in 55%. In conclusion, we found a seasonal variation in 25OHD levels that strongly correlated with the PTH levels when separated by the seasons of the year. The 25OHD levels correlated with the UVR of the previous quarter, requiring no less than 30 days for serum changes arising from exposure to or deprivation of UVR to be observed. The prevalence of vitamin D deficiency/insufficiency found was greater than expected, even when compared to countries exposed to less solar irradiation. 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Since the major source for this hormone is its cutaneous synthesis via ultraviolet radiation (UVR), we studied the serum level of 25-hydroxyvitamin D (25OHD) in 250 free-living elderly people (79.1 years old) from a subtropical region according to the UVR incidence and its correlations with parathormone (PTH) and ionized calcium. UVR and 25OHD differed according to the season of the year (P&lt;0.001), with greater radiation in the summer and less in the winter, whereas the 25OHD peak and nadir occurred in autumn and spring, respectively. The highest 25OHD mean was 67.2 nmol/l, and the lowest was 29.1 nmol/l corresponding, respectively, to the measure of the month subsequent to the one of most and least sunlight incidence. Clustered by season, the correlation between UVR and 25OHD for the following seasons was r=0.98 and between the PTH and 25OHD of corresponding seasons, r=-0.95. Vitamin D deficiency occurred in 15.4% of patients, insufficiency in 41.9% and secondary hyperparathyroidism in 55%. In conclusion, we found a seasonal variation in 25OHD levels that strongly correlated with the PTH levels when separated by the seasons of the year. The 25OHD levels correlated with the UVR of the previous quarter, requiring no less than 30 days for serum changes arising from exposure to or deprivation of UVR to be observed. The prevalence of vitamin D deficiency/insufficiency found was greater than expected, even when compared to countries exposed to less solar irradiation. Thus, measures to encourage greater sun exposure and food enrichment policies should also be considered.</abstract><cop>London</cop><pub>Springer</pub><pmid>15947862</pmid><doi>10.1007/s00198-005-1895-3</doi><tpages>6</tpages></addata></record>
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subjects Aged
Biological and medical sciences
Brazil - epidemiology
Calcium - blood
Climate
Cross-Sectional Studies
Diseases of the osteoarticular system
Exercise
Female
Fractures
Humans
Life Style
Male
Medical sciences
Older people
Osteoporosis
Osteoporosis. Osteomalacia. Paget disease
Parathyroid Hormone - blood
Pathophysiology
Patients
Prevalence
Seasons
Sex Distribution
Sunlight
Ultraviolet radiation
Ultraviolet Rays
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - biosynthesis
Vitamin D - blood
Vitamin D Deficiency - blood
Vitamin D Deficiency - epidemiology
Vitamin D Deficiency - ethnology
title Influence of ultraviolet radiation on the production of 25 hydroxyvitamin d in the elderly population in the city of São Paulo (23 ° 34's), Brazil
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