Canadian Aboriginal Women Have a Higher Prevalence of Vitamin D Deficiency than Non-Aboriginal Women Despite Similar Dietary Vitamin D Intakes

Canadian Aboriginal women have high rates of bone fractures, which is possibly due to low dietary intake of minerals or vitamin D. This study was undertaken to estimate dietary intake of calcium and vitamin D by designing a culturally appropriate dietary survey instrument and to determine whether di...

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Veröffentlicht in:The Journal of nutrition 2007-02, Vol.137 (2), p.461-465
Hauptverfasser: Weiler, Hope A, Leslie, William D, Krahn, John, Steiman, Pauline Wood, Metge, Colleen J
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container_end_page 465
container_issue 2
container_start_page 461
container_title The Journal of nutrition
container_volume 137
creator Weiler, Hope A
Leslie, William D
Krahn, John
Steiman, Pauline Wood
Metge, Colleen J
description Canadian Aboriginal women have high rates of bone fractures, which is possibly due to low dietary intake of minerals or vitamin D. This study was undertaken to estimate dietary intake of calcium and vitamin D by designing a culturally appropriate dietary survey instrument and to determine whether disparities exist between Aboriginal and white women. After validation of a FFQ, 183 urban-dwelling and 26 rural-dwelling Aboriginal women and 146 urban white women completed the validated FFQ and had serum 25-hydroxyvitamin D [25(OH)D] measured. Urban Aboriginal women had lower (P = 0.0004) intakes of total dietary calcium than urban white women; there was no difference in rural Aboriginal women. Only a minority of all women met the adequate intake (AI) for calcium intake. Ethnicity did not affect total vitamin D intake; however, rural Aboriginal women consumed all of their dietary vitamin D from food sources, which was more (P < 0.03) than both urban Aboriginal and white women. Rural and urban Aboriginal women had lower (P < 0.0004) serum 25(OH)D than urban white women. We found that 32% of rural Aboriginal, 30.4% of urban Aboriginal, and 18.6% of urban white women were vitamin D deficient, with serum 25(OH)D concentrations
doi_str_mv 10.1093/jn/137.2.461
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This study was undertaken to estimate dietary intake of calcium and vitamin D by designing a culturally appropriate dietary survey instrument and to determine whether disparities exist between Aboriginal and white women. After validation of a FFQ, 183 urban-dwelling and 26 rural-dwelling Aboriginal women and 146 urban white women completed the validated FFQ and had serum 25-hydroxyvitamin D [25(OH)D] measured. Urban Aboriginal women had lower (P = 0.0004) intakes of total dietary calcium than urban white women; there was no difference in rural Aboriginal women. Only a minority of all women met the adequate intake (AI) for calcium intake. Ethnicity did not affect total vitamin D intake; however, rural Aboriginal women consumed all of their dietary vitamin D from food sources, which was more (P &lt; 0.03) than both urban Aboriginal and white women. Rural and urban Aboriginal women had lower (P &lt; 0.0004) serum 25(OH)D than urban white women. We found that 32% of rural Aboriginal, 30.4% of urban Aboriginal, and 18.6% of urban white women were vitamin D deficient, with serum 25(OH)D concentrations &lt;37.5 nmol/L. 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Feeding behavior</subject><subject>Female</subject><subject>First Nations</subject><subject>foods</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Indians, North American - statistics &amp; numerical data</subject><subject>Middle Aged</subject><subject>nutrient intake</subject><subject>nutritional status</subject><subject>Prevalence</subject><subject>rural women</subject><subject>urban areas</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>vitamin D</subject><subject>Vitamin D - administration &amp; dosage</subject><subject>Vitamin D - analogs &amp; derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - ethnology</subject><subject>Whites</subject><subject>women</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U9rFDEYx_Egil2rN8-ai56cbZ4kM5k5ll11C0WF_vEYnskk26wzmW0yW-ib8DWbsgsVeugpED584eFHyHtgc2CNONmEExBqzueyghdkBqWEogLGXpIZY5wXAqrqiLxJacMYA9nUr8kRKC6U4GpG_i4wYOcx0NN2jH7tA_b09zjYQFd4ZynSlV_f2Eh_RXuHvQ3G0tHRaz_h4ANd0qV13vj8f0-nm5z5MYbiSWpp09ZPll74wfcY6dLbCeP9f5mzMOEfm96SVw77ZN8d3mNy9e3r5WJVnP_8frY4PS-MBD4V3DilUELX1Yw7A8qoum4rJdt8mBNt29U1E6CkKqXCpoOWNyCAMxStdYaJY_J5393G8XZn06QHn4ztewx23CVd1Y3kUD0PoSlLxsUD_LKHJo4pRev0NvohH6mB6Yeh9CboPJTmOg-V-YdDd9cOtnvEh2Uy-HQAmAz2LmIwPj26WipRijq7j3vncNS4jtlcXXAGgjElGsWk-AeG46Pq</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Weiler, Hope A</creator><creator>Leslie, William D</creator><creator>Krahn, John</creator><creator>Steiman, Pauline Wood</creator><creator>Metge, Colleen J</creator><general>The American Society for Nutrition</general><general>American Society for Nutritional Sciences</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Canadian Aboriginal Women Have a Higher Prevalence of Vitamin D Deficiency than Non-Aboriginal Women Despite Similar Dietary Vitamin D Intakes</title><author>Weiler, Hope A ; Leslie, William D ; Krahn, John ; Steiman, Pauline Wood ; Metge, Colleen J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-2cf77a41dd802fc17c788b674b723f3bbd88031747547a9d1b2913120a3befc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>blood chemistry</topic><topic>bone fractures</topic><topic>calcium</topic><topic>Calcium, Dietary - administration &amp; dosage</topic><topic>Canada - epidemiology</topic><topic>Canada - ethnology</topic><topic>diet</topic><topic>Diet - statistics &amp; numerical data</topic><topic>Diet Surveys</topic><topic>dietary surveys</topic><topic>ethnic differences</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>First Nations</topic><topic>foods</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Indians, North American - statistics &amp; numerical data</topic><topic>Middle Aged</topic><topic>nutrient intake</topic><topic>nutritional status</topic><topic>Prevalence</topic><topic>rural women</topic><topic>urban areas</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>vitamin D</topic><topic>Vitamin D - administration &amp; dosage</topic><topic>Vitamin D - analogs &amp; derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - ethnology</topic><topic>Whites</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weiler, Hope A</creatorcontrib><creatorcontrib>Leslie, William D</creatorcontrib><creatorcontrib>Krahn, John</creatorcontrib><creatorcontrib>Steiman, Pauline Wood</creatorcontrib><creatorcontrib>Metge, Colleen J</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weiler, Hope A</au><au>Leslie, William D</au><au>Krahn, John</au><au>Steiman, Pauline Wood</au><au>Metge, Colleen J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Canadian Aboriginal Women Have a Higher Prevalence of Vitamin D Deficiency than Non-Aboriginal Women Despite Similar Dietary Vitamin D Intakes</atitle><jtitle>The Journal of nutrition</jtitle><addtitle>J Nutr</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>137</volume><issue>2</issue><spage>461</spage><epage>465</epage><pages>461-465</pages><issn>0022-3166</issn><eissn>1541-6100</eissn><coden>JONUAI</coden><abstract>Canadian Aboriginal women have high rates of bone fractures, which is possibly due to low dietary intake of minerals or vitamin D. This study was undertaken to estimate dietary intake of calcium and vitamin D by designing a culturally appropriate dietary survey instrument and to determine whether disparities exist between Aboriginal and white women. After validation of a FFQ, 183 urban-dwelling and 26 rural-dwelling Aboriginal women and 146 urban white women completed the validated FFQ and had serum 25-hydroxyvitamin D [25(OH)D] measured. Urban Aboriginal women had lower (P = 0.0004) intakes of total dietary calcium than urban white women; there was no difference in rural Aboriginal women. Only a minority of all women met the adequate intake (AI) for calcium intake. Ethnicity did not affect total vitamin D intake; however, rural Aboriginal women consumed all of their dietary vitamin D from food sources, which was more (P &lt; 0.03) than both urban Aboriginal and white women. Rural and urban Aboriginal women had lower (P &lt; 0.0004) serum 25(OH)D than urban white women. We found that 32% of rural Aboriginal, 30.4% of urban Aboriginal, and 18.6% of urban white women were vitamin D deficient, with serum 25(OH)D concentrations &lt;37.5 nmol/L. The high prevalence of vitamin D deficiency among Aboriginal women, combined with lower dietary intake of calcium, especially in older women, likely contributes to the higher incidence of fracture in this population.</abstract><cop>Bethesda, MD</cop><pub>The American Society for Nutrition</pub><pmid>17237327</pmid><doi>10.1093/jn/137.2.461</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biological and medical sciences
blood chemistry
bone fractures
calcium
Calcium, Dietary - administration & dosage
Canada - epidemiology
Canada - ethnology
diet
Diet - statistics & numerical data
Diet Surveys
dietary surveys
ethnic differences
Feeding. Feeding behavior
Female
First Nations
foods
Fundamental and applied biological sciences. Psychology
Humans
Indians, North American - statistics & numerical data
Middle Aged
nutrient intake
nutritional status
Prevalence
rural women
urban areas
Vertebrates: anatomy and physiology, studies on body, several organs or systems
vitamin D
Vitamin D - administration & dosage
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D Deficiency - epidemiology
Vitamin D Deficiency - ethnology
Whites
women
title Canadian Aboriginal Women Have a Higher Prevalence of Vitamin D Deficiency than Non-Aboriginal Women Despite Similar Dietary Vitamin D Intakes
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