Global vitamin D status and determinants of hypovitaminosis D

Summary This review describes the vitamin D status in different regions of the world with the objective of understanding the scope of hypovitaminosis D and the factors related to its prevalence that may contribute to the pathogenesis of osteoporosis and fragility fractures. Introduction Vitamin D st...

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Veröffentlicht in:Osteoporosis international 2009-11, Vol.20 (11), p.1807-1820
Hauptverfasser: Mithal, A, Wahl, D. A, Bonjour, J.-P, Burckhardt, P, Dawson-Hughes, B, Eisman, J. A, El-Hajj Fuleihan, G, Josse, R. G, Lips, P, Morales-Torres, J
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container_end_page 1820
container_issue 11
container_start_page 1807
container_title Osteoporosis international
container_volume 20
creator Mithal, A
Wahl, D. A
Bonjour, J.-P
Burckhardt, P
Dawson-Hughes, B
Eisman, J. A
El-Hajj Fuleihan, G
Josse, R. G
Lips, P
Morales-Torres, J
description Summary This review describes the vitamin D status in different regions of the world with the objective of understanding the scope of hypovitaminosis D and the factors related to its prevalence that may contribute to the pathogenesis of osteoporosis and fragility fractures. Introduction Vitamin D status has been linked to the pathogenesis of hip fractures as well as other skeletal and non-skeletal disorders. The purpose of this review is to provide a global perspective of vitamin D status across different regions of the world and to identify the common and significant determinants of hypovitaminosis D. Methods Six regions of the world were reviewed—Asia, Europe, Middle East and Africa, Latin America, North America, and Oceania—through a survey of published literature. Results The definition of vitamin D insufficiency and deficiency, as well as assay methodology for 25-hydroxyvitamin D or 25(OH)D, vary between studies. However, serum 25(OH)D levels below 75 nmol/L are prevalent in every region studied whilst levels below 25 nmol/L are most common in regions such as South Asia and the Middle East. Older age, female sex, higher latitude, winter season, darker skin pigmentation, less sunlight exposure, dietary habits, and absence of vitamin D fortification are the main factors that are significantly associated with lower 25(OH)D levels. Conclusion Reports from across the world indicate that hypovitaminosis D is widespread and is re-emerging as a major health problem globally.
doi_str_mv 10.1007/s00198-009-0954-6
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A ; Bonjour, J.-P ; Burckhardt, P ; Dawson-Hughes, B ; Eisman, J. A ; El-Hajj Fuleihan, G ; Josse, R. G ; Lips, P ; Morales-Torres, J</creator><creatorcontrib>Mithal, A ; Wahl, D. A ; Bonjour, J.-P ; Burckhardt, P ; Dawson-Hughes, B ; Eisman, J. A ; El-Hajj Fuleihan, G ; Josse, R. G ; Lips, P ; Morales-Torres, J ; IOF Committee of Scientific Advisors (CSA) Nutrition Working Group ; on behalf of the IOF Committee of Scientific Advisors (CSA) Nutrition Working Group</creatorcontrib><description>Summary This review describes the vitamin D status in different regions of the world with the objective of understanding the scope of hypovitaminosis D and the factors related to its prevalence that may contribute to the pathogenesis of osteoporosis and fragility fractures. Introduction Vitamin D status has been linked to the pathogenesis of hip fractures as well as other skeletal and non-skeletal disorders. The purpose of this review is to provide a global perspective of vitamin D status across different regions of the world and to identify the common and significant determinants of hypovitaminosis D. Methods Six regions of the world were reviewed—Asia, Europe, Middle East and Africa, Latin America, North America, and Oceania—through a survey of published literature. Results The definition of vitamin D insufficiency and deficiency, as well as assay methodology for 25-hydroxyvitamin D or 25(OH)D, vary between studies. However, serum 25(OH)D levels below 75 nmol/L are prevalent in every region studied whilst levels below 25 nmol/L are most common in regions such as South Asia and the Middle East. Older age, female sex, higher latitude, winter season, darker skin pigmentation, less sunlight exposure, dietary habits, and absence of vitamin D fortification are the main factors that are significantly associated with lower 25(OH)D levels. Conclusion Reports from across the world indicate that hypovitaminosis D is widespread and is re-emerging as a major health problem globally.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-009-0954-6</identifier><identifier>PMID: 19543765</identifier><language>eng</language><publisher>London: London : Springer-Verlag</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Cross-Cultural Comparison ; Diseases of the osteoarticular system ; Endocrinology ; Female ; Fractures ; Genetic Predisposition to Disease ; Global Health ; Humans ; Infant ; Infant, Newborn ; International ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Orthopedics ; Osteoporosis ; Osteoporosis. Osteomalacia. 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A</creatorcontrib><creatorcontrib>Bonjour, J.-P</creatorcontrib><creatorcontrib>Burckhardt, P</creatorcontrib><creatorcontrib>Dawson-Hughes, B</creatorcontrib><creatorcontrib>Eisman, J. A</creatorcontrib><creatorcontrib>El-Hajj Fuleihan, G</creatorcontrib><creatorcontrib>Josse, R. G</creatorcontrib><creatorcontrib>Lips, P</creatorcontrib><creatorcontrib>Morales-Torres, J</creatorcontrib><creatorcontrib>IOF Committee of Scientific Advisors (CSA) Nutrition Working Group</creatorcontrib><creatorcontrib>on behalf of the IOF Committee of Scientific Advisors (CSA) Nutrition Working Group</creatorcontrib><title>Global vitamin D status and determinants of hypovitaminosis D</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary This review describes the vitamin D status in different regions of the world with the objective of understanding the scope of hypovitaminosis D and the factors related to its prevalence that may contribute to the pathogenesis of osteoporosis and fragility fractures. Introduction Vitamin D status has been linked to the pathogenesis of hip fractures as well as other skeletal and non-skeletal disorders. The purpose of this review is to provide a global perspective of vitamin D status across different regions of the world and to identify the common and significant determinants of hypovitaminosis D. Methods Six regions of the world were reviewed—Asia, Europe, Middle East and Africa, Latin America, North America, and Oceania—through a survey of published literature. Results The definition of vitamin D insufficiency and deficiency, as well as assay methodology for 25-hydroxyvitamin D or 25(OH)D, vary between studies. However, serum 25(OH)D levels below 75 nmol/L are prevalent in every region studied whilst levels below 25 nmol/L are most common in regions such as South Asia and the Middle East. Older age, female sex, higher latitude, winter season, darker skin pigmentation, less sunlight exposure, dietary habits, and absence of vitamin D fortification are the main factors that are significantly associated with lower 25(OH)D levels. 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Osteomalacia. Paget disease</topic><topic>Pathology</topic><topic>Prevalence</topic><topic>Review</topic><topic>Rheumatology</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Vitamin D</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - etiology</topic><topic>Vitamin deficiency</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mithal, A</creatorcontrib><creatorcontrib>Wahl, D. A</creatorcontrib><creatorcontrib>Bonjour, J.-P</creatorcontrib><creatorcontrib>Burckhardt, P</creatorcontrib><creatorcontrib>Dawson-Hughes, B</creatorcontrib><creatorcontrib>Eisman, J. A</creatorcontrib><creatorcontrib>El-Hajj Fuleihan, G</creatorcontrib><creatorcontrib>Josse, R. 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A</au><au>Bonjour, J.-P</au><au>Burckhardt, P</au><au>Dawson-Hughes, B</au><au>Eisman, J. A</au><au>El-Hajj Fuleihan, G</au><au>Josse, R. G</au><au>Lips, P</au><au>Morales-Torres, J</au><aucorp>IOF Committee of Scientific Advisors (CSA) Nutrition Working Group</aucorp><aucorp>on behalf of the IOF Committee of Scientific Advisors (CSA) Nutrition Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global vitamin D status and determinants of hypovitaminosis D</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>20</volume><issue>11</issue><spage>1807</spage><epage>1820</epage><pages>1807-1820</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary This review describes the vitamin D status in different regions of the world with the objective of understanding the scope of hypovitaminosis D and the factors related to its prevalence that may contribute to the pathogenesis of osteoporosis and fragility fractures. Introduction Vitamin D status has been linked to the pathogenesis of hip fractures as well as other skeletal and non-skeletal disorders. The purpose of this review is to provide a global perspective of vitamin D status across different regions of the world and to identify the common and significant determinants of hypovitaminosis D. Methods Six regions of the world were reviewed—Asia, Europe, Middle East and Africa, Latin America, North America, and Oceania—through a survey of published literature. Results The definition of vitamin D insufficiency and deficiency, as well as assay methodology for 25-hydroxyvitamin D or 25(OH)D, vary between studies. However, serum 25(OH)D levels below 75 nmol/L are prevalent in every region studied whilst levels below 25 nmol/L are most common in regions such as South Asia and the Middle East. Older age, female sex, higher latitude, winter season, darker skin pigmentation, less sunlight exposure, dietary habits, and absence of vitamin D fortification are the main factors that are significantly associated with lower 25(OH)D levels. Conclusion Reports from across the world indicate that hypovitaminosis D is widespread and is re-emerging as a major health problem globally.</abstract><cop>London</cop><pub>London : Springer-Verlag</pub><pmid>19543765</pmid><doi>10.1007/s00198-009-0954-6</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age Factors
Aged
Biological and medical sciences
Child
Child, Preschool
Cross-Cultural Comparison
Diseases of the osteoarticular system
Endocrinology
Female
Fractures
Genetic Predisposition to Disease
Global Health
Humans
Infant
Infant, Newborn
International
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Osteoporosis
Osteoporosis. Osteomalacia. Paget disease
Pathology
Prevalence
Review
Rheumatology
Risk Factors
Sex Factors
Vitamin D
Vitamin D - blood
Vitamin D Deficiency - epidemiology
Vitamin D Deficiency - etiology
Vitamin deficiency
Young Adult
title Global vitamin D status and determinants of hypovitaminosis D
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