Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: analysis of the UK Biobank Cohort
Little research has assessed serum 25-hydroxyvitamin D (25(OH)D) concentration and its predictors in Western-dwelling South Asians in a relatively large sample size. This observational, cross-sectional analysis assessed baseline prevalence of 25(OH)D deficiency in UK-dwelling South Asians (aged 40–6...
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| Veröffentlicht in: | British journal of nutrition 2021-02, Vol.125 (4), p.448-459 |
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| creator | Darling, Andrea L. Blackbourn, David J. Ahmadi, Kourosh R. Lanham-New, Susan A. |
| description | Little research has assessed serum 25-hydroxyvitamin D (25(OH)D) concentration and its predictors in Western-dwelling South Asians in a relatively large sample size. This observational, cross-sectional analysis assessed baseline prevalence of 25(OH)D deficiency in UK-dwelling South Asians (aged 40–69 years, 2006–2010) from the UK Biobank Cohort. Serum 25(OH)D measurements were undertaken using the DiaSorin Liaison XL assay. Of 6433 South Asians with a 25(OH)D measurement, using commonly used cut-off thresholds, 55 % (n 3538) had 25(OH)D < 25 nmol/l (severe deficiency) and 92 % (n 5918) had 25(OH)D < 50 nmol/l (insufficiency). Of the participants with a measurement, 20 % (n 1287) had 25(OH)D concentration |
| doi_str_mv | 10.1017/S0007114520002779 |
| format | Article |
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This observational, cross-sectional analysis assessed baseline prevalence of 25(OH)D deficiency in UK-dwelling South Asians (aged 40–69 years, 2006–2010) from the UK Biobank Cohort. Serum 25(OH)D measurements were undertaken using the DiaSorin Liaison XL assay. Of 6433 South Asians with a 25(OH)D measurement, using commonly used cut-off thresholds, 55 % (n 3538) had 25(OH)D < 25 nmol/l (severe deficiency) and 92 % (n 5918) had 25(OH)D < 50 nmol/l (insufficiency). Of the participants with a measurement, 20 % (n 1287) had 25(OH)D concentration <15 nmol/l (very severe deficiency). When 824 participants with undetectable (<10 nmol/l) 25(OH)D measurements were included (total n 7257), 29 % (n 2105) had 25(OH)D < 15 nmol/l, 60 % (n 4354) had 25(OH)D < 25 nmol/l and 93 % (n 6749) had 25(OH)D < 50 nmol/l. Logistic regression predictors of 25(OH)D < 25 nmol/l included the following characteristics: being male; Pakistani; higher BMI; 40–59 years old; never consuming oily fish; summer sun exposure <5 h/d, not using a vitamin D-containing supplement, measurement in winter or spring and vegetarianism. In terms of region, median 25(OH)D concentration was 19–20 nmol/l in Scotland, Northern England, the Midlands and Wales. Across Southern England and London, it was slightly higher at 24–25 nmol/l. Our analyses suggest the need for increased awareness of vitamin D deficiency in South Asians as well as urgent public health interventions to prevent and treat vitamin D deficiency in this group.]]></description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114520002779</identifier><identifier>PMID: 32693845</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>25-Hydroxyvitamin D ; Adult ; Aged ; Asian People ; Biobanks ; Biological Specimen Banks ; Calciferol ; Cohort analysis ; Cohort Studies ; Databases, Factual ; Demography ; Diet ; Dietary supplements ; Dietary Surveys and Nutritional Epidemiology ; Epidemiology ; Female ; Fish oils ; Health promotion ; Humans ; Interactive computer systems ; Male ; Middle Aged ; Nutrition research ; Prevalence ; Public health ; Questionnaires ; Regression analysis ; Seasons ; Software ; United Kingdom ; Variables ; Vegetarianism ; Vitamin D ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - ethnology ; Vitamin deficiency ; Winter ; Women</subject><ispartof>British journal of nutrition, 2021-02, Vol.125 (4), p.448-459</ispartof><rights>The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society</rights><rights>The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>The Author(s) 2020 2020 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-b8898a5123f783c6659ef9d0c4b7c007f246262a9a643d576fe32b8d66f084373</citedby><cites>FETCH-LOGICAL-c471t-b8898a5123f783c6659ef9d0c4b7c007f246262a9a643d576fe32b8d66f084373</cites><orcidid>0000-0002-7038-3161</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114520002779/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,230,314,776,780,881,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32693845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darling, Andrea L.</creatorcontrib><creatorcontrib>Blackbourn, David J.</creatorcontrib><creatorcontrib>Ahmadi, Kourosh R.</creatorcontrib><creatorcontrib>Lanham-New, Susan A.</creatorcontrib><title>Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: analysis of the UK Biobank Cohort</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description><![CDATA[Little research has assessed serum 25-hydroxyvitamin D (25(OH)D) concentration and its predictors in Western-dwelling South Asians in a relatively large sample size. This observational, cross-sectional analysis assessed baseline prevalence of 25(OH)D deficiency in UK-dwelling South Asians (aged 40–69 years, 2006–2010) from the UK Biobank Cohort. Serum 25(OH)D measurements were undertaken using the DiaSorin Liaison XL assay. Of 6433 South Asians with a 25(OH)D measurement, using commonly used cut-off thresholds, 55 % (n 3538) had 25(OH)D < 25 nmol/l (severe deficiency) and 92 % (n 5918) had 25(OH)D < 50 nmol/l (insufficiency). Of the participants with a measurement, 20 % (n 1287) had 25(OH)D concentration <15 nmol/l (very severe deficiency). When 824 participants with undetectable (<10 nmol/l) 25(OH)D measurements were included (total n 7257), 29 % (n 2105) had 25(OH)D < 15 nmol/l, 60 % (n 4354) had 25(OH)D < 25 nmol/l and 93 % (n 6749) had 25(OH)D < 50 nmol/l. Logistic regression predictors of 25(OH)D < 25 nmol/l included the following characteristics: being male; Pakistani; higher BMI; 40–59 years old; never consuming oily fish; summer sun exposure <5 h/d, not using a vitamin D-containing supplement, measurement in winter or spring and vegetarianism. In terms of region, median 25(OH)D concentration was 19–20 nmol/l in Scotland, Northern England, the Midlands and Wales. Across Southern England and London, it was slightly higher at 24–25 nmol/l. Our analyses suggest the need for increased awareness of vitamin D deficiency in South Asians as well as urgent public health interventions to prevent and treat vitamin D deficiency in this group.]]></description><subject>25-Hydroxyvitamin D</subject><subject>Adult</subject><subject>Aged</subject><subject>Asian People</subject><subject>Biobanks</subject><subject>Biological Specimen Banks</subject><subject>Calciferol</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Databases, Factual</subject><subject>Demography</subject><subject>Diet</subject><subject>Dietary supplements</subject><subject>Dietary Surveys and Nutritional Epidemiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fish oils</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Interactive computer systems</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition research</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Seasons</subject><subject>Software</subject><subject>United Kingdom</subject><subject>Variables</subject><subject>Vegetarianism</subject><subject>Vitamin D</subject><subject>Vitamin D - analogs & derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - ethnology</subject><subject>Vitamin deficiency</subject><subject>Winter</subject><subject>Women</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1DAUhi0EokPhAdggS2zYBHy3wwKpDFdRiUUpW8tx7IlLEg92MpC3x1GHchMr--j_zn9uADzE6ClGWD67QAhJjBkn5UOkrG-BDWaSV0QIchtsVrla9RNwL-erEiqM6rvghBJRU8X4Bnz77NICu7Dr4D65g-ndaB2MHhJedUub4vflECYzhBG-gq3zwYZCLLDEglEKLz_AizhPHTzLwYzQtHM_5efQjKZfcsir09S5FXsZYmPGL3Abu5im--CON312D47vKbh88_rT9l11_vHt--3ZeWWZxFPVKFUrwzGhXipqheC183WLLGukLdN5wgQRxNSmdNNyKbyjpFGtEB4pRiU9BS-uffdzM7jWunFKptf7FAaTFh1N0H8qY-j0Lh60VIwJxIvBk6NBil9nlyc9hGxd35vRxTlrwojAiitMC_r4L_QqzqlsYqWkkkSW_RcKX1M2xZyT8zfNYKTXs-p_zlpyHv0-xU3GzzsWgB5NzdCk0O7cr9r_t_0BNgaq1Q</recordid><startdate>20210228</startdate><enddate>20210228</enddate><creator>Darling, Andrea L.</creator><creator>Blackbourn, David J.</creator><creator>Ahmadi, Kourosh R.</creator><creator>Lanham-New, Susan A.</creator><general>Cambridge University Press</general><scope>IKXGN</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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7038-3161</orcidid></search><sort><creationdate>20210228</creationdate><title>Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: analysis of the UK Biobank Cohort</title><author>Darling, Andrea L. ; Blackbourn, David J. ; Ahmadi, Kourosh R. ; Lanham-New, Susan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-b8898a5123f783c6659ef9d0c4b7c007f246262a9a643d576fe32b8d66f084373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>25-Hydroxyvitamin D</topic><topic>Adult</topic><topic>Aged</topic><topic>Asian People</topic><topic>Biobanks</topic><topic>Biological Specimen Banks</topic><topic>Calciferol</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Databases, Factual</topic><topic>Demography</topic><topic>Diet</topic><topic>Dietary supplements</topic><topic>Dietary Surveys and Nutritional Epidemiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fish oils</topic><topic>Health promotion</topic><topic>Humans</topic><topic>Interactive computer systems</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition research</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Seasons</topic><topic>Software</topic><topic>United Kingdom</topic><topic>Variables</topic><topic>Vegetarianism</topic><topic>Vitamin D</topic><topic>Vitamin D - analogs & derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - ethnology</topic><topic>Vitamin deficiency</topic><topic>Winter</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darling, Andrea L.</creatorcontrib><creatorcontrib>Blackbourn, David J.</creatorcontrib><creatorcontrib>Ahmadi, Kourosh R.</creatorcontrib><creatorcontrib>Lanham-New, Susan A.</creatorcontrib><collection>Cambridge Journals Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darling, Andrea L.</au><au>Blackbourn, David J.</au><au>Ahmadi, Kourosh R.</au><au>Lanham-New, Susan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: analysis of the UK Biobank Cohort</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2021-02-28</date><risdate>2021</risdate><volume>125</volume><issue>4</issue><spage>448</spage><epage>459</epage><pages>448-459</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract><![CDATA[Little research has assessed serum 25-hydroxyvitamin D (25(OH)D) concentration and its predictors in Western-dwelling South Asians in a relatively large sample size. This observational, cross-sectional analysis assessed baseline prevalence of 25(OH)D deficiency in UK-dwelling South Asians (aged 40–69 years, 2006–2010) from the UK Biobank Cohort. Serum 25(OH)D measurements were undertaken using the DiaSorin Liaison XL assay. Of 6433 South Asians with a 25(OH)D measurement, using commonly used cut-off thresholds, 55 % (n 3538) had 25(OH)D < 25 nmol/l (severe deficiency) and 92 % (n 5918) had 25(OH)D < 50 nmol/l (insufficiency). Of the participants with a measurement, 20 % (n 1287) had 25(OH)D concentration <15 nmol/l (very severe deficiency). When 824 participants with undetectable (<10 nmol/l) 25(OH)D measurements were included (total n 7257), 29 % (n 2105) had 25(OH)D < 15 nmol/l, 60 % (n 4354) had 25(OH)D < 25 nmol/l and 93 % (n 6749) had 25(OH)D < 50 nmol/l. Logistic regression predictors of 25(OH)D < 25 nmol/l included the following characteristics: being male; Pakistani; higher BMI; 40–59 years old; never consuming oily fish; summer sun exposure <5 h/d, not using a vitamin D-containing supplement, measurement in winter or spring and vegetarianism. In terms of region, median 25(OH)D concentration was 19–20 nmol/l in Scotland, Northern England, the Midlands and Wales. Across Southern England and London, it was slightly higher at 24–25 nmol/l. Our analyses suggest the need for increased awareness of vitamin D deficiency in South Asians as well as urgent public health interventions to prevent and treat vitamin D deficiency in this group.]]></abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>32693845</pmid><doi>10.1017/S0007114520002779</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-7038-3161</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 25-Hydroxyvitamin D Adult Aged Asian People Biobanks Biological Specimen Banks Calciferol Cohort analysis Cohort Studies Databases, Factual Demography Diet Dietary supplements Dietary Surveys and Nutritional Epidemiology Epidemiology Female Fish oils Health promotion Humans Interactive computer systems Male Middle Aged Nutrition research Prevalence Public health Questionnaires Regression analysis Seasons Software United Kingdom Variables Vegetarianism Vitamin D Vitamin D - analogs & derivatives Vitamin D - blood Vitamin D Deficiency - epidemiology Vitamin D Deficiency - ethnology Vitamin deficiency Winter Women |
| title | Very high prevalence of 25-hydroxyvitamin D deficiency in 6433 UK South Asian adults: analysis of the UK Biobank Cohort |
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