Abstract

Several studies conducted around the world showed substantial vitamin D insufficiency and deficiency among different population groups. Sources of vitamin D in the human body include ultraviolet B (UVB)-light-induced biosynthesis and dietary intake, but people’s diets are often poor in vitamin D. Furthermore, in many regions, sun exposure and the intensity of UVB irradiation during wintertime are not sufficient for vitamin D biosynthesis. In Slovenia, epidemiological data about vitamin D status in the population were investigated through a national Nutrihealth study—an extension to the national dietary survey SI.Menu (2017/18). The study was conducted on a representative sample of 125 adult (18–64 years) and 155 elderly (65–74 years old) subjects, enrolled in the study in different seasons. Their vitamin D status was determined by measuring the serum 25-hydroxy-vitamin D (25(OH)D) concentration. Thresholds for vitamin D deficiency and insufficiency were 25(OH)D levels below 30 and 50 nmol/L, respectively. Altogether, 24.9% of the adults and 23.5% of the elderly were found to be vitamin D deficient, while an insufficient status was found in 58.2% and 62.9%, respectively. A particularly concerning situation was observed during extended wintertime (November–April); vitamin D deficiency was found in 40.8% and 34.6%, and insufficient serum 25(OH)D levels were observed in 81.6% and 78.8%, respectively. The results of the study showed high seasonal variation in serum 25(OH)D levels in both the adult and elderly population, with deficiency being especially pronounced during wintertime. The prevalence of this deficiency in Slovenia is among the highest in Europe and poses a possible public health risk that needs to be addressed with appropriate recommendations and/or policy interventions.

Highlights

  • IntroductionResearch related to the epidemiology of vitamin D status in different populations is linked to public health concerns due to the high prevalence rates of vitamin D insufficiency and deficiency [1,2]

  • Research related to the epidemiology of vitamin D status in different populations is linked to public health concerns due to the high prevalence rates of vitamin D insufficiency and deficiency [1,2].Nutrients 2020, 12, 1838; doi:10.3390/nu12061838 www.mdpi.com/journal/nutrientsSeveral studies conducted in Europe and around the world have shown substantial vitamin D insufficiency and deficiency among different population groups [1,2,3,4,5,6,7,8]

  • Only body mass index was identified as an additional significant predictor (p = 0.014), with subjects possessing a lower BMI having a lower odds ratio for insufficient vitamin D status

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Summary

Introduction

Research related to the epidemiology of vitamin D status in different populations is linked to public health concerns due to the high prevalence rates of vitamin D insufficiency and deficiency [1,2]. Several studies conducted in Europe and around the world have shown substantial vitamin D insufficiency and deficiency among different population groups [1,2,3,4,5,6,7,8]. Due to the many roles of vitamin D in human physiology, its low serum concentrations can pose a health risk [3,9]. The elderly are considered an especially vulnerable population group, with a higher prevalence of low vitamin D status and associated health risks [13]

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