Abstract

In a cross-sectional screening programme, we assessed serum vitamin D levels in adult Eritrean refugees recently arrived in Switzerland. Median vitamin D level among 107 participants (95 males and 12 females) was 27 nmol/l (interquartile range 23-42 nmol/l), 86% had insufficient vitamin D levels (≤50 nmol/l) and 36% severe deficiency (<25 nmol/l). In 29 participants who received single-dose intramuscular vitamin D substitution (300 000 IU), median vitamin D levels increased from 25 to 35 nmol/l after 3 months (p = 0.005); only 11 (38%) reached sufficient vitamin D levels. Eritrean migrants should be routinely screened for vitamin D deficiency. Single-dose intramuscular supplementation appeared to be insufficient to achieve optimal levels in the majority of participants.

Highlights

  • Vitamin D plays an important role in regulating bone metabolism [1]

  • In a cross-sectional screening programme, we assessed serum vitamin D levels in adult Eritrean refugees recently arrived in Switzerland

  • Eritrean migrants should be routinely screened for vitamin D deficiency

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Summary

Introduction

Vitamin D plays an important role in regulating bone metabolism [1]. The body may acquire vitamin D2 or D3 (cholecalciferol) through food or, in the case of D3, synthesise it via ultraviolet B light (UVB) exposure. Both forms are hydroxylated in the liver to 25-hydroxyvitamin D, which is further hydroxylated in the kidneys to its active form, 1,25-dihydroxyvitamin D [2]. The threshold for optimum serum vitamin D levels and definitions of sufficiency are controversial [1–3]. Several experts agree that a level below 50 nmol/l is insufficient and vitamin D deficiency is generally defined as a serum 25(OH)-vitamin D level below 25 nmol/l [4]. The World Health Organization (WHO) considers a serum vitamin D level

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