Abstract

Background. This study aimed to determine the prevalence of vitamin D deficiency, usual nutrient intake, and food sources of vitamin D of Filipino children aged 6–12 years in selected areas in the Philippines. Methods. The National Nutrition Survey (NNS) collected blood samples of children aged 6–12 years from selected study sites: Manila City and Quezon City in the National Capital Region (NCR); Cagayan Province and Baguio City in Luzon; Northern Samar and Siquijor in Visayas; and Butuan City and Sultan Kudarat in Mindanao. About 789 children aged 6–12 years participated in this study. Serum vitamin D was determined by electrochemiluminescence binding assay (ECLIA). Food intake data were collected using two-day nonconsecutive 24 h food recall. Usual nutrient intakes were estimated using Personal Computer Software for Intake Distribution Estimation (PC-SIDE) program. Results. The mean serum vitamin D of 25 (OH)D was 72.7 ± 0.67 μmol/L. The overall prevalence of combined vitamin D deficiency (<50 μmol/L) and insufficiency (51–74 μmol/L) among children aged 6–12 years was 60.6%. Females had a higher prevalence of vitamin D insufficiency compared to males. NCR (57.9%) had a higher deficiency compared to the other areas. The usual intake of vitamin D (2 μg/day) among children was below the adequate intake of 5 μg/day. The main food sources of vitamin D are coming from fish (53%), pork (19%), and egg/egg dishes (16%). Conclusion. This study revealed that there is a significantly high level of vitamin D insufficiency in children aged 6–12 years. Filipino females had higher prevalence of vitamin D deficiency and insufficiency compared to males. Among the areas, NCR has the highest prevalence of deficiency/insufficiency.

Highlights

  • Vitamin D, known as the sunshine vitamin, is essential for the health and growth of bones

  • Because of the critical role of vitamin D both in growth of children and in immune response, this study aimed to determine the prevalence of vitamin D status, usual nutrient intake, and food sources of Vitamin D of Filipino children, aged 6–12 years in selected areas in the Philippines based on the 2018 National Nutrition Survey data (NNS 2018)

  • Compared from the previous surveys, the rolling survey termed as the Expanded National Nutrition Survey (ENNS) has 24 replicates (8 replicates per year) to achieve reliable domain-level estimates

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Summary

Introduction

Vitamin D, known as the sunshine vitamin, is essential for the health and growth of bones. E vitamin D content of the human body is synthesized to 7-dehydrocholesterol (7DHC) by the exploit of ultraviolet B (UVB) irradiation from sunlight. Vitamin D and calcium are bone growth nutrients. Vitamin D deficiency can cause skeletal diseases such as nutritional rickets (NR), osteomalacia, and troubles in calcium homeostasis [3]. The lack of vitamin D has been associated in mental health disorder and can cause neurohormonal effects on brain development and behaviour [4]. E highest level of vitamin D serum values were observed in North America than in Europe or Middle East/Africa region. In the Asia region, children were found to have significantly lower vitamin D serum values than adults and elderly [6]

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