关键词: adolesents bone health calcium absorption food fortification increased indoor activities sun exposure vitamin d deficiency

来  源:   DOI:10.7759/cureus.52040   PDF(Pubmed)

Abstract:
Vitamin D deficiency is a globally recognized health concern, with particular prominence in specific geographies and demographics. Saudi Arabia, with its unique climatic conditions and cultural practices, has been under scrutiny regarding the prevalence of this deficiency, especially among children and adolescents. This systematic review aimed to assess the prevalence of vitamin D deficiency among children and adolescents in Saudi Arabia by compiling and analyzing various studies to offer a comprehensive view of the situation. The comprehensive web search encompassed a range of databases, including Google Scholar and PubMed, to gather studies published between 2012 and 2023. An analysis was conducted on seven studies, totaling 2,429 participants, with each study focusing on various aspects, regions, and cohorts within Saudi Arabia. These studies employed different methodologies, ranging from cross-sectional surveys to randomized clinical trials. The review unveiled an alarming prevalence of vitamin D deficiency in the studied population. On average, around 81.1% of children and adolescents showcased inadequate vitamin D levels. Specific vulnerable groups, such as those with Type 1 diabetes mellitus or asthma, had pronounced deficiencies. Factors influencing these levels ranged from dietary habits, sun exposure, physical activity, and socioeconomic parameters. The compelling evidence from the studies underscores a consistent health issue among the pediatric population in Saudi Arabia that the overwhelming majority of Saudi children and adolescents lack adequate vitamin D. Addressing this widespread deficiency needs a multifaceted approach. Implementing policies that support vitamin D food fortification, encouraging routine screenings, and launching public awareness campaigns about safe sun exposure and diet can play a transformative role in this health crisis.
摘要:
维生素D缺乏是全球公认的健康问题,在特定的地理和人口统计中尤为突出。沙特阿拉伯,以其独特的气候条件和文化习俗,一直在审查这种缺陷的普遍性,尤其是儿童和青少年。本系统综述旨在通过汇编和分析各种研究来评估沙特阿拉伯儿童和青少年维生素D缺乏的患病率,以提供对情况的全面了解。全面的网络搜索包含一系列数据库,包括谷歌学者和PubMed,收集2012年至2023年之间发表的研究。对七项研究进行了分析,共有2429名参与者,每一项研究都集中在各个方面,regions,和沙特阿拉伯境内的同伙。这些研究采用了不同的方法,从横断面调查到随机临床试验。该综述揭示了所研究人群中维生素D缺乏的惊人患病率。平均而言,约81.1%的儿童和青少年显示维生素D水平不足.特定弱势群体,如1型糖尿病或哮喘患者,有明显的缺陷。影响这些水平的因素包括饮食习惯,阳光照射,身体活动,和社会经济参数。来自这些研究的令人信服的证据强调了沙特阿拉伯儿科人群中的一个一致的健康问题,即绝大多数沙特儿童和青少年缺乏足够的维生素D。解决这种广泛的缺乏需要多方面的方法。实施支持维生素D食品强化的政策,鼓励例行筛查,开展有关安全日晒和饮食的公众意识运动可以在这场健康危机中发挥变革作用。
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