Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 6 Issue 9

Risk Factors for Low Serum 25 OHD Concentrations in Healthy Infants in Algeria

Drali Ouardia1*, Arab Madina1, Lamdjadani Noureddine2, Guechi Zhor1 and Berrah Hassina1

1Department of Pediatrics B, Epidemiology and Statistics Department, Hussein Dey, University Hospital Center, Algiers, Algeria
2Biochemistry Unit, Epidemiology and Statistics Department, Hussein Dey, University Hospital Center, Algiers, Algeria

*Corresponding Author: Drali Ouardia, Department of Pediatrics B, Epidemiology and Statistics Department. Hussein Dey, University Hospital Center, Algiers, Algeria.

Received: July 04, 2022; Published: August 18, 2022

Abstract

  Knowledge of vitamin D has made great progress in recent years with the identification of its receptors (VDR) in most tissues, passing it from the role of a purely phosphocalcic and bone tropic hormone to that of a hormone playing a role global health.

  In Algeria, we lack epidemiological studies to assess the vitamin D status of healthy and supplemented infants. Through this work, we propose to determine the vitamin D status, to assess the vitamin D nutritional intake of healthy infants and to identify risk factors related to hypovitaminosis D in order to target and treat populations at risk.

Results: The analysis covers 395 infants aged between 9 and 24 months recruited during the 4 seasons. The mean age was

  11.5 ± 1.3 months. The sex ratio was 1.5. The average daily dietary intake of vitamin D was estimated at 167 IU/d (4.1µg/d). 90% of the children had low daily food intakes (less than 200IU/d).

The mean total vitamin D level in our series was 15.6 ± 4.4 ng/ml, significantly lower than current recommendations (25 OHD > 20 ng/ml) with a mean PTH level of 38 ± 4.2 pg/ml.

  The prevalence of vitamin D deficiency increased from 50% in the 12-24 month age group, to 75% in the 09-12 month group in winter, and from 21% in children aged between 12 and 24 months to 64% in children aged between 09.

  The risk of vitamin D deficiency is associated with individual factors that cannot be modified (skin pigmentation), lifestyle habits (lack of sunlight, insufficient dietary intake of vitamin D and) and environmental factors (season).

Conclusion: The magnitude of the prevalence of hypovitaminosis D in infants with high bone growth velocity and increased vitamin D requirements prompts us to question vitamin D drug supplementation. Six-monthly systematic vitamin D supplementation would be necessary for children with risk factors as well as children without risk factors in the winter period according to the results of our study.

 

Keywords: 2 5 OHD; Vitamin D Intake; Infants; PTH; Algeria

References

  1. Cavalier E and JC Souberbielle. “Vitamin D: “classical” and “non-classical” effects and assessment of patient status Nuclear Medicine 33 (2009): 7-16.
  2. Amstutz V., et al. “Vitamin D: news and recommendations”. Swiss Medical Review.
  3. Souberbielle JC., et al. “News on the effects of vitamin D and the evaluation of vitamin D status”. Revue Francaise des Laboratoires 414 (2019):  31-38
  1. Vidailhet , et al. “Vitamin D: A vitamin Still relevant in children and adolescents. Nutrition Committee of the French Society of Pediatrics”. Archives of Pediatrics 19 (2012): 316-328.
  1. The Fitzpatrick Skin Type Classification Scale". Skin Inc (2014).
  2. Winzenberg T and Powell S. “Effects of vitamin D supplementation on bone density in healthy children: systematic review and meta-analysis”. BMJ 342 (2011): c7254.
  1. Anses. fr: Version (2014).
  1. Mallet E and Claude V. “Calcium and vitamin D status of preschool children. About a survey carried out in the Rouen region”. Archives of Pediatrics 12 (2005): 1797-1803.
  2. Gordon CM and Feldman HA. “Prevalence of vitamin D deficiency among healthy infants and toddlers”. Arch pediatrician AdolescMed 162 (2008): 505-512.
  3. Nesibe A. “Vitamin D deficiency in children and adolescents”. Journal of Clinical Research in Pediatric Endocrinology (2012): 25-29.
  4. Ahmed SR “Medico-social study of the Chéraga baldia infant”. Doctoral thesis in medicine, Algiers (1974).
  5. Chouakri O. “Study of the frequency of rickets in urban areas”. Doctoral thesis in medicine, Algiers (1974).
  6. Benmekhbi H. “Doctoral thesis in medical sciences, Constantine (1986).
  7. Kumar T. “Prevalence and associations of 25OHD deficiency in US children: NHANES 2001- 2004”. Pediatrics 124(2009):362-370.
  8. French Food Safety Agency (Afssa). INCA2. National individual study of food consumption (2008).
  9. Weng X. “Risk factors for low serum 25 OHD concentrations in otherwise healthy children  and adolescents”.  The American Journal of Clinical Nutrition 86 (2007):150-158.

Citation

Citation: Drali Ouardia., et al. “Risk Factors for Low Serum 25 OHD Concentrations in Healthy Infants in Algeria". Acta Scientific Nutritional Health 6.9 (2022): 49-54.

Copyright

Copyright: © 2022 Drali Ouardia., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.316

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US