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Prevalence of Vitamin D Deficiency in a Pediatric Hospital of Eastern India
Authors:Surupa Basu  Ruchi Gupta  Monjori Mitra  Apurba Ghosh
Institution:.Department of Biochemistry, Institute of Child Health, 11, Dr. Biresh Guha Street, Kolkata, 700029 West Bengal India ;.Department of Pediatric Medicine, Institute of Child Health, Kolkata, India
Abstract:Vitamin D deficiency is highly prevalent in Indian children of northern, western and southern states. Serum 25 hydroxy cholecalferol (ng/ml) was analyzed in 310 children and adolescents of pediatric hospital of Kolkata, India. Serum calcium (mg/dl), phosphorous (mg/dl) and alkaline phosphatase (IU/L) data was obtained. Median 25(OH)D was 19 ng/ml. 19.2 % of population had serum 25(OH)D < 10 ng/ml (severe deficiency), 52.9 % had <20 ng/ml (deficiency), 24.5 % had 20–29 ng/ml (insufficiency) and 22.6 % had >30 ng/ml (optimum). Deficiency was highest in adolescents (86.1 %), followed by school children (61.0 %), lowest in pre-school children (41.6 %). 25(OH)D concentrations was lowest in winters (P = 0.002) and spring (P = 0.03) compared to summer. There was no correlation with calcium (P = 0.99), phosphorous (P = 0.23) and ALP (P = 0.63). There is high prevalence of vitamin D deficiency in children and adolescents of eastern India. Prevalence was lower in younger subjects. 25(OH)D did not correlate with bone mineral markers.
Keywords:Vitamin D  Pediatric  25 hydroxy cholecalciferol  Prevalence  Calcium  Alkaline phosphatase
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