High Prevalence of Vitamin D Deficiency Among Saudi Children And Adolescents With Type 1 Diabetes In Albaha Region, Saudi Arabia
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2017, Vol 12, Issue 1
Abstract
Background: Vitamin D inadequacy constitutes an increasingly recognized comorbidity among Saudi populations. There were limited data about its prevalence in Saudi children with type 1 diabetes mellitus (T1DM). Aim: To evaluate the prevalence of vitamin D deficiency among Saudi children and adolescents with T1DM in Albaha region, southwestern of Saudi Arabia. Methods: A cross-sectional study was conducted on 117 Saudi children and adolescents with T1DM. These patients were recruited from Albaha diabetic center, Saudi Arabia. The range of age of the participants was 1 –18 years.. All participants were subjected to history taking including, age, gender, duration of diabetes, clinical presentation at the onset of diabetes. Measurement of serum 25 hydroxy vitamin D was done in all participants. Results: There were 117 Saudi children and adolescent with T1DM, 52 (44.4%) were boys, and 65 (55.6%) were girls with a mean age 8.8 ± 3.4 and 9.2 ± 3.9 for boys and girls respectively (p=0.52). The mean serum 25-hydroxy vitamin D levels among them was 17.1± 10.1 ng/ml and the prevalence of vitamin D inadequacy was 88.9% (59.9% of subjects had vitamin D deficiency and 29 % had vitamin D insufficiency) and 11.1% had sufficient levels of 25-hydroxy vitamin D. There was a significant difference in vitamin D level among different groups of vitamin D level (p˂ 0.001). The prevalence of Vitamin D deficiency was greater in the girls with 34.2%, as compared to 25.6% among boys. Vitamin D deficiency was more common among children in the range of age 1-10 years (52.1% vs 36.8%). In vitamin D deficient group, the mean levels of vitamin D were significantly lower in patients presented with DKA as compared to those presented with hyperglycemic symptoms (p= 0.016). Conclusion: Vitamin D deficiency is common in Saudi children and adolescent with T1DM in Albaha region. This is more common in girls and in the younger age groups. Therefore, screening for vitamin D deficiency, creating awareness to increase sunlight exposure, increase the fortification of food products with vitamin D and vitamin D supplementation for these patients should be warranted to prevent future morbidity.
Authors and Affiliations
Ahmed H Al-Ghamdi, Abdelhameed A Fureeh, Jamaal A Alghamdi3, Waleed M. Alkhuraimi4 ,, Faisal F . Alomari4, Fahad A Alzahrani, Ramzi A Alzahrani4 ,, Abdulrahman A Alzahrani4, Sami A Alzahrani4, Abdulnasser M Alghamdi4
Keywords
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- EP ID EP388222
- DOI 10.9790/3008-1201030510
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