Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Gender-Specific Factors Associated with Vitamin D Deficiency among Korean Adolescents: Data from the Korean National Health and Nutrition Examination Survey V (2010~2011)

청소년의 성별에 따른 비타민 D 결핍 영향요인: 제5기 국민건강영양조사 자료 (2010~2011년)

  • Min, Haeyoung (College of Nursing, Gyeongsang National University) ;
  • Min, Ari (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 민해영 (경상대학교 간호대학) ;
  • 민아리 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2018.02.13
  • Accepted : 2018.03.13
  • Published : 2018.04.30
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Abstract

Purpose: The purpose of this study was to examine differences in the prevalence of vitamin D deficiency between male and female Korean adolescents and to investigate gender-specific factors associated with vitamin D deficiency. Methods: This cross-sectional descriptive study included 975 adolescents aged 12-18 years who participated in the fifth Korean National Health and Nutrition Examination Survey (2010~2011). Multiple logistic regression using complex sample analysis was performed to examine gender-specific factors associated with vitamin D deficiency with adjustments for covariates. Results: Among the participants, 82.9% had vitamin D deficiency. The prevalence of vitamin D deficiency was higher among female adolescents (88.4%) than their male counterparts (78.4%). A rural place of residence (OR, 0.40; 95% CI, 0.19~0.87; p=.021) and daily milk intake (OR, 0.23; 95% CI, 0.07~0.75; p=.015) were significant factors significantly associated with vitamin D deficiency in males, while body mass index (OR, 8.40; 95% CI, 1.05~67.04, p=.045) and having breakfast (OR, 0.22; 95% CI, 0.10~0.49; p<.001) showed significant relationships in females. Conclusion: The results of this study provide preliminary evidence for developing effective strategies to prevent vitamin D deficiency in Korean adolescents. The different factors influencing vitamin D deficiency in males and females should be considered when providing interventions.

Keywords

References

  1. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism. 2011;96(7):1911-1930. https://doi.org/10.1210/jc.2011-0385
  2. Yang HR, Seo JW, Kim YJ, Kim JY, Ryoo E, Sim JG, et al. Recent concepts on vitamin D in children and adolescents. Korean Journal of Pediatrics. 2009;52(10):1082-1089. https://doi.org/10.3345/kjp.2009.52.10.1082
  3. Parker J, Hashmi O, Dutton D, Mavrodaris A, Stranges S, Kandala NB, et al. Levels of vitamin D and cardiometabolic disorders: Systematic review and meta-analysis. Maturitas. 2010;65(3):225-236. https://doi.org/10.1016/j.maturitas.2009.12.013
  4. Kumar J, Muntner P, Kaskel FJ, Hailpern SM, Melamed ML. Prevalence and associations of 25-hydroxyvitamin D deficiency in US children: NHANES 2001-2004. Pediatrics. 2009;124(3):e362-e370. https://doi.org/10.1542/peds.2009-0051
  5. Gonzalez-Gross M, Valtuena J, Breidenassel C, Moreno LA, Ferrari M, Kersting M, et al. Vitamin D status among adolescents in Europe: The healthy lifestyle in Europe by nutrition in adolescence. British Journal of Nutrition. 2012;107(5):755-764. https://doi.org/10.1017/S0007114511003527
  6. Hu Y, Chen J, Wang R, Li M, Yun C, Li W, et al. Vitamin D nutritional status and its related factors for Chinese children and adolescents in 2010-2012. Nutrients. 2017;9(9):1024. https://doi.org/10.3390/nu9091024
  7. Yoo HN, Kim HS. Vitamin D deficiency and metabolic syndrome among Korean adolescents: Based on Korea national health and nutrition examination survey V (KNHANES). The Journal of the Korean Society of School Health. 2016;29(1):22-32. https://doi.org/10.15434/kssh.2016.29.1.22
  8. Lee A, Kim SH, Nam CM, Kim YJ, Joo SH, Lee KR. Prevalence of vitamin D deficiency and insufficiency in Korean children and adolescents and associated factors. Laboratory Medicine Online. 2016; 6(2):70-78. https://doi.org/10.3343/lmo.2016.6.2.70
  9. Absoud M, Cummins C, Lim MJ, Wassmer E, Shaw N. Prevalence and predictors of vitamin D insufficiency in children: A Great Britain population based study. PLoS one. 2011;6(7):e22179. https://doi.org/10.1371/journal.pone.0022179
  10. Kim JY, Choi SJ, Yi YJ. The effect of the strength of physical activity on vitamin D deficiency among Korean adolescents. Journal of the Korean Society of School Health. 2017;30(2):146-153. https://doi.org/10.15434/kssh.2017.30.2.146
  11. Oberg J, Jorde R, Almas B, Emaus N, Grimnes G. Vitamin D deficiency and lifestyle risk factors in a Norwegian adolescent population. Scandinavian Journal of Public Health. 2014;42(7):593-602. https://doi.org/10.1177/1403494814541593
  12. Turer CB, Lin H, Flores G. Prevalence of vitamin D deficiency among overweight and obese US children. Pediatrics. 2013;131(1): e152-e161. https://doi.org/10.1542/peds.2012-1711
  13. Olson ML, Maalouf NM, Oden JD, White PC, Hutchison MR. Vitamin D deficiency in obese children and its relationship to glucose homeostasis. The Journal of Clinical Endocrinology & Metabolism. 2012;97(1):279-285. https://doi.org/10.1210/jc.2011-1507
  14. Vierucci F, Del Pistoia M, Fanos M, Gori M, Carlone G, Erba P, et al. Vitamin D status and predictors of hypovitaminosis D in Italian children and adolescents: A cross-sectional study. European Journal of Pediatrics. 2013;172(12):1607-1617. https://doi.org/10.1007/s00431-013-2119-z
  15. Ross AC, Taylor CL, Yaktine AL, Del-Valle HB. editors. Dietary reference intakes for calcium and vitamin D. Washington, DC: The National Academies Press; 2011.
  16. Korea Center for Disease Control and Prevention. 2007 Korean children and adolescent growth standard [Internet]. Seoul: Korea Centers for Disease Control; 2007 [cited 2018 January 11]. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=1235.
  17. Martini LA, Verly E, Marchioni DML, Fisberg RM. Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the health survey-Sao Paulo. Nutrition. 2013;29(6):845-850. https://doi.org/10.1016/j.nut.2012.12.009
  18. Sathya G, Raji VS, Ramesh R. Seasonal and gender differences in vitamin D status among the obese adolescents: A prospective study. International Journal of Home Science. 2017;3(1):297-300.
  19. Baek SH. A study on practice rate of physical activity of Korean adolescents. The Korea Journal of Sports Science. 2015;24(5):1437-1446.
  20. Sisson SB, Church TS, Martin CK, Tudor-Locke C, Smith SR, Bouchard C, et al. Profiles of sedentary behavior in children and adolescents: The US national health and nutrition examination survey, 2001-2006. Pediatric Obesity. 2009;4(4):353-359. https://doi.org/10.3109/17477160902934777
  21. Jo JE, Park HR, Jeon SB, Kim JS, Park GE, Li Y, et al. A study on relationship between socio-demographic factors and food consumption frequencies among adolescents in South Korea: Using the Korea youth risk behavior web-based survey from 2011. Journal of Community Nutrition. 2013;18(2):165-176. https://doi.org/10.5720/kjcn.2013.18.2.165
  22. Bradlee ML, Singer MR, Qureshi MM, Moore LL. Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHA NES III). Public Health Nutrition. 2010;13(6):797-805. https://doi.org/10.1017/S1368980009991546
  23. Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, De Vriendt T, et al. Beverage consumption among European adolescents in the HELENA study. European Journal of Clinical Nutrition. 2012;66(2):244-252. https://doi.org/10.1038/ejcn.2011.166
  24. Kim SH, Kim WK, Kang MH. Survey on the relationship between milk and milk product consumption and dietary nutrient intake among Korean adolescents. Journal of the Korean Dietetic Association. 2011;17(3):313-326.
  25. The Korean Nutrition Society. Dietary reference intakes for Koreans 2010 [Internet]. Seoul: The Korean Nutrition Society; 2010 [Cited 2018 February 2]. Available from: http://www.kns.or.kr/Data/FileRoom/2010KDRIs_open_final.pdf.
  26. Voortman T, van den Hooven EH, Heijboer AC, Hofman A, Jaddoe VW, Franco OH. Vitamin D deficiency in school-age children is associated with sociodemographic and lifestyle factors. The Journal of Nutrition. 2015;145(4):791-798. https://doi.org/10.3945/jn.114.208280
  27. Pereira-Santos M, Costa PR, Assis AM, Santos CA, Santos DB. Obesity and vitamin D deficiency: A systematic review and metaanalysis. Obesity Reviews. 2015;16(4):341-349. https://doi.org/10.1111/obr.12239
  28. Mielgo-Ayuso J, Valtuena J, Cuenca-Garcia M, Gottrand F, Breidenassel C, Ferrari M, et al. Regular breakfast consumption is associated with higher blood vitamin status in adolescents: The HEL ENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutrition. 2017;20(8):1393-1404. https://doi.org/10.1017/S1368980016003645
  29. Yim KS. Effects of skipping breakfast on nutrition status, fatigue level, and attention level among middle school students in Gyunggi province, Korea. Journal of the Korean Society of Food Culture. 2014;29(5):464-475. https://doi.org/10.7318/KJFC/2014.29.5.464