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VITAMIN D INSUFFICIENCY IN CHILDREN OF TENDER YEARS IN RUSSIA: THE RESULTS OF A MULTI-CENTRE COHORT STUDY RODNICHOK (2013–2014)

https://doi.org/10.15690/vsp.v13i6.1198

Abstract

Background: Vitamin D insufficiency is a widespread phenomenon, having an adverse effect on human health. This problem is also actual in Russia, which most part of the territory is located above the 42nd latitude and is at risk for vitamin D insufficiency. Objective: Our aim was to evaluate the vitamin D sufficiency of the child population of a junior age group and the adequacy of a drug treatment/prevention of vitamin D insufficiency in various regions of the Russian Federation. Methods: Children of the first 3 years of life, who received in-patient treatment in medical institutions of Russia, were examined. When they were involved in the study, they took a blood test to determine a plasma 25(OH)D concentration. The study period: November, 2013 – October, 2014. Results: 1,230 children aged from 1 month to 3 years were examined. Vitamin D insufficiency (25(OH)D concentration in the blood plasma 21–29 ng/ml) is found in 300 (24.4%), deficiency (25(OH)D ≤ 20 ng/ml) — in 513 (41.7%) children. The prevalence of vitamin D insufficiency and deficiency did not depend on a geographical location and level of insolation of regions, where the surveyed lived. Conclusion: In the studied selection more than 2/3 of children of a junior age group have a vitamin D insufficiency or deficiency. In this regard, it is expedient to revise the current guidelines taking into account modern approaches to the prevention and treatment of a vitamin D insufficiency, to make the appropriate changes and to implement them in a clinical practice.

About the Authors

I. N. Zakharova
Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation


S. V. Mal’tsev
Kazan State Medical Academy
Russian Federation


Т. E. Borovik
Scientific Centre of Children Health, Moscow; Sechenov First Moscow State Medical University
Russian Federation


G. V. Yatsyk
Scientific Centre of Children Health, Moscow
Russian Federation


S. I. Malyavskaya
Northern State Medical University, Arkhangelsk
Russian Federation


I. V. Vakhlova
Ural State Medical University, Yekaterinburg
Russian Federation


Т. А. Shumatova
Pacific State Medical University, Vladivostok
Russian Federation


Ye. B. Romantsova
Amur State Medical Academy, Blagoveshchensk
Russian Federation


F. P. Romanyuk
North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg
Russian Federation


L. Ya. Klimov
Stavropol State Medical University
Russian Federation


N. I. Pirozhkova
Novosibirsk State Medical University
Russian Federation


S. М. Kolesnikova
Postgraduate Institute for Public Health Workers, Khabarovsk, Russian Federation
Russian Federation


V. А. Kur’yaninova
Stavropol State Medical University
Russian Federation


Т. М. Tvorogova
Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation


S. V. Vasil’yeva
Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation


М. V. Mozzhukhina
Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation


Ye. А. Yevseeva
Russian Medical Academy of Postgraduate Education, Moscow
Russian Federation


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Review

For citations:


Zakharova I.N., Mal’tsev S.V., Borovik Т.E., Yatsyk G.V., Malyavskaya S.I., Vakhlova I.V., Shumatova Т.А., Romantsova Ye.B., Romanyuk F.P., Klimov L.Ya., Pirozhkova N.I., Kolesnikova S.М., Kur’yaninova V.А., Tvorogova Т.М., Vasil’yeva S.V., Mozzhukhina М.V., Yevseeva Ye.А. VITAMIN D INSUFFICIENCY IN CHILDREN OF TENDER YEARS IN RUSSIA: THE RESULTS OF A MULTI-CENTRE COHORT STUDY RODNICHOK (2013–2014). Current Pediatrics. 2014;13(6):30-34. (In Russ.) https://doi.org/10.15690/vsp.v13i6.1198

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