Vitamin D status and determinants of deficiency among non-pregnant Jordanian women of reproductive age

Details

• Alternative Title:
  Eur J Clin Nutr
• Personal Author:
  Nichols, EK ; Khatib, IMD ; Aburto, NJ ; Sullivan, KM ; Scanlon, KS ; Wirth, JP ; Serdula, MK
• Description:
  BACKGROUND/OBJECTIVES:
  
  Vitamin D deficiency, a risk factor for osteomalacia and osteoporosis, is a re-emerging health problem globally. While sunlight is an important vitamin D source, previous investigations among women whose culture encourages skin covering have been small, not nationally representative, or both. We investigated serum 25–hydroxyvitamin D (25(OH)D3) status and factors associated with deficiency in a nationally representative survey of 2013 Jordanian women of reproductive age in Spring 2010.
  
  SUBJECTS/METHODS:
  
  We measured 25(OH)D3 concentrations by liquid chromatography-tandem mass spectrometry and calculated prevalence ratios for deficiency associated with skin covering and other factors.
  
  RESULTS:
  
  Results showed 60.3% (95% CI: 57.1–63.4%) deficiency (<12 ng/ml) and 95.7% (95% CI: 94.4–96.8%) insufficiency (<20 ng/ml) among women. Prevalence of deficiency was 1.60 times higher for women who covered with a scarf/hijab (95% CI: 1.06–2.40, P = 0.024) and 1.87 times higher for women who wore full cover, or a niqab (95% CI: 1.20–2.93, P = 0.006), compared with the women who did not wear a scarf/hijab or niqab. Compared with rural women completing at least secondary education, prevalence of deficiency was 1.30 times higher for urban women of the same education level (95% CI: 1.08–1.57, P = 0.006), 1.18 times higher for urban women completing less than secondary education (95% CI: 0.98–1.43, P = 0.09), and 0.66 times lower for rural women completing less than secondary education (95% CI: 0.52–0.84, P = 0.001).
  
  CONCLUSION:
  
  Vitamin D deficiency and insufficiency pose significant public health problems in Jordanian women. Prevalence of deficiency is significantly higher among urban women and among women who cover with a scarf/hijab or niqab.
  
  
• Subjects:
  Adolescent Adult Clothing Educational Status Female Health Status Humans Jordan Middle Aged Osteomalacia Osteoporosis Prevalence Public Health Rural Population Skin Sunlight Urban Population Vitamin D Vitamin D Deficiency Young Adult

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• Keywords:
  Deficiency Vitamin D Women
• Source:
  Eur J Clin Nutr. 66(6):751-756
• Pubmed ID:
  22415337
• Pubmed Central ID:
  PMC7607369
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  66
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:72bb78dce01a47fa693be473f17d69af059b06bbcdd3dbf433d2e1c5db6dfcfcf760f5aea6ae205274fafa114919d46afcca27cb2133e16fe03c9914466c86b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/96399/cdc_96399_DS1.pdf
• File Type:
  [PDF - 537.41 KB ]