High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia
Aim: To determine vitamin D deficiency risk and other lifestyle factors in children aged 2–17 years presenting with an acute fracture to Sunshine Hospital. Methods: A prospective observational study was undertaken using a convenience sample data collected from children aged 2–17 years of age present...
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doaj-138a945d09b04607b3809e0f5988fd072020-11-25T00:00:48ZengElsevierBone Reports2352-18722016-12-015153157High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern AustraliaDae Hwan Kwon0David Krieser1Chris Harris2Abhay Khot3Peter R. Ebeling4Christine P. Rodda5Goulburn Valley Health, Shepparton 3630, Australia; Corresponding author.Paediatric Emergency Department, Western Health Sunshine Hospital, St Albans, Australia; Department of Paediatrics, University of Melbourne, Parkville 3052, AustraliaOrthopaedics Department, Western Health, Sunshine Hospital, St Albans 3021, AustraliaOrthopaedics Department, Western Health, Sunshine Hospital, St Albans 3021, AustraliaDepartment of Medicine, Monash University, Clayton 3168, AustraliaDepartment of Paediatrics, University of Melbourne, Parkville 3052, Australia; Department of Paediatrics, Monash University, Clayton 3168, Australia; Paediatric Department, Western Health, Sunshine Hospital, St Albans 3021, Australia; Australian Institute for Musculoskeletal Science (AIMSS)Aim: To determine vitamin D deficiency risk and other lifestyle factors in children aged 2–17 years presenting with an acute fracture to Sunshine Hospital. Methods: A prospective observational study was undertaken using a convenience sample data collected from children aged 2–17 years of age presenting with an acute fracture. Recruitment was undertaken over a 3-month period from February to May 2014. Risk factors for vitamin D deficiency (skin pigmentation, hours spent outdoors, sunscreen use and obesity) were identified. Patients providing consent, had measurements of serum 25-hydroxyvitamin D (25-OHD). Vitamin D deficiency was defined as <50 nmol/L. Results: Of the 163 patients recruited into this study, 134 (82%) had one or more risk factor(s) for vitamin D deficiency. Of these, 109 (81%) consented to 25-OHD testing, with a median of 53 nmol/l (range 14–110 nmol/l) obtained. A total of 57 (52% at risk, 35% of total participants) were found to be vitamin D deficient. 45 (80%) had mild deficiency (30–50 nmol/l) and 11 (20%) had moderate deficiency (12.5–29 nmol/l). Conclusions: One third of all participants, and the majority participants who had one or more risk factor(s) for vitamin D deficiency, were vitamin D deficient. Based on our findings we recommend that vitamin D status be assessed in all children with risk factor of vitamin D deficiency living in urban environments at higher latitudes presenting with fractures. The effect of vitamin D status on fracture risk and fracture healing in children and teenagers is yet to be determined, as do the effects of vitamin D supplementation in vitamin D deficient paediatric patients presenting with acute fracture. Keywords: Vitamin D deficiency, Reduced sun exposure, Fracture, Children, Teenagers, Risk factors for vitamin D deficiencyhttp://www.sciencedirect.com/science/article/pii/S2352187216300225 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dae Hwan Kwon David Krieser Chris Harris Abhay Khot Peter R. Ebeling Christine P. Rodda |
spellingShingle |
Dae Hwan Kwon David Krieser Chris Harris Abhay Khot Peter R. Ebeling Christine P. Rodda High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia Bone Reports |
author_facet |
Dae Hwan Kwon David Krieser Chris Harris Abhay Khot Peter R. Ebeling Christine P. Rodda |
author_sort |
Dae Hwan Kwon |
title |
High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia |
title_short |
High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia |
title_full |
High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia |
title_fullStr |
High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia |
title_full_unstemmed |
High prevalence of vitamin D deficiency in 2–17 year olds presenting with acute fractures in southern Australia |
title_sort |
high prevalence of vitamin d deficiency in 2–17 year olds presenting with acute fractures in southern australia |
publisher |
Elsevier |
series |
Bone Reports |
issn |
2352-1872 |
publishDate |
2016-12-01 |
description |
Aim: To determine vitamin D deficiency risk and other lifestyle factors in children aged 2–17 years presenting with an acute fracture to Sunshine Hospital. Methods: A prospective observational study was undertaken using a convenience sample data collected from children aged 2–17 years of age presenting with an acute fracture. Recruitment was undertaken over a 3-month period from February to May 2014. Risk factors for vitamin D deficiency (skin pigmentation, hours spent outdoors, sunscreen use and obesity) were identified. Patients providing consent, had measurements of serum 25-hydroxyvitamin D (25-OHD). Vitamin D deficiency was defined as <50 nmol/L. Results: Of the 163 patients recruited into this study, 134 (82%) had one or more risk factor(s) for vitamin D deficiency. Of these, 109 (81%) consented to 25-OHD testing, with a median of 53 nmol/l (range 14–110 nmol/l) obtained. A total of 57 (52% at risk, 35% of total participants) were found to be vitamin D deficient. 45 (80%) had mild deficiency (30–50 nmol/l) and 11 (20%) had moderate deficiency (12.5–29 nmol/l). Conclusions: One third of all participants, and the majority participants who had one or more risk factor(s) for vitamin D deficiency, were vitamin D deficient. Based on our findings we recommend that vitamin D status be assessed in all children with risk factor of vitamin D deficiency living in urban environments at higher latitudes presenting with fractures. The effect of vitamin D status on fracture risk and fracture healing in children and teenagers is yet to be determined, as do the effects of vitamin D supplementation in vitamin D deficient paediatric patients presenting with acute fracture. Keywords: Vitamin D deficiency, Reduced sun exposure, Fracture, Children, Teenagers, Risk factors for vitamin D deficiency |
url |
http://www.sciencedirect.com/science/article/pii/S2352187216300225 |
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