AJCN North Carolina Research Campus
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Du, X.
Right arrow Articles by Wang, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Du, X.
Right arrow Articles by Wang, Y.
Agricola
Right arrow Articles by Du, X.
Right arrow Articles by Wang, Y.
American Journal of Clinical Nutrition, Vol. 74, No. 4, 494-500, October 2001
© 2001 American Society for Clinical Nutrition


Original Research Communication

Vitamin D deficiency and associated factors in adolescent girls in Beijing1,2,3

Xueqin Du1, Heather Greenfield1, David R Fraser1, Keyou Ge1, Angelika Trube1 and Yunzhao Wang1

1 From the Department of Food Science and Technology, University of New South Wales, New South Wales, Australia; the Department of Animal Science, University of Sydney, Sydney, Australia; and the Chinese Academy of Preventive Medicine and Beijing Ji Shui Tan Hospital, Beijing.

Background: Several locally published reports indicate a high prevalence of vitamin D deficiency among adolescents in China, but no systematic population-based survey has been conducted.

Objective: The objective was to determine the prevalence of vitamin D deficiency and to study associated factors in adolescent girls in Beijing.

Design: A cross-sectional study was conducted in a random sample of 1248 Beijing girls aged 12–14 y. Nutrient intakes, ultraviolet light exposure, anthropometric characteristics, physical activity, signs and symptoms of rickets, and plasma concentrations of 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, and calcium were measured and X-rays of the hand and wrist were taken.

Results: The prevalence of clinical vitamin D and calcium deficiency (plasma 25-hydroxyvitamin D <12.5 nmol/L, plasma calcium <2.25 mmol/L, and muscle spasm at least once per week) was 9.4% in winter. The prevalence of subclinical vitamin D deficiency (25-hydroxyvitamin D <12.5 nmol/L) was 45.2% in winter and 6.7% in summer (P < 0.0005). Logistic regression analysis showed that subclinical and clinical vitamin D deficiency in winter were associated with low plasma 25-hydroxyvitamin D concentrations (<12.5 nmol/L) in summer, low calcium intake ( ± SD: 280 ± 48 compared with 440 ± 61 mg/d), and low plasma calcium concentrations (<2.25 mmol/L) in winter. The odds ratios for these associations were 3.1, 1.5, and 1.5, respectively.

Conclusions: Subclinical vitamin D deficiency was widespread among Beijing adolescent girls in winter. Low plasma 25-hydroxyvitamin D concentrations in summer, low calcium intake, and low plasma calcium concentrations in winter were the main risk factors for vitamin D deficiency in winter.

Key Words: Vitamin D deficiency • adolescent girls • China • calcium intake • vitamin D intake • sunlight exposure • 25-hydroxyvitamin D • plasma calcium




This article has been cited by other articles:


Home page
Am. J. Clin. Nutr.Home page
R. Vieth, H. Bischoff-Ferrari, B. J Boucher, B. Dawson-Hughes, C. F Garland, R. P Heaney, M. F Holick, B. W Hollis, C. Lamberg-Allardt, J. J McGrath, et al.
The urgent need to recommend an intake of vitamin D that is effective
Am. J. Clinical Nutrition, March 1, 2007; 85(3): 649 - 650.
[Full Text] [PDF]


Home page
Am. J. Clin. Nutr.Home page
C. M Willis, E. M Laing, D. B Hall, D. B Hausman, and R. D Lewis
A prospective analysis of plasma 25-hydroxyvitamin D concentrations in white and black prepubertal females in the southeastern United States
Am. J. Clinical Nutrition, January 1, 2007; 85(1): 124 - 130.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
J. E. Rockell, T. J. Green, C. M. Skeaff, S. J. Whiting, R. W. Taylor, S. M. Williams, W. R. Parnell, R. Scragg, N. Wilson, D. Schaaf, et al.
Season and Ethnicity Are Determinants of Serum 25-Hydroxyvitamin D Concentrations in New Zealand Children Aged 5-14 y
J. Nutr., November 1, 2005; 135(11): 2602 - 2608.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
F. A. Tylavsky, K. A. Ryder, A. Lyytikainen, and S. Cheng
Vitamin D, Parathyroid Hormone, and Bone Mass in Adolescents
J. Nutr., November 1, 2005; 135(11): 2735S - 2738S.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Clin. Nutr.Home page
R. K Marwaha, N. Tandon, D. R. H. Reddy, R. Aggarwal, R. Singh, R. C Sawhney, B. Saluja, M A. Ganie, and S. Singh
Vitamin D and bone mineral density status of healthy schoolchildren in northern India
Am. J. Clinical Nutrition, August 1, 2005; 82(2): 477 - 482.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
S. Hatun, O. Islam, F. Cizmecioglu, B. Kara, K. Babaoglu, F. Berk, and A. S. Gokalp
Subclinical Vitamin D Deficiency Is Increased in Adolescent Girls Who Wear Concealing Clothing
J. Nutr., February 1, 2005; 135(2): 218 - 222.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
M. S. Calvo, S. J. Whiting, and C. N. Barton
Vitamin D Intake: A Global Perspective of Current Status
J. Nutr., February 1, 2005; 135(2): 310 - 316.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Clin. Nutr.Home page
J. M Pettifor
Nutritional rickets: deficiency of vitamin D, calcium, or both?
Am. J. Clinical Nutrition, December 1, 2004; 80(6): 1725S - 1729S.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by The American Society for Nutrition