Health care of Kyrgyzstan
Zdravoohraneniye Kyrgyzstana
ISSN 1694-8068 (Print)
ISSN 1694-805X (Online)

Determinants of serum 25(OH)D indicators of Kyrgyzstan

Determinants of serum 25(OH)D indicators of Kyrgyzstan
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Abstract

This article describes for the first time the determinants of fluctuations in the mean serum 25 (OH) D levels in the indigenous population of Kyrgyzstan. Relevance. Vitamin D is now receiving increasing attention. Deficiency of 25 (OH) D contributes to the development of both skeletal (rickets, osteopenia, osteoporosis) and non-skeletal pathological effects (dermatoses, hypertension, obesity, oncological, endocrine, autoimmune and infectious diseases). Serum 25-hydroxyvitamin D levels> 75 nmol / L, or 30 ng / mL, are essential for maintaining human health. Objective of the study- to find out whether gender and seasonal fluctuations in UVR levels are determinants of vitamin 25 (OH) D deficiency among healthy indigenous people of Kyrgyzstan. Material and methods. A pilot multicenter cross-sectional study of the serum 25 (OH) D level of the indigenous inhabitants of Kyrgyzstan (41 ° N, 75 ° E; duration of sunshine 1700-2900 h / year) was carried out. The sample consisted of 218 people, of which 99 (45.4%) were men and 119 (54.6%) were women. The average age of the representative sample was 38 ± 1.0 (95% CI 36.0 - 40.1) years. Results. The mean serum 25 (OH) D3 level in the total sample was 46.9 ± 1.1 nmol / L (95% CI 44.8 - 49.1 nmol / L), which corresponds to a deficit (<50 nmol / L). At the same time, in men, the average indicator 25 (OH) D3 was 50.0 ± 1.5 nmol / L (95% CI 46.9 - 53.0 nmol / L), in women 44.5 ± 1.5 nmol / L ( 95% CI 41.5 - 47.5 nmol / L), p <0.013. There were statistically significant (p <0.026) seasonal fluctuations in serum 25 (OH) D3 from 41.7 ± 2.3 (95% CI 37.1 - 46.4) in the spring to 50.0 ± 2.1 (95% CI 45.9 - 54.2) in the fall. Conclusion. Regardless of statistically significant gender and seasonal fluctuations, as well as the geographic location of the country (41 ° N, 75 ° E) and the duration of sunshine (1700-2900 hours / year.), The average serum 25 (OH) D3 does not reach an adequate level (> 75 nmol / L).

About the authors

Исупова Алена Анатольевна, кандидат медицинских наук, старший преподаватель кафедры дерматовенерологии и фтизиатрии Кыргызско-Российского Славянского университета им. Б.Н. Ельцина, Бишкек, Кыргызская Республика;

Исупов Роман Вячеславович, аспирант, Кыргызско-Российского Славянского университета им. Б.Н.Ельцина, Бишкек,Кыргызская Республика

Isupova Alena Anatolyevna , Candidate of Medical Sciences, B.N. Yeltsin Kyrgyz-Russian Slavonic University, Senior Lecturer of the Department of Dermatovenerology and Phthisiology, Bishkek, Kyrgyz Republic;
Isupov Roman Alekeslavovich, PhD student, B.N. Yeltsin Kyrgyz-Russian Slavonic University, Bishkek, Kyrgyz Republic

Исупова Алена Анатольевна, медицина илимдеринин кандидаты, Б.Н. Ельцин атындагы Кыргыз-Россия славиян университетинун тери-венерология жана фтизиатрия кафедрасынын ага окутуучусу, Бишкек, Кыргыз Республикасы;

Исупов Роман Вячеславович, Б.Н. Ельцин атындагы Кыргыз-Орус Славян университетинин аспиранты, Бишкек, Кыргыз Республикасы

References

  1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.
  2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acute
    hip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.
  3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.
  4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin
    D3. The Lancet. 1982;319(8263):74–76.
  5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy:
    toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.
  6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of
    prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol
    (2013) 5:222–34.
  7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.
  8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau
    AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.
  9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency.
    Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.
  10. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.
  11. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.
  12. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes among
    acute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.

1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.

2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acutehip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.

3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.

4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. The Lancet. 1982;319(8263):74–76.

5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy: toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.

6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol (2013) 5:222–34.

7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.

8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.

9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency.

10. Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.

11. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.

12. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.

13. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes amongacute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.

  1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.
  2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acutehip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.
  3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.
  4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. The Lancet. 1982;319(8263):74–76.
  5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy: toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.
  6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol (2013) 5:222–34.
  7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.
  8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.
  9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency. Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.
  10. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.
  11. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.
  12. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes amongacute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.
Для цитирования

Исупова А.А. , Исупов Р.В. Детерминанты показателей сывороточного 25 (OH) D коренных жителей Кыргызстана. Здравоохранение Кыргызстана 2021, № 4, с. 34-39.

https://doi.org/10.51350/zdravkg2021124334 

For citation

Isupova A.A., Isupov R.V. Determinants of serum 25 (OH)D indicators of Kyrgyzstan.
Health care of Kyrgyzstan 2021, No. 4, pp. 34-39. 

https://doi.org/10.51350/zdravkg2021124334

Цитата үчүн

Исупова А.А. , Исупов Р.В. Кыргызстандын 25 (OH) D көрсөткүчтөрүнүн сырторунун аныктоочулары.
Кыргызстандын Cаламаттык Cактоо 2021, № 4, б. 34-39. 

https://doi.org/10.51350/zdravkg2021124334 

Authors Isupova A.A., Isupov R.V.
Link doi.org https://doi.org/10.51350/zdravkg2021124334
Pages 34-39
Keywords health, dermatoses, osteoporosis, bone quality, serum 25 (OH) D3, vitamin D deficiency, seasonal fluctuations of the Ural Federal District, Kyrgyzstan
Russian
Об авторах

Исупова Алена Анатольевна, кандидат медицинских наук, старший преподаватель кафедры дерматовенерологии и фтизиатрии Кыргызско-Российского Славянского университета им. Б.Н. Ельцина, Бишкек, Кыргызская Республика;

Исупов Роман Вячеславович, аспирант, Кыргызско-Российского Славянского университета им. Б.Н.Ельцина, Бишкек,Кыргызская Республика

Полный текст

 PDF (RUS)

Список литературы
  1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.
  2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acute
    hip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.
  3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.
  4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin
    D3. The Lancet. 1982;319(8263):74–76.
  5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy:
    toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.
  6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of
    prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol
    (2013) 5:222–34.
  7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.
  8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau
    AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.
  9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency.
    Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.
  10. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.
  11. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.
  12. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes among
    acute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.
Для цитирования

Исупова А.А. , Исупов Р.В. Детерминанты показателей сывороточного 25 (OH) D коренных жителей Кыргызстана. Здравоохранение Кыргызстана 2021, № 4, с. 34-39.

https://doi.org/10.51350/zdravkg2021124334 

English
About authors

Isupova Alena Anatolyevna , Candidate of Medical Sciences, B.N. Yeltsin Kyrgyz-Russian Slavonic University, Senior Lecturer of the Department of Dermatovenerology and Phthisiology, Bishkek, Kyrgyz Republic;
Isupov Roman Alekeslavovich, PhD student, B.N. Yeltsin Kyrgyz-Russian Slavonic University, Bishkek, Kyrgyz Republic

Full text

 PDF (RUS)

References

1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.

2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acutehip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.

3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.

4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. The Lancet. 1982;319(8263):74–76.

5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy: toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.

6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol (2013) 5:222–34.

7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.

8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.

9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency.

10. Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.

11. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.

12. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.

13. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes amongacute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.

For citation

Isupova A.A., Isupov R.V. Determinants of serum 25 (OH)D indicators of Kyrgyzstan.
Health care of Kyrgyzstan 2021, No. 4, pp. 34-39. 

https://doi.org/10.51350/zdravkg2021124334

Kyrgyz
Авторлор жөнүндө

Исупова Алена Анатольевна, медицина илимдеринин кандидаты, Б.Н. Ельцин атындагы Кыргыз-Россия славиян университетинун тери-венерология жана фтизиатрия кафедрасынын ага окутуучусу, Бишкек, Кыргыз Республикасы;

Исупов Роман Вячеславович, Б.Н. Ельцин атындагы Кыргыз-Орус Славян университетинин аспиранты, Бишкек, Кыргыз Республикасы

Толук текст

 PDF (RUS)

Шилтемелер
  1. Wacker M, Holick MF. Sunlight and Vitamin D. A global perspective for health. Dermatoendocrinol. 2013 Jan 1; 5(1): 51–108.
  2. Nurmi I, Kaukonen JP, Lüthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M. Half of the patients with an acutehip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int. 2005; 16(12):2018-24.
  3. Cashman Kevin D. Vitamin D Deficiency: Defining, Prevalence, Causes, and Strategies of Addressing. Calcified Tissue International. 2019;106(1):14–29.
  4. Clemens T. L., Henderson S. L., Adams J. S., Holick M. F. Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. The Lancet. 1982;319(8263):74–76.
  5. Mut-Salud N, Alvarez PJ, Garrido JM, Carrasco E, Aranega A, Rodriguez-Serrano F. Antioxidant intake and antitumor therapy: toward nutritional recommendations for optimal results. Oxid. Med. Cell. Longev., 2016: 6719534.
  6. Finamor DC, Sinigaglia-Coimbra R, Neves LCM, Gutierrez M, Silva JJ, Torres LD, et al. . A pilot study assessing the effect of prolonged administration of high daily doses of vitamin D on the clinical course of vitiligo and psoriasis. Dermatoendocrinol (2013) 5:222–34.
  7. Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr 2016; 103:1033.
  8. Jolliffe DA, Greenberg L, Hooper RL, Mathyssen C, Rafiq R, de Jongh RT, Camargo CA, Griffiths CJ, Janssens W, Martineau AR. Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax. 2019 Apr;74(4):337-345.
  9. Jacob M, Censani M. 13-Year-Old Boy Presenting with Bilateral Femur Fractures in the Setting of Severe Vitamin D Deficiency. Case Rep Pediatr. 2021;4;2021:2440999 doi: 10.1016/s0140-6736(82)90214-8.
  10. Chang S.W., Lee H.C. Vitamin D and Health—The missing vitamin in humans. Pediatr. Neonatol. 2019;60:237–244.
  11. Holton KF. Micronutrients May Be a Unique Weapon Against the Neurotoxic Triad of Excitotoxicity, Oxidative Stress and Neuroinflammation: A Perspective.Front Neurosci. 2021 Sep 22;15:726457.
  12. Wei L, Chen C, Dai YQ, Ding L, Li HY, Lin YJ, et al. Serum 25-hydroxyvitamin D deficiency predicts poor outcomes amongacute ischemic stroke patients receiving intravenous thrombolysis. Chin Med J 2019; 132:491–494.
Цитата үчүн

Исупова А.А. , Исупов Р.В. Кыргызстандын 25 (OH) D көрсөткүчтөрүнүн сырторунун аныктоочулары.
Кыргызстандын Cаламаттык Cактоо 2021, № 4, б. 34-39. 

https://doi.org/10.51350/zdravkg2021124334 

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