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Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the Health Survey-São Paulo.
Nutrition 2013; 29(6):845-50N

Abstract

OBJECTIVE

In addition to the importance of adequate calcium and vitamin D status for health and prevention of several chronic diseases, a high prevalence of both nutrient inadequacy and 25-hydroxyvitamin D (25[OH]D) insufficiency has been observed. The aim of this study was to estimate calcium and vitamin D status correlates and adequacy from a population-based epidemiologic study.

METHODS

This is a subsample of a cross-sectional study of a representative sample of individuals living in São Paulo that includes 636 participants. A 24-h dietary record and a blood sample were collected. Nutrient adequacy was estimated by adjusting for the within-person variance of the nutrient intake. Serum concentration of 25(OH)D was measured by high-performance liquid chromatography and considered adequate when ≥ 50 nmol/L.

RESULTS

Calcium and vitamin D intake decrease according to life stages in both men and women, and increases with family income and educational level. The prevalence of calcium intake inadequacy is higher than 70% and almost 100% for vitamin D. The highest 25(OH)D concentration was observed in the fall-51.7 (20.4) nmol/L-and lowest in the summer-30.1 (8.8) nmol/L. Sex, body mass index, physical activity, alcohol and smoking habits, life stage, family income, skin color, waist circumference, and season of the year could explain 22% of the variability of 25(OH)D.

CONCLUSIONS

The present study demonstrates important inadequacies regarding the nutritional status of calcium and vitamin D and indicates an urgent need not only for health professionals, but also for government and food industries to undertake new initiatives that could result in a real improvement in terms of calcium and vitamin D nutrition.

Authors+Show Affiliations

Nutrition Department, School of Public Health, University of São Paulo, Brazil. lmartini@usp.brNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23422543

Citation

Martini, Lígia A., et al. "Prevalence and Correlates of Calcium and Vitamin D Status Adequacy in Adolescents, Adults, and Elderly From the Health Survey-São Paulo." Nutrition (Burbank, Los Angeles County, Calif.), vol. 29, no. 6, 2013, pp. 845-50.
Martini LA, Verly E, Marchioni DM, et al. Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the Health Survey-São Paulo. Nutrition. 2013;29(6):845-50.
Martini, L. A., Verly, E., Marchioni, D. M., & Fisberg, R. M. (2013). Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the Health Survey-São Paulo. Nutrition (Burbank, Los Angeles County, Calif.), 29(6), pp. 845-50. doi:10.1016/j.nut.2012.12.009.
Martini LA, et al. Prevalence and Correlates of Calcium and Vitamin D Status Adequacy in Adolescents, Adults, and Elderly From the Health Survey-São Paulo. Nutrition. 2013;29(6):845-50. PubMed PMID: 23422543.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the Health Survey-São Paulo. AU - Martini,Lígia A, AU - Verly,Eliseu,Jr AU - Marchioni,Dirce M L, AU - Fisberg,Regina M, Y1 - 2013/02/16/ PY - 2012/06/21/received PY - 2012/11/21/revised PY - 2012/12/03/accepted PY - 2013/2/21/entrez PY - 2013/2/21/pubmed PY - 2014/1/17/medline SP - 845 EP - 50 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 29 IS - 6 N2 - OBJECTIVE: In addition to the importance of adequate calcium and vitamin D status for health and prevention of several chronic diseases, a high prevalence of both nutrient inadequacy and 25-hydroxyvitamin D (25[OH]D) insufficiency has been observed. The aim of this study was to estimate calcium and vitamin D status correlates and adequacy from a population-based epidemiologic study. METHODS: This is a subsample of a cross-sectional study of a representative sample of individuals living in São Paulo that includes 636 participants. A 24-h dietary record and a blood sample were collected. Nutrient adequacy was estimated by adjusting for the within-person variance of the nutrient intake. Serum concentration of 25(OH)D was measured by high-performance liquid chromatography and considered adequate when ≥ 50 nmol/L. RESULTS: Calcium and vitamin D intake decrease according to life stages in both men and women, and increases with family income and educational level. The prevalence of calcium intake inadequacy is higher than 70% and almost 100% for vitamin D. The highest 25(OH)D concentration was observed in the fall-51.7 (20.4) nmol/L-and lowest in the summer-30.1 (8.8) nmol/L. Sex, body mass index, physical activity, alcohol and smoking habits, life stage, family income, skin color, waist circumference, and season of the year could explain 22% of the variability of 25(OH)D. CONCLUSIONS: The present study demonstrates important inadequacies regarding the nutritional status of calcium and vitamin D and indicates an urgent need not only for health professionals, but also for government and food industries to undertake new initiatives that could result in a real improvement in terms of calcium and vitamin D nutrition. SN - 1873-1244 UR - https://www.unboundmedicine.com/medline/citation/23422543/Prevalence_and_correlates_of_calcium_and_vitamin_D_status_adequacy_in_adolescents_adults_and_elderly_from_the_Health_Survey_São_Paulo_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(12)00476-5 DB - PRIME DP - Unbound Medicine ER -