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25-hydroxy-vitamin D demography and the risk of vitamin D insufficiency in the South East Asian Nutrition Surveys (SEANUTS).
Asia Pac J Clin Nutr 2016; 25(3):538-48AP

Abstract

The South East Asian Nutrition Surveys (SEANUTS) were conducted in 2010/2011 in Indonesia, Malaysia, Thailand and Vietnam in country representative samples totalling 16,744 children aged 0.5 to 12 years. Information on socio-demographic and behavioural variables was collected using questionnaires and anthropometric variables were measured. In a sub-sample of 2016 children, serum 25-hydroxy-vitamin D (25(OH)D) was determined. Data were analysed using SPSS complex sample with weight factors to report population representative data. Children were categorized as deficient (<25 nmol/L), insufficient (<50 nmol/L), inadequate (<75 nmol/L) or desirable (>=75 nmol/L). In Malaysia and Thailand, urban children had lower 25(OH)D than rural children. In all countries, except Vietnam, boys had higher 25(OH)D levels and older children had lower 25(OH)D. Regional differences after correcting for age, sex and area of residence were seen in all countries. In Thailand and Malaysia, 25(OH)D status was associated with religion. The percentage of children with adequate 25(OH)D (>=75 nmol/L) ranged from as low as 5% (Indonesia) to 20% (Vietnam). Vitamin D insufficiency (<50 nmol/L) was noted in 40 to 50% of children in all countries. Logistic regression showed that girls, urban area, region within the country and religion significantly increased the odds for being vitamin D insufficient. The high prevalence of vitamin D insufficiency in the (sub) tropical SEANUTS countries suggests a need for tailored approach to successfully combat this problem. Promoting active outdoor livestyle with safe sunlight exposure along with food-based strategies to improve vitamin D intake can be feasible options.

Authors+Show Affiliations

Universiti Kebangsaan Malaysia, Malaysia.Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.National Institute of Nutrition, Hanoi, Viet Nam.Persatuan Ahli Gizi Indonesia (PERSAGI), Jakarta, Indonesia.Universiti Kebangsaan Malaysia, Malaysia.Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.National Institute of Nutrition, Hanoi, Viet Nam.Persatuan Ahli Gizi Indonesia (PERSAGI), Jakarta, Indonesia.Nutrition Consultant, Langkawi, Malaysia.FrieslandCampina, Amersfoort, the Netherlands. Email: panam.parikh@frieslandcampina.com.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27440689

Citation

Poh, Bee Koon, et al. "25-hydroxy-vitamin D Demography and the Risk of Vitamin D Insufficiency in the South East Asian Nutrition Surveys (SEANUTS)." Asia Pacific Journal of Clinical Nutrition, vol. 25, no. 3, 2016, pp. 538-48.
Poh BK, Rojroongwasinkul N, Nguyen BK, et al. 25-hydroxy-vitamin D demography and the risk of vitamin D insufficiency in the South East Asian Nutrition Surveys (SEANUTS). Asia Pac J Clin Nutr. 2016;25(3):538-48.
Poh, B. K., Rojroongwasinkul, N., Nguyen, B. K., Sandjaja, ., Ruzita, A. T., Yamborisut, U., ... Parikh, P. (2016). 25-hydroxy-vitamin D demography and the risk of vitamin D insufficiency in the South East Asian Nutrition Surveys (SEANUTS). Asia Pacific Journal of Clinical Nutrition, 25(3), pp. 538-48. doi:10.6133/apjcn.092015.02.
Poh BK, et al. 25-hydroxy-vitamin D Demography and the Risk of Vitamin D Insufficiency in the South East Asian Nutrition Surveys (SEANUTS). Asia Pac J Clin Nutr. 2016;25(3):538-48. PubMed PMID: 27440689.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 25-hydroxy-vitamin D demography and the risk of vitamin D insufficiency in the South East Asian Nutrition Surveys (SEANUTS). AU - Poh,Bee Koon, AU - Rojroongwasinkul,Nipa, AU - Nguyen,Bao Khanh Le, AU - Sandjaja,, AU - Ruzita,Abd Talib, AU - Yamborisut,Uruwan, AU - Hong,Truong Nguyen, AU - Ernawati,Fitrah, AU - Deurenberg,Paul, AU - Parikh,Panam, AU - ,, PY - 2016/7/22/entrez PY - 2016/7/22/pubmed PY - 2016/9/14/medline SP - 538 EP - 48 JF - Asia Pacific journal of clinical nutrition JO - Asia Pac J Clin Nutr VL - 25 IS - 3 N2 - The South East Asian Nutrition Surveys (SEANUTS) were conducted in 2010/2011 in Indonesia, Malaysia, Thailand and Vietnam in country representative samples totalling 16,744 children aged 0.5 to 12 years. Information on socio-demographic and behavioural variables was collected using questionnaires and anthropometric variables were measured. In a sub-sample of 2016 children, serum 25-hydroxy-vitamin D (25(OH)D) was determined. Data were analysed using SPSS complex sample with weight factors to report population representative data. Children were categorized as deficient (<25 nmol/L), insufficient (<50 nmol/L), inadequate (<75 nmol/L) or desirable (>=75 nmol/L). In Malaysia and Thailand, urban children had lower 25(OH)D than rural children. In all countries, except Vietnam, boys had higher 25(OH)D levels and older children had lower 25(OH)D. Regional differences after correcting for age, sex and area of residence were seen in all countries. In Thailand and Malaysia, 25(OH)D status was associated with religion. The percentage of children with adequate 25(OH)D (>=75 nmol/L) ranged from as low as 5% (Indonesia) to 20% (Vietnam). Vitamin D insufficiency (<50 nmol/L) was noted in 40 to 50% of children in all countries. Logistic regression showed that girls, urban area, region within the country and religion significantly increased the odds for being vitamin D insufficient. The high prevalence of vitamin D insufficiency in the (sub) tropical SEANUTS countries suggests a need for tailored approach to successfully combat this problem. Promoting active outdoor livestyle with safe sunlight exposure along with food-based strategies to improve vitamin D intake can be feasible options. SN - 0964-7058 UR - https://www.unboundmedicine.com/medline/citation/27440689/25_hydroxy_vitamin_D_demography_and_the_risk_of_vitamin_D_insufficiency_in_the_South_East_Asian_Nutrition_Surveys__SEANUTS__ L2 - http://apjcn.nhri.org.tw/server/APJCN/25/3/538.pdf DB - PRIME DP - Unbound Medicine ER -