Vitamin D and Calcium Levels among Women of Reproductive Age Group from Northern India
DOI:
https://doi.org/10.47203/IJCH.2023.v35i03.007Keywords:
Vitamin D, Socioeconomic Class, Calcium, Prevalence, Reproductive Age WomenAbstract
Background: Vitamin D deficiency has been related to poor bone health, increased risk of PIH, obstructed labour, vaginosis and LBW baby among women of reproductive age. Aims &Objectives: To evaluate the serum calcium and vitamin D levels of reproductive age group women and their relation with sociodemographic parameters. Material &Methods: A cross-sectional study was conducted among non-pregnant and non-lactating women aged 15-49 years, attending the OPD for any musculoskeletal complaints. The study participants were subjected to a pretested questionnaire for capturing information regarding their sociodemographic parameters. Non fasting blood samples were obtained for biochemical analysis of serum vitamin D and calcium. Results: The mean serum vitamin D and calcium levels were 20.94±10.61 ng/ml and 4.82±0.87 mg/dl respectively. The median serum vitamin D levels were 18.1 ng/ml with IQR of 12.43-28.00 ng/ml. The median serum vitamin D levels were significantly less among women residing in rural area and those who were unmarried/separated. Vitamin D level were highest in middle and lowest in upper socioeconomic status (p=0.007). Conclusion: Vitamin D deficiency is more pronounced among women from rural background and those who were unmarried/separated. These women are susceptible to development of osteoporosis and pregnancy related complications in later age.
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Fouda MA, Turkistani IZ, Angkaya-Bagayawa FF, Krishnaswamy S, Al-Daghri N. Vitamin D deficiency in young women of childbearing age: the elephant in the room. Int J Clin Exp Med. 2016;9(2):4615-9.
Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008;87(4):1080S-6S.
Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients. 2014;6(2):729-75.
Harinarayan CV, Joshi SR. Vitamin D status in India--its implications and remedial measures. JAPI. 2009;57:40-8.
Sofi NY, Jain M, Kapil U, Seenu V, Ramakrishnan L, Yadav CP, Pandey RM. Status of serum vitamin D and calcium levels in women of reproductive age in national capital territory of India. Indian Journal of Endocrinology and Metabolism. 2017;21(5):731.
Harinarayan CV, Sachan A, Reddy PA, Satish KM, Prasad UV, Srivani P. Vitamin D status and bone mineral density in women of reproductive and postmenopausal age groups: a cross-sectional study from south India. JAPI. 2011;59:698-704.
Nichols EK, Khatib IM, Aburto NJ, Sullivan KM, Scanlon KS, Wirth JP, Serdula MK. Vitamin D status and determinants of deficiency among non-pregnant Jordanian women of reproductive age. European journal of clinical nutrition. 2012;66(6):751-6.
Zhao G, Ford ES, Tsai J, Li C, Croft JB. Factors associated with vitamin D deficiency and inadequacy among women of childbearing age in the United States. International Scholarly Research Notices. 2012;2012:691486.
Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. The Journal of clinical endocrinology & metabolism. 2011;96(7):1911-30.
Gupta A, Kant S, Pandav CS, Gupta SK, Rai SK, Misra P. Dietary Calcium Intake, Serum Calcium Level, and their Association with Preeclampsia in Rural North India. Indian J Community Med. 2016;41(3):223-7.
van Schoor NM, Lips P. Worldwide vitamin D status. Best Pract Res Clin Endocrinol Metab. 2011;25(4):671-80.
Mithal A, Wahl DA, Bonjour JP, Burckhardt P, Dawson-Hughes B, Eisman JA, El-Hajj Fuleihan G, Josse RG, Lips P, Morales-Torres J, IOF Committee of Scientific Advisors (CSA) Nutrition Working Group. Global vitamin D status and determinants of hypovitaminosis D. Osteoporosis international. 2009;20:1807-20.
Shukla K, Sharma S, Gupta A, Raizada A, Vinayak K. Current scenario of prevalence of vitamin D deficiency in ostensibly healthy Indian population: A hospital based retrospective study. Indian Journal of Clinical Biochemistry. 2016;31:452-7.
Paul R, Ray J, Saha R, Daulagajao B, Banerjee AK. Blood Vitamin D levels in a sample population from Eastern India: A pilot study. International Journal of Biomedical Research. 2014;5(8):499-501.
Daga RA, Laway BA, Shah ZA, Mir SA, Kotwal SK, Zargar AH. High prevalence of vitamin D deficiency among newly diagnosed youth-onset diabetes mellitus in north India. Arquivos Brasileiros de Endocrinologia & Metabologia. 2012;56:423-8.
Sachan A, Gupta R, Das V, Agarwal A, Awasthi PK, Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. The American journal of clinical nutrition. 2005;81(5):1060-4.
Aparna P, Muthathal S, Nongkynrih B, Gupta SK. Vitamin D deficiency in India. Journal of family medicine and primary care. 2018;7(2):324-330.
Sahu M, Bhatia V, Aggarwal A, Rawat V, Saxena P, Pandey A, Das V. Vitamin D deficiency in rural girls and pregnant women despite abundant sunshine in northern India. Clinical endocrinology. 2009;70(5):680-4.
Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients. 2014;6(2):729-75.
Khalfa, H.; Al-Msaid, H.; Alsahlanee, R. Relationship between Vitamin D3 Levels and Marital Status: A Random Study in FemalesSuffering from Bone Disorders in Al-Najaf Province. J. Med. Life Sci. 2019, 1, 65–70.
Garg, R., Agarwal, V., Agarwal, P., Singh, S., Malhotra, N.Prevalence of vitamin D deficiency in Indian women.International Journal of Reproduction, Contraception,Obstetrics and Gynecology. 2018; 7(6): 2222-2225
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Copyright (c) 2023 Neetu Singh , Dileep Kumar, Anil Kumar Gupta, Sudhir Ramkishore Mishra, Ganesh Yadav, Mohit Kishore Srivastava
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