The benefits of utilising geo-mapping for visualising the vitamin D status of Dublin city and the surrounding urban districts.

Autor: Laird E; School of Medicine, Trinity College Dublin, Dublin 2, Ireland., Shannon T; Department of Biochemistry, St. James's Hospital Dublin, Dublin 8, Ireland., Crowley VEF; Department of Biochemistry, St. James's Hospital Dublin, Dublin 8, Ireland., Healy M; Department of Biochemistry, St. James's Hospital Dublin, Dublin 8, Ireland. MHealy@stjames.ie.
Jazyk: angličtina
Zdroj: Irish journal of medical science [Ir J Med Sci] 2017 Nov; Vol. 186 (4), pp. 807-813. Date of Electronic Publication: 2016 Oct 21.
DOI: 10.1007/s11845-016-1517-4
Abstrakt: Context: There have been few published reports of visualising vitamin D status at a micro level, i.e., within large individual urban centres of countries.
Objective: To produce a visual map of the vitamin D status [25-hydroxy vitamin D-25(OH)D] of a large urban centre (n > 350,000) incorporating the regions of Dublin city that constitute the general practitioner catchment area of a large academic teaching adult hospital.
Design, Setting and Participants: An observational investigation of 5287 free living Irish adults (>18 years).
Results: Approximately, 15.2 % of those sampled in the winter period (October-February) were vitamin D deficient (<30 nmol/L) compared with 10.8 % of those sampled in the summer period (March-September). Vitamin D tests requested from the most social economically deprived urban locations (Dublin 8 and Lucan postal districts) had the highest rates of deficiency (23.5 and 20.4 %, respectively, both seasons). On average, females had a significantly higher 25(OH)D concentration compared with males (57.9 vs 52.3 nmol/L, respectively), while the younger participants (18-50 years) mean 25(OH)D concentration was 27 % lower in winter and 20.7 % lower in summer in comparison with the older participants (>50 years) (P < 0.0001).
Conclusions: For the first time in Ireland, a visual depiction of data can be used to aid in the rapid identification of vitamin D status trends within a major urban area. These findings provide useful data to help inform public health policy regarding endemic vitamin D insufficiency to help target the population groups and resident location areas most at risk.
Databáze: MEDLINE
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