Environmental and Occupation Factors Associated with Vitamin D Deficiency in Korean Adults: The Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2014
| Autor: | Youn-Hee Lim, Jeongbae Rhie, Hye Yin Park, Soo-Jin Lee, Jae Bum Park |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male National Health and Nutrition Examination Survey Health Toxicology and Mutagenesis Population environmental exposure lcsh:Medicine 030209 endocrinology & metabolism vitamin D Walking Environment Logistic regression vitamin D deficiency Article 03 medical and health sciences Young Adult 0302 clinical medicine health behavior Republic of Korea medicine Vitamin D and neurology Humans 030212 general & internal medicine Occupations education Aged education.field_of_study business.industry lcsh:R Public Health Environmental and Occupational Health Temperature Shift Work Schedule Odds ratio Environmental exposure occupational exposure Middle Aged medicine.disease Nutrition Surveys Vitamin D Deficiency Confidence interval Cross-Sectional Studies Female business Demography |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 9166, p 9166 (2020) Park, H Y, Lim, Y-H, Park, J B, Rhie, J & Lee, S-J 2020, ' Environmental and Occupation Factors Associated with Vitamin D Deficiency in Korean Adults : The Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2014 ', International Journal of Environmental Research and Public Health, vol. 17, no. 24, 9166 . https://doi.org/10.3390/ijerph17249166 International Journal of Environmental Research and Public Health Volume 17 Issue 24 |
| ISSN: | 1661-7827 1660-4601 |
| DOI: | 10.3390/ijerph17249166 |
| Popis: | While exposure to sunlight is a well-documented primary source of vitamin D supply, factors leading to vitamin D deficiency vary according to population characteristics. Using nationwide data from the Korea National Health and Nutrition Examination Survey (KNHANES), we aimed to investigate a diverse range of potential factors in association with vitamin D deficiency. Overall, 21,208 participants aged &ge 20 years were selected from KNHANES conducted between 2010 and 2014. The associations between various environmental and occupational factors and vitamin D deficiency (defined as serum 25-hydroxyvitamin D [25(OH)D] < 20 ng/mL) were evaluated in logistic regression models after controlling for potential covariates and also after stratification for age and sex. Under given criteria, 15,138 (71.4%) participants were vitamin D deficient. Significant associations were observed between vitamin D deficiency and average environmental temperature and radiation, weekly walking frequency, type of occupation, and shift work. When participants were stratified by age and sex, we observed greater associations of vitamin D deficiency with walking frequency among young males (odds ratio [OR] and 95% confidence interval [95% CI]: 1.24 [1.05&ndash 1.47] for those walking < 5 times per week compared to those walking &ge 5 times per week) and shift work (OR [95% CI]: 1.40 [1.10&ndash 1.78] for those working at night compared to those working during the day). We also observed a significant association of vitamin D deficiency with educational attainment (OR [95% CI]: 1.43 [1.09&ndash 1.89] for those with &le middle school compared to those with &ge high school) among older group of females. This study suggests that vitamin D deficiency is related to geographical conditions and subpopulation characteristics. The age and sex-specific associations may urge the effective promotion of vitamin D supply recommendations. |
| Databáze: | OpenAIRE |
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