Ad�lesan ve �ocuklarda D Vitamini D�zeylerinin Ya�, Cinsiyet ve Mevsimsel �zelliklere G�re De�erlendirilmesi

T�re, Eda; M�derriso�lu, Se�il; Ac�, Recai; �ubuk�u, Mahcube; Erdem, Mukadder Arslanbek

Cilt : 20 Say� : 2 Y�l :

24/4Son Say� Erken Bask� Ar�iv 2020 Y�l� �ncesi Say�lar Pop�ler Makaleler Makale G�nder

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Ankara Medical Journal Ad�lesan ve �ocuklarda D Vitamini D�zeylerinin Ya�, Cinsiyet ve Mevsimsel �zelliklere G�re De�erlendirilmesi [Ankara Med J]

Ankara Med J. 2020; 20(2): 380-386 | DOI: 10.5505/amj.2020.70893

Ad�lesan ve �ocuklarda D Vitamini D�zeylerinin Ya�, Cinsiyet ve Mevsimsel �zelliklere G�re De�erlendirilmesi

Eda T�re¹, Se�il M�derriso�lu², Recai Ac�³, Mahcube �ubuk�u¹, Mukadder Arslanbek Erdem³
¹Sa�l�k Bilimleri �niversitesi Samsun E�itim Ve Ara�t�rma Hastanesi, Aile Hekimli�i Klini�i, Samsun
²Ondokuz May�s �niversitesi Veteriner Fak�ltesi, Biyokimya Anabilim Dal�, Samsun
³Sa�l�k Bilimleri �niversitesi Samsun E�itim ve Ara�t�rma Hastanesi, Biyokimya B�l�m�, Samsun

G�R�� ve AMA�: �al��man�n amac� hastanemize ba�vuran �ocuk ve adolesanlarda D vitamini eksikli�i olup olmad��n� belirlemek; cinsiyet, ya�, ve mevsimlere g�re 25- Hidroksi vitamin D (25-OH D) d�zeyleri aras�nda fark olup olmad��n� tespit etmektir.
Y�NTEM ve GERE�LER: 2018-2019 k�� ve yaz mevsimi aylar� aras�nda hastanemiz �ocuk Hastal�klar� Poliklini�i'ne herhangi bir sebeple ba�vuran 4.153 �ocuk ve adolesan �al��maya al�nd�. Hastalar�n ya�, cinsiyet ve mevsimlere g�re 25-OH D vitamin d�zeyleri belirlendi. Serum 25-OH D d�zeyinin <20 ng/ml olmas� ciddi yetersizlik, 20-30 ng/ml aras� yetersizlik, 30-100 ng/ml aras� yeterlilik, >100 ng/ml olmas� toksisite olarak kabul edildi. Verilerin de�erlendirilmesinde tek y�nl� varyans analizi ve student t testi kullan�ld�. SPSS 22.0 paket program� kullan�ld�. p<0,05 istatistiksel olarak anlaml� kabul edildi.
BULGULAR: �al��mam�zdaki pop�lasyonun % 55,23 � k�z idi. K�zlarda 25-OH D d�zeyi 17,29�11,50 ng/ml idi. Erkeklerde ise 19,16�10,68 olarak bulundu. 25-OH D d�zeyi ortalamas� 18,13�11,18 ng/mL bulunmu�tur. �al��mam�zda D vitamini yetersizli�inin s�kl�� %44,80 olarak saptanm��t�r. K�� aylar�nda D vitamini yetersizli�inin s�kl�� %57,11 iken, yaz aylar�nda %42,89 olarak bulunmu�tur. D vitamini d�zeyleri cinsiyet, ya� aral�� ve ba�vuru mevsimine g�re istatistiksel anlaml� farkl�l�klar g�stermektedir. Adolesan ya� gruplar�nda D vitamini d�zeyleri, �ocuk ya� gruplar�na g�re daha d��kt�r.
TARTI�MA ve SONU�: Hastanemize ba�vuran �ocuk ve adolesanlarda ciddi D vitamini yetersizli�i bulunmu�tur. �ocuk ve adolesan grubu ki�ilerde D vitamini d�zeylerinin cinsiyet, ya�a ve mevsimlere ba�l� olarak de�i�iklik g�sterdi�i sonucuna var�lm��t�r.

Anahtar Kelimeler: D vitamini, �ocuk, ad�lesan, ya�, cinsiyet, mevsim

Evaluation of Vitamin D Levels in Adolescents and Children According to Age, Sex and Seasonal Charesteristics

Eda T�re¹, Se�il M�derriso�lu², Recai Ac�³, Mahcube �ubuk�u¹, Mukadder Arslanbek Erdem³
¹Department Of Family Medicine,Health Sciences University Samsun Education And Research Hospital Samsun,Turkey
²Department Of Biochemistry, Ondokuz Mayis University Faculty of Veterinary Samsun,Turkey
³Department Of Biochemistry,Health Sciences University Samsun Education and Research Hospital Samsun,Turkey

INTRODUCTION: The aim of our study was to determine whether vitamin D deficiency was present in adolescents and children who admitted to our hospital; to determine whether there is a difference between 25-hydroxy (25-OH D) vitamin D levels according to age, sex and seasons
METHODS: Between the years 2018-2019, 4.153 adolescents and children who admitted to our Pediatric Outpatient Clinic between winter and summer months. 25-0H D vitamin D levels were determined according to age, sex, and seasons. Serum 25-OH D level<20 ng/ml was accepted as severe insufficiency, 20-30 ng/ml insufficiency, >100 ng/ml toxicity. The data were evaluated by the SPSS 22.0 program. One- way variance analysis test and student t-test were used in the evaluation of the data. p<0.05 was considered significant.
RESULTS: 55.23% of the population in our study was female. The 25-OH D level in girls was 17.29 � 11.50 ng/ml. In males, it was found to be 19.16 � 10.68. The mean 25-OH D level was found 18.13 � 11.18 ng / mL. In our study, the frequency of vitamin D deficiency was found to be 44.80%. While the frequency of vitamin D deficiency was 57.11% in winter, it was found to be 42.89% in summer. Vitamin D levels show statistically significant differences according to gender, age-range, and season of hospital admittance. Vitamin D levels are lower in adolescent age groups than in child age groups.
DISCUSSION AND CONCLUSION: In our study, severe vitamin D deficiency was found in adolescents and children. Vitamin D levels in children and adolescents varied depending on sex, age, and season.

Keywords: vitamin D, children, adolescent, age, sex, season

Sorumlu Yazar: Mahcube �ubuk�u, T�rkiye
Makale Dili: T�rk�e

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