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Epidemiology of vitamin D deficiency in children presenting to a pediatric orthopaedic service in the UK

Epidemiology of vitamin D deficiency in children presenting to a pediatric orthopaedic service in the UK
Epidemiology of vitamin D deficiency in children presenting to a pediatric orthopaedic service in the UK
Background: Vitamin D deficiency may increase predisposition to a number of pediatric orthopaedic conditions and the prevalence of vitamin D deficiency is increasing in children in developed countries. The aim of this study was to determine the epidemiology of vitamin D deficiency and insufficiency in children presenting to a regional pediatric orthopaedic service. We also examined the relationships between vitamin D status, social deprivation, and ethnicity.

Methods: Individuals of age 18 years and younger presenting to the regional pediatric orthopaedic service at Southampton, UK from 2008 to 2010 were investigated. Deprivation index scores were calculated from indices of deprivation.

Results: A total of 187 children (97 male, 90 female, mean age 7.1 y) underwent serum 25-hydroxyvitamin D level measurement. Of them 82% were white British and 11% were of Asian ethnicity. The calculation of the total depravation index for the whole cohort showed 34 patients (18%) were in quartile 1 (most deprived), 54 (29%) in quartile 2, 49 (26%) in quartile 3, and 50 (27%) in quartile 4 (least deprived). Sixty patients (32%) had vitamin D insufficiency with 25-(OH) levels <50 nmol/L and 15 patients (8%) had vitamin D deficiency. No relationship was identified between vitamin D level and social deprivation score.

Conclusions: There is a need for awareness of the prevalence of vitamin D deficiency in the pediatric orthopaedic population presenting with bone pain and lower limb deformity before commencing “observation or orthopaedic surgical treatment.”
0271-6798
798-802
Davies, Justin H.
9f18fcad-f488-4c72-ac23-c154995443a9
Reed, Joseph M.
6779d459-97e1-4519-9501-55a3e3671162
Blake, Elizabeth
2bcbcb96-c3b4-47e9-b103-12197e0995af
Priesemann, Max
c79dff9a-6784-4902-9e9c-fe39466deddf
Jackson, Alan A.
a0dd61e9-4ca0-43f6-9a00-f21f7562c3c5
Clarke, Nicholas M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Davies, Justin H.
9f18fcad-f488-4c72-ac23-c154995443a9
Reed, Joseph M.
6779d459-97e1-4519-9501-55a3e3671162
Blake, Elizabeth
2bcbcb96-c3b4-47e9-b103-12197e0995af
Priesemann, Max
c79dff9a-6784-4902-9e9c-fe39466deddf
Jackson, Alan A.
a0dd61e9-4ca0-43f6-9a00-f21f7562c3c5
Clarke, Nicholas M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac

Davies, Justin H., Reed, Joseph M., Blake, Elizabeth, Priesemann, Max, Jackson, Alan A. and Clarke, Nicholas M.P. (2011) Epidemiology of vitamin D deficiency in children presenting to a pediatric orthopaedic service in the UK. Journal of Pediatric Orthopaedics, 31 (7), 798-802. (doi:10.1097/BPO.0b013e31822f1af1).

Record type: Article

Abstract

Background: Vitamin D deficiency may increase predisposition to a number of pediatric orthopaedic conditions and the prevalence of vitamin D deficiency is increasing in children in developed countries. The aim of this study was to determine the epidemiology of vitamin D deficiency and insufficiency in children presenting to a regional pediatric orthopaedic service. We also examined the relationships between vitamin D status, social deprivation, and ethnicity.

Methods: Individuals of age 18 years and younger presenting to the regional pediatric orthopaedic service at Southampton, UK from 2008 to 2010 were investigated. Deprivation index scores were calculated from indices of deprivation.

Results: A total of 187 children (97 male, 90 female, mean age 7.1 y) underwent serum 25-hydroxyvitamin D level measurement. Of them 82% were white British and 11% were of Asian ethnicity. The calculation of the total depravation index for the whole cohort showed 34 patients (18%) were in quartile 1 (most deprived), 54 (29%) in quartile 2, 49 (26%) in quartile 3, and 50 (27%) in quartile 4 (least deprived). Sixty patients (32%) had vitamin D insufficiency with 25-(OH) levels <50 nmol/L and 15 patients (8%) had vitamin D deficiency. No relationship was identified between vitamin D level and social deprivation score.

Conclusions: There is a need for awareness of the prevalence of vitamin D deficiency in the pediatric orthopaedic population presenting with bone pain and lower limb deformity before commencing “observation or orthopaedic surgical treatment.”

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More information

Published date: October 2011
Organisations: Human Development & Health

Identifiers

Local EPrints ID: 202463
URI: https://eprints.soton.ac.uk/id/eprint/202463
ISSN: 0271-6798
PURE UUID: 21c27836-74e5-45ce-b5c0-09561647d157

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Date deposited: 08 Nov 2011 17:26
Last modified: 16 Jul 2019 23:19

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