Skip to main content
Erschienen in: European Journal of Nutrition 8/2012

01.12.2012 | Original Contribution

Prevalence of hypovitaminosis D and folate deficiency in healthy young female Austrian students in a health care profession

verfasst von: Stefan T. Kaehler, Holger Baumgartner, Martina Jeske, Markus Anliker, Harald Schennach, Peter Marschang, Anna Ratt, Anna C. Colvin, Jennifer Falk, Astrid Gasser, Julia Kirchebner, Christine Scherer, Anna E. Purtscher, Andrea Griesmacher, Jörg Striessnig

Erschienen in: European Journal of Nutrition | Ausgabe 8/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

We performed a single-day cross-sectional study to assess the prevalence of vitamin D deficiency as well as folate status in healthy young female volunteers well educated with respect to health information.

Methods

We assessed dietary intake of vitamin D and calcium, serum concentrations of 25-OH-vitamin D3, folate, red blood cell folate and other dietary, laboratory, and lifestyle parameters in 215 young healthy women (age 18–30 years) on a single day at the end of the winter months. Primary aim was to investigate the prevalence of hypovitaminosis D. Folic acid status was a secondary study aim.

Results

Mean daily ingestion of vitamin D was 2.25 μg/day with a daily calcium intake of 749 mg/day. 6.9% had hypovitaminosis D (25-OH-vitamin D3 <30 nmol/L) and 89.3% were vitamin D insufficient (<75 nmol/L). Preplanned subpopulation comparison (lower vs. upper quartile) revealed a significant negative correlation (P = 0.048) between plasma PTH and 25-OH-vitamin D3 levels. Fifteen individuals (6.9%) were folic acid deficient (<140 ng/mL RBC folate). Only 9.3% reached RBC folate concentrations regarded as optimal for the prevention of fetal neural tube defects (>400 ng/mL).

Conclusions

The prevalence of hypovitaminosis D in healthy young women trained in health care professions is low but 89.3% can be classified as vitamin D insufficient in spring. Folate status can also be considered not sufficient. Considering the emerging role of higher vitamin D plasma levels for many health conditions, a timely correction of vitamin D status in the general Austrian population appears appropriate.
Literatur
1.
2.
Zurück zum Zitat Kudlacek S, Schneider B, Peterlik M, Leb G, Klaushofer K, Weber K, Woloszczuk W, Willvonseder R (2003) Assessment of vitamin D and calcium status in healthy adult Austrians. Eur J Clin Invest 33:323–331CrossRef Kudlacek S, Schneider B, Peterlik M, Leb G, Klaushofer K, Weber K, Woloszczuk W, Willvonseder R (2003) Assessment of vitamin D and calcium status in healthy adult Austrians. Eur J Clin Invest 33:323–331CrossRef
3.
Zurück zum Zitat Javaid MK, Crozier SR, Harvey NC, Gale CR, Dennison EM, Boucher BJ, Arden NK, Godfrey KM, Cooper C (2006) Maternal vitamin D status during pregnancy and childhood bone mass at age 9 years: a longitudinal study. Lancet 367:36–43CrossRef Javaid MK, Crozier SR, Harvey NC, Gale CR, Dennison EM, Boucher BJ, Arden NK, Godfrey KM, Cooper C (2006) Maternal vitamin D status during pregnancy and childhood bone mass at age 9 years: a longitudinal study. Lancet 367:36–43CrossRef
4.
Zurück zum Zitat Elmadfa I, Freisling H (2009) Nutritional status in Europe: methods and results. Nutr Rev 67(Suppl 1):S130–S134CrossRef Elmadfa I, Freisling H (2009) Nutritional status in Europe: methods and results. Nutr Rev 67(Suppl 1):S130–S134CrossRef
5.
Zurück zum Zitat Fabian E, Elmadfa I (2008) Nutritional situation of the elderly in the European Union: data of the European nutrition, health report (2004). Ann Nutr Metab 52(Suppl 1):57–61CrossRef Fabian E, Elmadfa I (2008) Nutritional situation of the elderly in the European Union: data of the European nutrition, health report (2004). Ann Nutr Metab 52(Suppl 1):57–61CrossRef
6.
Zurück zum Zitat Holick MF (2011) Vitamin D deficiency in 2010: health benefits of vitamin D and sunlight: a D-bate. Nat Rev Endocrinol 7:73–75CrossRef Holick MF (2011) Vitamin D deficiency in 2010: health benefits of vitamin D and sunlight: a D-bate. Nat Rev Endocrinol 7:73–75CrossRef
7.
Zurück zum Zitat Daly S, Mills JL, Molloy AM, Conley M, Lee YJ, Kirke PN, Weir DG, Scott JM (1997) Minimum effective dose of folic acid for food fortification to prevent neural-tube defects. Lancet 350:1666–1669CrossRef Daly S, Mills JL, Molloy AM, Conley M, Lee YJ, Kirke PN, Weir DG, Scott JM (1997) Minimum effective dose of folic acid for food fortification to prevent neural-tube defects. Lancet 350:1666–1669CrossRef
8.
Zurück zum Zitat Pfeiffer CM, Johnson CL, Jain RB, Yetley EA, Picciano MF, Rader JI, Fisher KD, Mulinare J, Osterloh JD (2007) Trends in blood folate and vitamin B-12 concentrations in the United States, 1988–2004. Am J Clin Nutr 86:718–727 Pfeiffer CM, Johnson CL, Jain RB, Yetley EA, Picciano MF, Rader JI, Fisher KD, Mulinare J, Osterloh JD (2007) Trends in blood folate and vitamin B-12 concentrations in the United States, 1988–2004. Am J Clin Nutr 86:718–727
9.
Zurück zum Zitat Dietrich M, Brown CJ, Block G (2005) The effect of folate fortification of cereal-grain products on blood folate status, dietary folate intake, and dietary folate sources among adult non-supplement users in the United States. J Am Coll Nutr 24:266–274 Dietrich M, Brown CJ, Block G (2005) The effect of folate fortification of cereal-grain products on blood folate status, dietary folate intake, and dietary folate sources among adult non-supplement users in the United States. J Am Coll Nutr 24:266–274
10.
Zurück zum Zitat Biro G, Hulshof KF, Ovesen L, Amorim Cruz JA (2002) Selection of methodology to assess food intake. Eur J Clin Nutr 56(Suppl 2):S25–S32CrossRef Biro G, Hulshof KF, Ovesen L, Amorim Cruz JA (2002) Selection of methodology to assess food intake. Eur J Clin Nutr 56(Suppl 2):S25–S32CrossRef
11.
Zurück zum Zitat Magkos F, Manios Y, Babaroutsi E, Sidossis LS (2006) Development and validation of a food frequency questionnaire for assessing dietary calcium intake in the general population. Osteoporos Int 17:304–312CrossRef Magkos F, Manios Y, Babaroutsi E, Sidossis LS (2006) Development and validation of a food frequency questionnaire for assessing dietary calcium intake in the general population. Osteoporos Int 17:304–312CrossRef
12.
Zurück zum Zitat Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL, Mertz W (1987) Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr 117:1638–1641 Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL, Mertz W (1987) Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr 117:1638–1641
13.
Zurück zum Zitat Cade J, Thompson R, Burley V, Warm D (2002) Development, validation and utilisation of food-frequency questionnaires—a review. Public Health Nutr 5:567–587CrossRef Cade J, Thompson R, Burley V, Warm D (2002) Development, validation and utilisation of food-frequency questionnaires—a review. Public Health Nutr 5:567–587CrossRef
14.
Zurück zum Zitat Doets EL, de Wit LS, Dhonukshe-Rutten RA, Cavelaars AE, Raats MM, Timotijevic L, Brzozowska A, Wijnhoven TM, Pavlovic M, Totland TH, Andersen LF, Ruprich J, Pijls LT, Ashwell M, Lambert JP, van ‘t Veer P, de Groot LC (2008) Current micronutrient recommendations in Europe: towards understanding their differences and similarities. Eur J Nutr 47(Suppl 1):17–40CrossRef Doets EL, de Wit LS, Dhonukshe-Rutten RA, Cavelaars AE, Raats MM, Timotijevic L, Brzozowska A, Wijnhoven TM, Pavlovic M, Totland TH, Andersen LF, Ruprich J, Pijls LT, Ashwell M, Lambert JP, van ‘t Veer P, de Groot LC (2008) Current micronutrient recommendations in Europe: towards understanding their differences and similarities. Eur J Nutr 47(Suppl 1):17–40CrossRef
15.
Zurück zum Zitat Lips P, Duong T, Oleksik A, Black D, Cummings S, Cox D, Nickelsen T (2001) A global study of vitamin D status and parathyroid function in postmenopausal women with osteoporosis: baseline data from the multiple outcomes of raloxifene evaluation clinical trial. J Clin Endocrinol Metab 86:1212–1221CrossRef Lips P, Duong T, Oleksik A, Black D, Cummings S, Cox D, Nickelsen T (2001) A global study of vitamin D status and parathyroid function in postmenopausal women with osteoporosis: baseline data from the multiple outcomes of raloxifene evaluation clinical trial. J Clin Endocrinol Metab 86:1212–1221CrossRef
16.
Zurück zum Zitat Houghton LA, Szymlek-Gay EA, Gray AR, Ferguson EL, Deng X, Heath AL (2010) Predictors of vitamin D status and its association with parathyroid hormone in young New Zealand children. Am J Clin Nutr 92:69–76CrossRef Houghton LA, Szymlek-Gay EA, Gray AR, Ferguson EL, Deng X, Heath AL (2010) Predictors of vitamin D status and its association with parathyroid hormone in young New Zealand children. Am J Clin Nutr 92:69–76CrossRef
17.
Zurück zum Zitat Thomas MK, Lloyd-Jones DM, Thadhani RI, Shaw AC, Deraska DJ, Kitch BT, Vamvakas EC, Dick IM, Prince RL, Finkelstein JS (1998) Hypovitaminosis D in medical inpatients. N Engl J Med 338:777–783CrossRef Thomas MK, Lloyd-Jones DM, Thadhani RI, Shaw AC, Deraska DJ, Kitch BT, Vamvakas EC, Dick IM, Prince RL, Finkelstein JS (1998) Hypovitaminosis D in medical inpatients. N Engl J Med 338:777–783CrossRef
18.
Zurück zum Zitat McKenzie RL, Liley JB, Bjorn LO (2009) UV radiation: balancing risks and benefits. Photochem Photobiol 85:88–98CrossRef McKenzie RL, Liley JB, Bjorn LO (2009) UV radiation: balancing risks and benefits. Photochem Photobiol 85:88–98CrossRef
20.
Zurück zum Zitat Austrian Federal Ministry of Health, Vienna (2011) Handbook alcohol—Austria Austrian Federal Ministry of Health, Vienna (2011) Handbook alcohol—Austria
21.
Zurück zum Zitat Roth HJ, Schmidt-Gayk H, Weber H, Niederau C (2008) Accuracy and clinical implications of seven 25-hydroxyvitamin D methods compared with liquid chromatography-tandem mass spectrometry as a reference. Ann Clin Biochem 45(Pt 2):153–159CrossRef Roth HJ, Schmidt-Gayk H, Weber H, Niederau C (2008) Accuracy and clinical implications of seven 25-hydroxyvitamin D methods compared with liquid chromatography-tandem mass spectrometry as a reference. Ann Clin Biochem 45(Pt 2):153–159CrossRef
22.
Zurück zum Zitat Rosen CJ (2011) Clinical practice. Vitamin D insufficiency. N Engl J Med 364(3):248–254CrossRef Rosen CJ (2011) Clinical practice. Vitamin D insufficiency. N Engl J Med 364(3):248–254CrossRef
23.
Zurück zum Zitat Soldin OP, Makambi KH, Soldin SJ, O’Mara DM, Need AG, Horowitz M, Morris HA, Nordin BC (2011) Steroid hormone levels associated with passive and active smoking. Steroids 76:653–659CrossRef Soldin OP, Makambi KH, Soldin SJ, O’Mara DM, Need AG, Horowitz M, Morris HA, Nordin BC (2011) Steroid hormone levels associated with passive and active smoking. Steroids 76:653–659CrossRef
24.
Zurück zum Zitat Brot C, Jorgensen NR, Sorensen OH (1999) The influence of smoking on vitamin D status and calcium metabolism. Eur J Clin Nutr 53:920–926CrossRef Brot C, Jorgensen NR, Sorensen OH (1999) The influence of smoking on vitamin D status and calcium metabolism. Eur J Clin Nutr 53:920–926CrossRef
25.
Zurück zum Zitat Supervia A, Nogues X, Enjuanes A, Vila J, Mellibovsky L, Serrano S, Aubia J, Diez-Perez A (2006) Effect of smoking and smoking cessation on bone mass, bone remodeling, vitamin D, PTH and sex hormones. J Musculoskelet Neuronal Interact 6:234–241 Supervia A, Nogues X, Enjuanes A, Vila J, Mellibovsky L, Serrano S, Aubia J, Diez-Perez A (2006) Effect of smoking and smoking cessation on bone mass, bone remodeling, vitamin D, PTH and sex hormones. J Musculoskelet Neuronal Interact 6:234–241
26.
Zurück zum Zitat Heaney RP, Davies KM, Chen TC, Holick MF, Barger-Lux MJ (2003) Human serum 25-hydroxycholecalciferol response to extended oral dosing with cholecalciferol. Am J Clin Nutr 77:204–210 Heaney RP, Davies KM, Chen TC, Holick MF, Barger-Lux MJ (2003) Human serum 25-hydroxycholecalciferol response to extended oral dosing with cholecalciferol. Am J Clin Nutr 77:204–210
27.
Zurück zum Zitat Meier C, Woitge HW, Witte K, Lemmer B, Seibel MJ (2004) Supplementation with oral vitamin D3 and calcium during winter prevents seasonal bone loss: a randomized controlled open-label prospective trial. J Bone Miner Res 19:1221–1230CrossRef Meier C, Woitge HW, Witte K, Lemmer B, Seibel MJ (2004) Supplementation with oral vitamin D3 and calcium during winter prevents seasonal bone loss: a randomized controlled open-label prospective trial. J Bone Miner Res 19:1221–1230CrossRef
28.
Zurück zum Zitat Lappe JM, Davies KM, Travers-Gustafson D, Heaney RP (2006) Vitamin D status in a rural postmenopausal female population. J Am Coll Nutr 25:395–402 Lappe JM, Davies KM, Travers-Gustafson D, Heaney RP (2006) Vitamin D status in a rural postmenopausal female population. J Am Coll Nutr 25:395–402
29.
Zurück zum Zitat Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, Gallagher JC, Gallo RL, Jones G, Kovacs CS, Mayne ST, Rosen CJ, Shapses SA (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58CrossRef Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, Gallagher JC, Gallo RL, Jones G, Kovacs CS, Mayne ST, Rosen CJ, Shapses SA (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58CrossRef
30.
Zurück zum Zitat Chung M, Balk EM, Brendel M, Ip S, Lau J, Lee J, Lichtenstein A, Patel K, Raman G, Tatsioni A, Terasawa T, Trikalinos TA (2009) Vitamin D and calcium: a systematic review of health outcomes. Evid Rep Technol Assess (Full Rep) 183:1–420 Chung M, Balk EM, Brendel M, Ip S, Lau J, Lee J, Lichtenstein A, Patel K, Raman G, Tatsioni A, Terasawa T, Trikalinos TA (2009) Vitamin D and calcium: a systematic review of health outcomes. Evid Rep Technol Assess (Full Rep) 183:1–420
31.
Zurück zum Zitat Cashman KD, FitzGerald AP, Viljakainen HT, Jakobsen J, Michaelsen KF, Lamberg-Allardt C, Molgaard C (2011) Estimation of the dietary requirement for vitamin D in healthy adolescent white girls. Am J Clin Nutr 93:549–555CrossRef Cashman KD, FitzGerald AP, Viljakainen HT, Jakobsen J, Michaelsen KF, Lamberg-Allardt C, Molgaard C (2011) Estimation of the dietary requirement for vitamin D in healthy adolescent white girls. Am J Clin Nutr 93:549–555CrossRef
32.
Zurück zum Zitat Knight JA, Wong J, Blackmore KM, Raboud JM, Vieth R (2010) Vitamin D association with estradiol and progesterone in young women. Cancer Causes Control 21:479–483CrossRef Knight JA, Wong J, Blackmore KM, Raboud JM, Vieth R (2010) Vitamin D association with estradiol and progesterone in young women. Cancer Causes Control 21:479–483CrossRef
33.
Zurück zum Zitat Schiller-Fruhwirth I, Mittermayr T, Wild C (2010) Neural tube defects in Austria: assumption and calculations on the prevention potential through folic acid enrichment and supplementation. Gesundheitswesen 72:880–885CrossRef Schiller-Fruhwirth I, Mittermayr T, Wild C (2010) Neural tube defects in Austria: assumption and calculations on the prevention potential through folic acid enrichment and supplementation. Gesundheitswesen 72:880–885CrossRef
34.
Zurück zum Zitat Figueiredo JC, Grau MV, Haile RW, Sandler RS, Summers RW, Bresalier RS, Burke CA, McKeown-Eyssen GE, Baron JA (2009) Folic acid and risk of prostate cancer: results from a randomized clinical trial. J Natl Cancer Inst 101(6):432–435CrossRef Figueiredo JC, Grau MV, Haile RW, Sandler RS, Summers RW, Bresalier RS, Burke CA, McKeown-Eyssen GE, Baron JA (2009) Folic acid and risk of prostate cancer: results from a randomized clinical trial. J Natl Cancer Inst 101(6):432–435CrossRef
35.
Zurück zum Zitat Smith AD, Kim YI, Refsum H (2008) Is folic acid good for everyone? Am J Clin Nutr 87(3):517–533 Smith AD, Kim YI, Refsum H (2008) Is folic acid good for everyone? Am J Clin Nutr 87(3):517–533
Metadaten
Titel
Prevalence of hypovitaminosis D and folate deficiency in healthy young female Austrian students in a health care profession
verfasst von
Stefan T. Kaehler
Holger Baumgartner
Martina Jeske
Markus Anliker
Harald Schennach
Peter Marschang
Anna Ratt
Anna C. Colvin
Jennifer Falk
Astrid Gasser
Julia Kirchebner
Christine Scherer
Anna E. Purtscher
Andrea Griesmacher
Jörg Striessnig
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
European Journal of Nutrition / Ausgabe 8/2012
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-011-0281-5

Weitere Artikel der Ausgabe 8/2012

European Journal of Nutrition 8/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.