Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough?
Despite a decade of available recommendations aimed at preventing vitamin D (VD) deficiency in Poland, the efficacy of these measures among community-dwelling older individuals remains inconsistent. The PolSenior2 study provided valuable insights into VD status among community-dwelling older individ...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/2/193 |
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| author | Maksymilian Adam Lech Marcin Warpechowski Aleksandra Wojszel Justyna Rentflejsz Marta Świętek Zyta Beata Wojszel |
| author_facet | Maksymilian Adam Lech Marcin Warpechowski Aleksandra Wojszel Justyna Rentflejsz Marta Świętek Zyta Beata Wojszel |
| author_sort | Maksymilian Adam Lech |
| collection | DOAJ |
| description | Despite a decade of available recommendations aimed at preventing vitamin D (VD) deficiency in Poland, the efficacy of these measures among community-dwelling older individuals remains inconsistent. The PolSenior2 study provided valuable insights into VD status among community-dwelling older individuals in Poland. However, it is important to note that this research did not include the elderly living in care institutions. Therefore, our study concentrates on evaluating VD status in older patients admitted to a geriatrics ward to indirectly assess their adherence to existing recommendations and preventive actions in this particular setting (whether they translate into health-promoting behaviors (i.e., taking vitamin D supplements) and whether the recommended, optimal 25(OH)D concentration values are achieved). This approach offers a comprehensive understanding of VD status in a previously understudied population. We aimed to evaluate VD status in patients aged 70 and above within the geriatrics ward, exploring its association with age, sex, BMI, and the use of VD supplements. The study involved the measurement of serum VD concentration in 240 individuals. Of these participants, 177 (73.8%) were women, and 193 (80.4%) were over 75 years old. The median 25(OH)D concentration was found to be 22.95 (IQR, 13.7–33.0) ng/mL. Notably, profound deficiency (<10 ng/mL) was noted in 15% of the participants, while 67.5% exhibited VD inadequacy (<30 ng/mL). It is worth mentioning that only 18.3% of individuals took VD supplements preadmission. Insufficiency was more prevalent in nonsupplemented individuals (70.9% vs. 52.3%, <i>p</i> = 0.02) and those with a BMI ≥30 kg/m<sup>2</sup> (76.2% vs. 59.2%, <i>p</i> = 0.007). The logistic regression model demonstrated that obese patients had over two times higher odds of VD inadequacy (OR = 2.21, <i>p</i> = 0.0074), as did nonsupplemented individuals (OR = 2.23, <i>p</i> = 0.0187). The high prevalence of VD deficiency and inadequacy in geriatric ward admissions emphasizes the urgent need for targeted interventions and enhanced education for older adults, caregivers, and physicians to improve adherence to preventive supplementation practices. |
| first_indexed | 2024-03-08T09:48:21Z |
| format | Article |
| id | doaj.art-02a4753ba13e46a38c5b9313d33ae30e |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-08T09:48:21Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-02a4753ba13e46a38c5b9313d33ae30e2024-01-29T14:09:39ZengMDPI AGNutrients2072-66432024-01-0116219310.3390/nu16020193Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough?Maksymilian Adam Lech0Marcin Warpechowski1Aleksandra Wojszel2Justyna Rentflejsz3Marta Świętek4Zyta Beata Wojszel5Interdisciplinary Student Scientific Society, Department of Geriatrics, Medical University of Bialystok, 15-471 Bialystok, PolandInterdisciplinary Student Scientific Society, Department of Geriatrics, Medical University of Bialystok, 15-471 Bialystok, PolandInterdisciplinary Student Scientific Society, Department of Geriatrics, Medical University of Bialystok, 15-471 Bialystok, PolandDoctoral School, Medical University of Bialystok, 15-089 Bialystok, PolandDepartment of Geriatrics and Internal Medicine, Hospital of the Ministry of Interior in Bialystok, 15-471 Bialystok, PolandDepartment of Geriatrics, Medical University of Bialystok, 15-471 Bialystok, PolandDespite a decade of available recommendations aimed at preventing vitamin D (VD) deficiency in Poland, the efficacy of these measures among community-dwelling older individuals remains inconsistent. The PolSenior2 study provided valuable insights into VD status among community-dwelling older individuals in Poland. However, it is important to note that this research did not include the elderly living in care institutions. Therefore, our study concentrates on evaluating VD status in older patients admitted to a geriatrics ward to indirectly assess their adherence to existing recommendations and preventive actions in this particular setting (whether they translate into health-promoting behaviors (i.e., taking vitamin D supplements) and whether the recommended, optimal 25(OH)D concentration values are achieved). This approach offers a comprehensive understanding of VD status in a previously understudied population. We aimed to evaluate VD status in patients aged 70 and above within the geriatrics ward, exploring its association with age, sex, BMI, and the use of VD supplements. The study involved the measurement of serum VD concentration in 240 individuals. Of these participants, 177 (73.8%) were women, and 193 (80.4%) were over 75 years old. The median 25(OH)D concentration was found to be 22.95 (IQR, 13.7–33.0) ng/mL. Notably, profound deficiency (<10 ng/mL) was noted in 15% of the participants, while 67.5% exhibited VD inadequacy (<30 ng/mL). It is worth mentioning that only 18.3% of individuals took VD supplements preadmission. Insufficiency was more prevalent in nonsupplemented individuals (70.9% vs. 52.3%, <i>p</i> = 0.02) and those with a BMI ≥30 kg/m<sup>2</sup> (76.2% vs. 59.2%, <i>p</i> = 0.007). The logistic regression model demonstrated that obese patients had over two times higher odds of VD inadequacy (OR = 2.21, <i>p</i> = 0.0074), as did nonsupplemented individuals (OR = 2.23, <i>p</i> = 0.0187). The high prevalence of VD deficiency and inadequacy in geriatric ward admissions emphasizes the urgent need for targeted interventions and enhanced education for older adults, caregivers, and physicians to improve adherence to preventive supplementation practices.https://www.mdpi.com/2072-6643/16/2/193vitamin Dvitamin D deficiencyvitamin D inadequacyagedfrail older adultsdietary supplements |
| spellingShingle | Maksymilian Adam Lech Marcin Warpechowski Aleksandra Wojszel Justyna Rentflejsz Marta Świętek Zyta Beata Wojszel Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? Nutrients vitamin D vitamin D deficiency vitamin D inadequacy aged frail older adults dietary supplements |
| title | Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? |
| title_full | Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? |
| title_fullStr | Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? |
| title_full_unstemmed | Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? |
| title_short | Vitamin D Status among Patients Admitted to a Geriatric Ward—Are Recommendations for Preventing Its Deficiency Effective Enough? |
| title_sort | vitamin d status among patients admitted to a geriatric ward are recommendations for preventing its deficiency effective enough |
| topic | vitamin D vitamin D deficiency vitamin D inadequacy aged frail older adults dietary supplements |
| url | https://www.mdpi.com/2072-6643/16/2/193 |
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