Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence

Purpose This study aimed to describe the prevalence of vitamin D deficiency in Indonesian children and adolescents. Methods This was a meta-analysis of prevalence using the Hartung-Knapp-Sidik-Jonkman method with a random effects model. A prediction interval was used to estimate true effects. We sea...

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Main Authors: Gilbert Sterling Octavius, Ayesha Shakila, Mariska Meliani, Anita Halim
Format: Article
Language:English
Published: Korean Society of Pediatric Endocrinology 2023-02-01
Series:Annals of Pediatric Endocrinology & Metabolism
Subjects:
Online Access:http://e-apem.org/upload/pdf/apem-2244170-085.pdf
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author Gilbert Sterling Octavius
Ayesha Shakila
Mariska Meliani
Anita Halim
author_facet Gilbert Sterling Octavius
Ayesha Shakila
Mariska Meliani
Anita Halim
author_sort Gilbert Sterling Octavius
collection DOAJ
description Purpose This study aimed to describe the prevalence of vitamin D deficiency in Indonesian children and adolescents. Methods This was a meta-analysis of prevalence using the Hartung-Knapp-Sidik-Jonkman method with a random effects model. A prediction interval was used to estimate true effects. We searched PubMed, MEDLINE, Cochrane Library, Science Direct, Google Scholar, and 3 Indonesian databases (Indonesian Scientific Journal Database, Neliti, and Indonesia One Search). We included cross-sectional or case-control studies that provided data on the prevalence of vitamin D deficiency. We excluded case reports, case series, cohort studies, or studies outside Indonesia. We computed point prevalence by dividing the number of children with hypovitaminosis D by the total number of subjects in that study. This review was registered with PROSPERO (International Prospective Register of Systematic Reviews) (CRD42022329814). Results Of 1,397 manuscripts identified, 7 were included in this review. A total of 5,870 children were included in this meta-analysis, ranging in age from 6 months to 19 years. The prevalence of hypovitaminosis D in Indonesia was calculated as 33% (95% confidence interval [CI], 9–56) and was higher in females (60% [95% CI, 58–62]) than in males (40% [95% CI, 38–42]). Mean serum vitamin D level was 22.74 ng/mL (95% CI, 16.95–30.51) with a prediction interval of 15.96 ng/mL to 29.52 ng/mL. Conclusions Vitamin D deficiency is a public health emergency in Indonesia. Strategies to detect and treat vitamin D deficiency in Indonesian children and adolescents should be implemented immediately.
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spelling doaj.art-8065ceea865f400fa3877ca969af5dfc2023-04-05T00:54:29ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922023-02-01281101910.6065/apem.2244170.085977Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalenceGilbert Sterling OctaviusAyesha Shakila0Mariska Meliani1Anita Halim2 Department of Pediatrics, Universitas Pelita Harapan, Jakarta, Indonesia Department of Pediatrics, Universitas Pelita Harapan, Jakarta, Indonesia Department of Pediatrics, Universitas Pelita Harapan, Jakarta, IndonesiaPurpose This study aimed to describe the prevalence of vitamin D deficiency in Indonesian children and adolescents. Methods This was a meta-analysis of prevalence using the Hartung-Knapp-Sidik-Jonkman method with a random effects model. A prediction interval was used to estimate true effects. We searched PubMed, MEDLINE, Cochrane Library, Science Direct, Google Scholar, and 3 Indonesian databases (Indonesian Scientific Journal Database, Neliti, and Indonesia One Search). We included cross-sectional or case-control studies that provided data on the prevalence of vitamin D deficiency. We excluded case reports, case series, cohort studies, or studies outside Indonesia. We computed point prevalence by dividing the number of children with hypovitaminosis D by the total number of subjects in that study. This review was registered with PROSPERO (International Prospective Register of Systematic Reviews) (CRD42022329814). Results Of 1,397 manuscripts identified, 7 were included in this review. A total of 5,870 children were included in this meta-analysis, ranging in age from 6 months to 19 years. The prevalence of hypovitaminosis D in Indonesia was calculated as 33% (95% confidence interval [CI], 9–56) and was higher in females (60% [95% CI, 58–62]) than in males (40% [95% CI, 38–42]). Mean serum vitamin D level was 22.74 ng/mL (95% CI, 16.95–30.51) with a prediction interval of 15.96 ng/mL to 29.52 ng/mL. Conclusions Vitamin D deficiency is a public health emergency in Indonesia. Strategies to detect and treat vitamin D deficiency in Indonesian children and adolescents should be implemented immediately.http://e-apem.org/upload/pdf/apem-2244170-085.pdfhypovitaminosis dindonesiavitamin d deficiencypublic health emergencyprevalence
spellingShingle Gilbert Sterling Octavius
Ayesha Shakila
Mariska Meliani
Anita Halim
Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
Annals of Pediatric Endocrinology & Metabolism
hypovitaminosis d
indonesia
vitamin d deficiency
public health emergency
prevalence
title Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
title_full Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
title_fullStr Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
title_full_unstemmed Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
title_short Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence
title_sort vitamin d deficiency is a public health emergency among indonesian children and adolescents a systematic review and meta analysis of prevalence
topic hypovitaminosis d
indonesia
vitamin d deficiency
public health emergency
prevalence
url http://e-apem.org/upload/pdf/apem-2244170-085.pdf
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