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Prevalence of vitamin D deficiency in exclusively breastfed infants at Charoenkrung Pracharak Hospital

World Journal of Clinical Pediatrics 2024年第1期13卷 84-92页

作者： supawut suksantilerd Rotchanart Thawatchai Nattapol Rungrojjananon Department of Pediatrics Charoenkrung Pracharak HospitalBangkok 10120Krung Thep Maha Nakhon BangkokThailand

BACKGROUND Vitamin D deficiency is a common problem in exclusively breastfed infants,with supplementation recommended by various international medical ***,in Thailand,no advice for routine vitamin D supplementation is ***,this study investigated the prevalence of vitamin D deficiency and its associated factors in exclusively breastfed infants in Bangkok,*** To investigated the prevalence of vitamin D deficiency and its associated factors in exclusively breastfed infants in Bangkok,*** This descriptive observational cross-sectional study assessed 1094-month-old infants at Charoenkrung Pracharak Hospital from May 2020 to April *** 25-OH vitamin D level of the infants was measured using an electrochemiluminescence binding *** D deficiency was defined as 25-OH level<20 ng/mL,with vitamin D insufficiency 20-30 ng/*** sun index and maternal vitamin D supplementation data were collected and analyzed using the independent t-test,univariate logistic regression,and multivariate logistic regression to identify the associated *** The prevalences of vitamin D deficiency and vitamin D insufficiency were 35.78%and 33.03%,respectively with mean serum 25-OH vitamin D levels in these two groups 14.37±3.36 and 24.44±3.29 ng/*** logistic regression showed that the main factors associated with vitamin D status were maternal vitamin D supplementation and birth weight,with crude odds ratios 0.26(0.08–0.82)and 0.08(0.01–0.45),*** sun index showed no correlation with the 25-OH vitamin D level in exclusively breastfed infants(r=−0.002,P=0.984).CONCLUSION Two-thirds of healthy exclusively breastfed infants had hypovitaminosis *** D supplementation prevented this condition and was recommended for both lactating women and their babies.

关键词： Breastfeeding Sunlight Vitamin D deficiency Thailand

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