청소년의 성별에 따른 비타민 D 결핍 영향요인: 제5기 국민건강영양조사 자료 (2010~2011년)
Gender-Specific Factors Associated with Vitamin D Deficiency among Korean Adolescents: Data from the Korean National Health and Nutrition Examination Survey V (2010~2011)
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Purpose: The purpose of this study was to examine differences in the prevalence of vitamin D deficiency between male and female Korean adolescents and to investigate gender-specific factors associated with vitamin D deficiency. Methods: This cross-sectional descriptive study included 975 adolescents aged 12-18 years who participated in the fifth Korean National Health and Nutrition Examination Survey (2010~2011). Multiple logistic regression using complex sample analysis was performed to examine gender-specific factors associated with vitamin D deficiency with adjustments for covariates. Results: Among the participants, 82.9% had vitamin D deficiency. The prevalence of vitamin D deficiency was higher among female adolescents (88.4%) than their male counterparts (78.4%). A rural place of residence (OR, 0.40; 95% CI, 0.19~0.87; p=.021) and daily milk intake (OR, 0.23; 95% CI, 0.07~0.75; p=.015) were significant factors significantly associated with vitamin D deficiency in males, while body mass index (OR, 8.40; 95% CI, 1.05~67.04, p=.045) and having breakfast (OR, 0.22; 95% CI, 0.10~0.49; p<.001) showed significant relationships in females. Conclusion: The results of this study provide preliminary evidence for developing effective strategies to prevent vitamin D deficiency in Korean adolescents. The different factors influencing vitamin D deficiency in males and females should be considered when providing interventions.
Abstract
Purpose: The purpose of this study was to examine differences in the prevalence of vitamin D deficiency between male and female Korean adolescents and to investigate gender-specific factors associated with vitamin D deficiency. Methods: This cross-sectional descriptive study included 975 adolescents aged 12-18 years who participated in the fifth Korean National Health and Nutrition Examination Survey (2010~2011). Multiple logistic regression using complex sample analysis was performed to examine gender-specific factors associated with vitamin D deficiency with adjustments for covariates. Results: Among the participants, 82.9% had vitamin D deficiency. The prevalence of vitamin D deficiency was higher among female adolescents (88.4%) than their male counterparts (78.4%). A rural place of residence (OR, 0.40; 95% CI, 0.19~0.87; p=.021) and daily milk intake (OR, 0.23; 95% CI, 0.07~0.75; p=.015) were significant factors significantly associated with vitamin D deficiency in males, while body mass index (OR, 8.40; 95% CI, 1.05~67.04, p=.045) and having breakfast (OR, 0.22; 95% CI, 0.10~0.49; p<.001) showed significant relationships in females. Conclusion: The results of this study provide preliminary evidence for developing effective strategies to prevent vitamin D deficiency in Korean adolescents. The different factors influencing vitamin D deficiency in males and females should be considered when providing interventions.
참고문헌 (29)
- Holick MF, "Evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine society clinical practice guideline", The Journal of Clinical Endocrinology & Metabolism, 96(7), pp.1911~1930 (2011)[DOI]
- 양혜란, "소아청소년기의 비타민 D에 대한 최신 지견", Clinical and Experimental Pediatrics, 52(10), pp.1082~1089 (2009), 대한소아청소년과학회
- Parker J, "Levels of vitamin D and cardiometabolic disorders: Systematic review and meta-analysis", Maturitas, 65(3), pp.225~236 (2010)[DOI]
- Kumar J, "Prevalence and associations of 25-hydroxyvitamin D deficiency in US children: NHANES 2001-2004", Pediatrics, 124(3), pp.e362~e370 (2009)[DOI]
- Gonzalez-Gross M, "Vitamin D status among adolescents in Europe: The healthy lifestyle in Europe by nutrition in adolescence", British Journal of Nutrition., 107(5), pp.755~764 (2012)[DOI]
- Hu Y, "Vitamin D nutritional status and its related factors for Chinese children and adolescents in 2010-2012", Nutrients, 9(9), pp.1024~ (2017)[DOI]
- 유하나, "청소년의 비타민 D 결핍과 대사증후군 관련요인 분석: 2010년 제5기 1차 국민건강영양조사를 기반으로", 한국학교보건학회지, 29(1), pp.22~32 (2016), 한국학교보건학회
- 이안나, "한국 소아청소년의 비타민 D 부족과 결핍 유병률: 성별, 연령, 계절 및 지역에 따른 분석", Laboratory Medicine Online, 6(2), pp.70~78 (2016), 대한진단검사의학회
- Absoud M, "Prevalence and predictors of vitamin D insufficiency in children: A Great Britain population based study", PLoS one, 6(7), pp.e22179~ (2011)[DOI]
- 김지윤, "청소년의 신체활동 강도가 비타민 D 결핍에 미치는 영향", 한국학교보건학회지, 30(2), pp.146~153 (2017), 한국학교보건학회
- Oberg J, "Vitamin D deficiency and lifestyle risk factors in a Norwegian adolescent population", Scandinavian Journal of Public Health, 42(7), pp.593~602 (2014)[DOI]
- Turer CB, "Prevalence of vitamin D deficiency among overweight and obese US children", Pediatrics, 131(1), pp.e152~e161 (2013)[DOI]
- Olson ML, "Vitamin D deficiency in obese children and its relationship to glucose homeostasis", The Journal of Clinical Endocrinology & Metabolism, 97(1), pp.279~285 (2012)[DOI]
- Vierucci F, "Vitamin D status and predictors of hypovitaminosis D in Italian children and adolescents: A cross-sectional study", European Journal of Pediatrics, 172(12), pp.1607~1617 (2013)[DOI]
- Ross AC, "Dietary reference intakes for calcium and vitamin D" (2011), The National Academies Press
- "2007 Korean children and adolescent growth standard" (2007)[URL]
- Martini LA, "Prevalence and correlates of calcium and vitamin D status adequacy in adolescents, adults, and elderly from the health survey-Sao Paulo", Nutrition, 29(6), pp.845~850 (2013)[DOI]
- Sathya G, "Seasonal and gender differences in vitamin D status among the obese adolescents: A prospective study", International Journal of Home Science, 3(1), pp.297~300 (2017)
- 백승희, "한국 청소년의 신체활동 실천율 실태조사", 한국체육과학회지, 24(5), pp.1437~1446 (2015), 한국체육과학회
- Sisson SB, "Profiles of sedentary behavior in children and adolescents: The US national health and nutrition examination survey, 2001-2006", Pediatric Obesity, 4(4), pp.353~359 (2009)[DOI]
- 조지은, "한국 청소년의 사회인구학적 요인과 식품섭취빈도와의 관련성 연구 : 제7차(2011)청소년건강행태온라인 조사를 이용하여", 대한지역사회영양학회지, 18(2), pp.165~176 (2013), 대한지역사회영양학회
- Bradlee ML, "Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHA NES III)", Public Health Nutrition, 13(6), pp.797~805 (2010)[DOI]
- Duffey KJ, "Beverage consumption among European adolescents in the HELENA study", European Journal of Clinical Nutrition, 66(2), pp.244~252 (2012)[DOI]
- 김선효, "우리나라 청소년의 우유·유제품 섭취와 영양소 섭취 수준과의 관계", 대한영양사협회 학술지, 17(3), pp.313~326 (2011), 대한영양사협회
- [URL]
- Voortman T, "Vitamin D deficiency in school-age children is associated with sociodemographic and lifestyle factors", The Journal of Nutrition, 145(4), pp.791~798 (2015)[DOI]
- Pereira-Santos M, "Obesity and vitamin D deficiency: A systematic review and metaanalysis", Obesity Reviews, 16(4), pp.341~349 (2015)[DOI]
- Mielgo-Ayuso J, "Regular breakfast consumption is associated with higher blood vitamin status in adolescents: The HEL ENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study", Public Health Nutrition, 20(8), pp.1393~1404 (2017)[DOI]
- 임경숙, "아침 결식이 경기지역 남녀 중학생의 영양섭취상태, 피로자각도 및 주의집중력에 미치는 영향", 한국식생활문화학회지, 29(5), pp.464~475 (2014), 한국식생활문화학회[DOI]