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Prevalence and determinants of vitamin D deficiency and insufficiency among three immigrant groups in Finland: evidence from a population-based study using standardised 25-hydroxyvitamin D data.
- Source :
- Public Health Nutrition; May2020, Vol. 23 Issue 5, p1254-1265, 12p
- Publication Year :
- 2020
-
Abstract
- <bold>Objective: </bold>We investigated the determinants of serum 25-hydroxyvitamin D [S-25(OH)D] and dietary vitamin D sources among three immigrant groups in Finland and compared their S-25(OH)D to the general Finnish population.<bold>Design: </bold>Cross-sectional population-based Migrant Health and Wellbeing Study and the nationally representative Finnish Health 2011 Survey. S-25(OH)D was standardised according to the Vitamin D Standardisation Program. Vitamin D sources were assessed by interview.<bold>Setting: </bold>Six different municipalities in Finland (60°-63°N).<bold>Participants: </bold>Immigrants aged 18-64 years (446 Russians, 346 Somalis, 500 Kurds), 798 Finns aged 30-64 years.<bold>Results: </bold>The mean of S-25(OH)D was 64 (95 % CI 62, 66), 44 (95 % CI 41, 46), 35 (95 % CI 34, 37) and 64 (95 % CI 62, 66) nmol/l for Russians, Somalis, Kurds and Finns, respectively. S-25(OH)D among Somalis and Kurds was lower compared with Finns (P < 0·001). The prevalence of vitamin D deficiency (S-25(OH)D <30 nmol/l) and insufficiency (S-25(OH)D <50 nmol/l) was higher among immigrants than Finns (P < 0·001). Vitamin D-rich foods differed between the groups; vitamin D-fortified fat spread consumption was higher among Somalis (91 %) than among Russians (73 %) and Kurds (60 %); fish was less consumed among Kurds (17 %) than among Russians (43 %) and Somalis (38 %); and 57 % Russians, 56 % Kurds and 36 % Somalis consumed vitamin D-fortified dairy daily (P < 0·001 for all). Daily smoking, alcohol consumption and winter blood sampling were determinants of vitamin D insufficiency (P ≤ 0·03). Older age, physical activity, fish and vitamin D-fortified dairy consumption were associated with lower odds of insufficiency (P ≤ 0·04).<bold>Conclusions: </bold>Vitamin D status differed among immigrant groups and the determinants are, to some degree, associated with learned or existing cultural behaviours. [ABSTRACT FROM AUTHOR]
- Subjects :
- VITAMIN D deficiency
VITAMIN D
KURDS
ALCOHOL drinking
SOMALIS
BIRTHPLACES
IMMIGRANTS
VITAMINS
RESEARCH
CROSS-sectional method
RESEARCH methodology
DIET
EVALUATION research
MEDICAL cooperation
SEASONS
DIETARY supplements
SURVEYS
COMPARATIVE studies
DISEASE prevalence
QUESTIONNAIRES
NUTRITIONAL status
Subjects
Details
- Language :
- English
- ISSN :
- 13689800
- Volume :
- 23
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Public Health Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 142779935
- Full Text :
- https://doi.org/10.1017/S1368980019004312