Prevalence of Hypovitaminosis D in Patients Visiting a Tertiary Care Center in Chitwan, Nepal

Authors

  • Kushal Bhattarai College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal http://orcid.org/0000-0002-8603-7060
  • Nilu Manandhar College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal
  • Sarita Dhakal College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal

DOI:

https://doi.org/10.3126/jcmsn.v15i2.23483

Keywords:

Hypovitaminosis D, Hospital visiting patients, 25-hydroxy-cholecalciferol, Vitamin D insufficiency, Vitamin D deficiency

Abstract

Background: As documented by a large body of evidences, Hypovitaminosis D prevails both in the general and the hospitalized populations. We conducted this study to determine the prevalence of hypovitaminosis D amongst the patients visiting a tertiary care hospital and compare the rate gender-wise, across different categories of socio-demographic variables.

Methods: It was a cross-sectional study (retrospective chart review) based on the hospital registry of patients at College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal. From the registry, we retrieved the socio-demographic variables (age, gender, ethnicity and season) along with serum vitamin D (25-hydroxy-cholecalciferol) concentrations of the study subjects from January 2015 to August 2018, for our analysis. Hypovitaminosis D was defined as serum vitamin D <30 ng/mL (insufficiency: 20-30ng/mL and deficiency: <20 ng/mL).

Results: The overall prevalence of hypovitaminosis D was 70.7% (insufficiency: 35.9% and deficiency: 34.8%), 72.4% (females), 64.2% (males), 76.3% (first age-quartile), 74.5% (miscellaneous ethnic group), and 73.9% (Spring). Females had higher prevalence rates of hypovitaminosis D (and lower median serum 25-hydroxy-cholecalciferol lev-els) as compared to males, in overall participants, and those under each category of age, ethnicity and season (except Winter).

Conclusions: The greater prevalence of hypovitaminosis D in the females than the males in the face of high rate in the overall hospital-visiting clearly calls for necessary strategies in the form of further studies and judicious prescription of supplementary vitamin D in the target population.

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Author Biographies

Kushal Bhattarai, College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal

Lecturer, Department of  Biochemistry

Nilu Manandhar, College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal

Department of Physiology

Sarita Dhakal, College of Medical Sciences and Teaching Hospital, Bharatpur Chitwan, Nepal

Department of Biochemistry

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Published

2019-06-30

How to Cite

Bhattarai, K., Manandhar, N., & Dhakal, S. (2019). Prevalence of Hypovitaminosis D in Patients Visiting a Tertiary Care Center in Chitwan, Nepal. Journal of College of Medical Sciences-Nepal, 15(2), 84–92. https://doi.org/10.3126/jcmsn.v15i2.23483

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Section

Original Articles