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Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria

Received: 3 February 2023     Accepted: 21 February 2023     Published: 28 February 2023
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Abstract

Background: Vitamin D is an important vitamin that helps in many bodily functions. Its deficiency has been found to play a role in cardiovascular diseases like hypertension, heart failure, ischemic heart disease etc. 1α, 25-dihydroxyvitamin D, the active metabolite of vitamin D, binds major receptors found in all the major cardiovascular cells including arteries and cardiomyocytes to exert its protective effects. Darker skinned individuals have been found to be more vitamin D deficient than their Caucasian counterparts. This study sought to determine the prevalence and correlates of vitamin insufficiency and deficiency among patients attending the cardiology clinic in a major referral centre in southern, Nigeria. Methods: This is a descriptive cross-sectional study of a total of 192 study participants attending the cardiology out-patient clinic of the university. Informed consent was sort, and a questionnaire administered to all recruited patients and blood drawn for vitamin D assay. Results: There were more female study participants 55.7% as compared with their male counterparts at 44.3%. Hypertension (62.0%) as well as diabetes (33.3%) were the most common co-morbidity in the participants. Vitamin D deficiency was found in 7.8% of the study participants and 24.5% of all participants had below normal serum Vitamin D concentration i.e. <30ng/ml. A statistically significant association was noticed between the presence of comorbidities and vitamin D deficiency (F=65.87; p=0.03). Inadequate consumption of red meat was also found to be associated with insufficient and deficient serum vitamin D level (P=0.009). Conclusion: Vitamin D deficiency and insufficiency was found to be prevalent in patients attending the cariology out-patient clinic and linked with the presence of hypertension, hypertensive heart disease and diabetes mellitus. The need for dietary supplementation of Vitamin D should be of public health importance in not only paediatric population and maternal health, but the general adult population as well.

Published in Central African Journal of Public Health (Volume 9, Issue 1)
DOI 10.11648/j.cajph.20230901.15
Page(s) 38-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Vitamin D, Deficiency, Cardiovascular, Insufficiency, Hypertension, Risk Factors

References
[1] Norman PE, Powell JT. Vitamin D and Cardiovascular Disease. Circ Res [Internet]. 2014 [cited 2022 Oct 2]; 114 (2): 379–93. Available from: https://www.ahajournals.org/doi/abs/10.1161/CIRCRESAHA.113.301241
[2] Bikle DD, Schwartz J. Vitamin D binding protein, total and free Vitamin D levels in different physiological and pathophysiological conditions. Front Endocrinol (Lausanne). 2019; 10 (MAY): 317.
[3] Tsiaras WG, Weinstock MA. Factors influencing vitamin D status. Acta Derm Venereol. 2011 Mar; 91 (2): 115–24.
[4] Lee JH, O’Keefe JH, Bell D, Hensrud DD, Holick MF. Vitamin D Deficiency: An Important, Common, and Easily Treatable Cardiovascular Risk Factor? J Am Coll Cardiol [Internet]. 2008 Dec 9 [cited 2022 Feb 1]; 52 (24): 1949–56. Available from: https://www.jacc.org/doi/10.1016/j.jacc.2008.08.050
[5] Holick MF. Vitamin D Deficiency. https://doi.org/101056/NEJMra070553. 2007 Jul; 357 (3): 266–81.
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[7] Saponaro F, Marcocci C, Zucchi R. Vitamin D status and cardiovascular outcome. J Endocrinol Investig 2019 4211. 2019 Jun; 42 (11): 1285–90.
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[10] Burgaz A, Orsini N, Larsson SC, Wolk A. Blood 25-hydroxyvitamin D concentration and hypertension: A meta-analysis. J Hypertens [Internet]. 2011 [cited 2022 Oct 2]; 29 (4): 636–45. Available from: https://journals.lww.com/jhypertension/Fulltext/2011/04000/Blood_25_hydroxyvitamin_D_concentration_and.2.aspx
[11] Pilz S, Tomaschitz A. Role of vitamin D in arterial hypertension. http://dx.doi.org/101586/erc10142 [Internet]. 2014 Nov [cited 2022 Oct 2]; 8 (11): 1599–608. Available from: https://www.tandfonline.com/doi/abs/10.1586/erc.10.142
[12] Green RJ, Samy G, Miqdady MS, El-Hodhod M, Akinyinka OO, Saleh G, et al. Vitamin D deficiency and insufficiency in Africa and the Middle East, despite year-round sunny days. SAMJ South African Med J. 2015 Jul; 105 (7): 603–5.
[13] Riaz H, Finlayson AE, Bashir S, Hussain S, Mahmood S, Malik F, et al. Prevalence of Vitamin D deficiency in Pakistan and implications for the future. http://dx.doi.org/101586/1751243320161122519. 2016 Feb; 9 (2): 329–38.
[14] Hovsepian S, Amini M, Aminorroaya A, Amini P, Iraj B. Prevalence of Vitamin D Deficiency among Adult Population of Isfahan City, Iran. J Health Popul Nutr. 2011; 29 (2): 149.
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Cite This Article
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    Dodiyi-Manuel Sotonye, Ajala Aisha Oluwabunmi. (2023). Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria. Central African Journal of Public Health, 9(1), 38-43. https://doi.org/10.11648/j.cajph.20230901.15

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    ACS Style

    Dodiyi-Manuel Sotonye; Ajala Aisha Oluwabunmi. Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria. Cent. Afr. J. Public Health 2023, 9(1), 38-43. doi: 10.11648/j.cajph.20230901.15

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    AMA Style

    Dodiyi-Manuel Sotonye, Ajala Aisha Oluwabunmi. Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria. Cent Afr J Public Health. 2023;9(1):38-43. doi: 10.11648/j.cajph.20230901.15

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  • @article{10.11648/j.cajph.20230901.15,
      author = {Dodiyi-Manuel Sotonye and Ajala Aisha Oluwabunmi},
      title = {Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria},
      journal = {Central African Journal of Public Health},
      volume = {9},
      number = {1},
      pages = {38-43},
      doi = {10.11648/j.cajph.20230901.15},
      url = {https://doi.org/10.11648/j.cajph.20230901.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230901.15},
      abstract = {Background: Vitamin D is an important vitamin that helps in many bodily functions. Its deficiency has been found to play a role in cardiovascular diseases like hypertension, heart failure, ischemic heart disease etc. 1α, 25-dihydroxyvitamin D, the active metabolite of vitamin D, binds major receptors found in all the major cardiovascular cells including arteries and cardiomyocytes to exert its protective effects. Darker skinned individuals have been found to be more vitamin D deficient than their Caucasian counterparts. This study sought to determine the prevalence and correlates of vitamin insufficiency and deficiency among patients attending the cardiology clinic in a major referral centre in southern, Nigeria. Methods: This is a descriptive cross-sectional study of a total of 192 study participants attending the cardiology out-patient clinic of the university. Informed consent was sort, and a questionnaire administered to all recruited patients and blood drawn for vitamin D assay. Results: There were more female study participants 55.7% as compared with their male counterparts at 44.3%. Hypertension (62.0%) as well as diabetes (33.3%) were the most common co-morbidity in the participants. Vitamin D deficiency was found in 7.8% of the study participants and 24.5% of all participants had below normal serum Vitamin D concentration i.e. Conclusion: Vitamin D deficiency and insufficiency was found to be prevalent in patients attending the cariology out-patient clinic and linked with the presence of hypertension, hypertensive heart disease and diabetes mellitus. The need for dietary supplementation of Vitamin D should be of public health importance in not only paediatric population and maternal health, but the general adult population as well.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Vitamin D Deficiency Prevalence and Correlates in Patients Attending the Cardiology Clinic in a Tertiary Centre in Southern Nigeria
    AU  - Dodiyi-Manuel Sotonye
    AU  - Ajala Aisha Oluwabunmi
    Y1  - 2023/02/28
    PY  - 2023
    N1  - https://doi.org/10.11648/j.cajph.20230901.15
    DO  - 10.11648/j.cajph.20230901.15
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 38
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20230901.15
    AB  - Background: Vitamin D is an important vitamin that helps in many bodily functions. Its deficiency has been found to play a role in cardiovascular diseases like hypertension, heart failure, ischemic heart disease etc. 1α, 25-dihydroxyvitamin D, the active metabolite of vitamin D, binds major receptors found in all the major cardiovascular cells including arteries and cardiomyocytes to exert its protective effects. Darker skinned individuals have been found to be more vitamin D deficient than their Caucasian counterparts. This study sought to determine the prevalence and correlates of vitamin insufficiency and deficiency among patients attending the cardiology clinic in a major referral centre in southern, Nigeria. Methods: This is a descriptive cross-sectional study of a total of 192 study participants attending the cardiology out-patient clinic of the university. Informed consent was sort, and a questionnaire administered to all recruited patients and blood drawn for vitamin D assay. Results: There were more female study participants 55.7% as compared with their male counterparts at 44.3%. Hypertension (62.0%) as well as diabetes (33.3%) were the most common co-morbidity in the participants. Vitamin D deficiency was found in 7.8% of the study participants and 24.5% of all participants had below normal serum Vitamin D concentration i.e. Conclusion: Vitamin D deficiency and insufficiency was found to be prevalent in patients attending the cariology out-patient clinic and linked with the presence of hypertension, hypertensive heart disease and diabetes mellitus. The need for dietary supplementation of Vitamin D should be of public health importance in not only paediatric population and maternal health, but the general adult population as well.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Internal Medicine, University of Port-harcourt Teaching Hospital, Rivers, Nigeria

  • Department of Internal Medicine, University of Port-harcourt Teaching Hospital, Rivers, Nigeria

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