Association between schooling pattern and weight with vitamin D status

Authors

  • Pranab Kumar Chowdhury Department of Paediatrics, Chittagong Medical College and Hospital, Chittagong, Bangladesh
  • Aditi Chowdhury Department of Paediatrics Nephrology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Sulekha Chowdhury Department of Obstetrics and Gynaecology, Panchlaish Shishu & General Hospital, Chittagong, Bangladesh
  • Soma Chowdhury Biswas Department of Statistics (Science Faculty), University of Chittagong, Chittagong, Bangladesh
  • Palash Kumar Biswas Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Premanjali Chowdhury Department of School Medicine (Faculty of Health Sciences), Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland

DOI:

https://doi.org/10.18203/2349-3291.ijcp20250394

Keywords:

Children, Hypovitaminosis D, Schooling patterns, Vitamin D, Weight-for-age

Abstract

Background: Vitamin D deficiency affects bone health, immunity, and growth in children. Urbanization, poor diet, and limited sun exposure heighten risks in South-East Asia, including Bangladesh. This study was aimed to evaluate the association between schooling pattern and weight with vitamin D status among different school group children in South-East region of Bangladesh.

Methods: This cross-sectional observational study was conducted in Chittagong Metropolitan City from July 2012 to December 2017 among 524 children aged between 0 to 18 years. Electro-chemiluminescence was used to measure serum 25(OH) D levels. Structured questionnaires were used to collect data. Chi-square tests and logistic regression was done and p<0.05 was considered as statistically significant.

Results: Among 524 subjects, 265 (50.57%) had vitamin D levels below 20 ng/dl. The age distribution was 51.3% (1-5 years) and 32.6% (5-10 years), with a mean±SD of 51.87±39.91. Children in kindergarten, primary and high school had a significantly higher risk of deficiency than those who were not educated (p < 0.01). Low and high weight-for-age were associated with increased risk of hypovitaminosis D (OR=0.73 and 2.78, respectively). Mean vitamin D levels for English language students were found to be lower than Bengali language students (p<0.05). There was no significant difference between government and private school children.

Conclusion: Hypovitaminosis D is highly prevalent among children in South-East region of Bangladesh, influenced by schooling patterns and nutritional status. This requires targeted interventions, such as awareness campaigns and dietary supplementation.

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References

Heaney RP. Vitamin D in health and disease. Clin J Am Soci Nephrol. 2008;3(5):1535-41. DOI: https://doi.org/10.2215/CJN.01160308

Rathi N, Rathi A. Vitamin D and child health in the 21st century. Indian pediatrics. 2011;48:619-25. DOI: https://doi.org/10.1007/s13312-011-0107-9

Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M, Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics. 2008;122(2):398-417. DOI: https://doi.org/10.1542/peds.2007-1894

Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. The Am J Clin Nutrit. 2008;87(4):1080S-6S. DOI: https://doi.org/10.1093/ajcn/87.4.1080S

Hollis BW. Circulating 25-hydroxyvitamin D levels indicative of vitamin D sufficiency: implications for establishing a new effective dietary intake recommendation for vitamin D. J Nutrit. 2005;135(2):317-22. DOI: https://doi.org/10.1093/jn/135.2.317

Khadilkar AV. Vitamin D deficiency in Indian adolescents. Indian Pediatr. 2010;47(9):755. DOI: https://doi.org/10.1007/s13312-010-0110-6

Pettifor JM. Nutritional rickets: deficiency of vitamin D, calcium, or both?. Am J Clin Nutrit. 2004;80(6):1725S-9S. DOI: https://doi.org/10.1093/ajcn/80.6.1725S

Ashraf S, Mughal MZ. The prevalence of rickets among non-Caucasian children. Arch Dis Childh. 2002;87(3):263-4. DOI: https://doi.org/10.1136/adc.87.3.263-a

Wagner CL, Greer FR, Section on Breastfeeding and Committee on Nutrition. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics. 2008;122(5):1142-52. DOI: https://doi.org/10.1542/peds.2008-1862

Absoud M, Cummins C, Lim MJ, Wassmer E, Shaw N. Prevalence and predictors of vitamin D insufficiency in children: a Great Britain population based study. PloS one. 2011;6(7):e22179. DOI: https://doi.org/10.1371/journal.pone.0022179

Voortman T, van den Hooven EH, Heijboer AC, Hofman A, Jaddoe VW, Franco OH. Vitamin D deficiency in school-age children is associated with sociodemographic and lifestyle factors. J Nutrit. 2015;145(4):791-8. DOI: https://doi.org/10.3945/jn.114.208280

Marasinghe E, Chackrewarthy S, Abeysena C, Rajindrajith S. Micronutrient status and its relationship with nutritional status in preschool children in urban Sri Lanka. Asia Pac J Clin Nutrit. 2015;24(1):144-51.

Arabi A, El Rassi R, El-Hajj Fuleihan G. Hypovitaminosis D in developing countries-prevalence, risk factors and outcomes. Nature Revi Endocrinol. 2010;6(10):550-61. DOI: https://doi.org/10.1038/nrendo.2010.146

Rajakumar K, Moore CG, Yabes J, Olabopo F, Haralam MA, Comer D, et al. Effect of vitamin D3 supplementation in black and in white children: a randomized, placebo-controlled trial. J Clin Endocrinol Metabol. 2015;100(8):3183-92. DOI: https://doi.org/10.1210/jc.2015-1643

Fraser DR. Vitamin D-deficiency in Asia. J Steroid Biochem Molec Biol. 2004;89:491-5. DOI: https://doi.org/10.1016/j.jsbmb.2004.03.057

Agarwal KS, Mughal MZ, Upadhyay P, Berry JL, Mawer EB, Puliyel JM. The impact of atmospheric pollution on vitamin D status of infants and toddlers in Delhi, India. Arch Dis Childh. 2002;87(2):111-3. DOI: https://doi.org/10.1136/adc.87.2.111

Fuleihan GE, Deeb M. Hypovitaminosis D in a sunny country. N Engl J Medi. 1999;340(23):1840-1. DOI: https://doi.org/10.1056/NEJM199906103402316

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Published

2025-02-24

How to Cite

Chowdhury, P. K., Chowdhury, A., Chowdhury, S., Biswas, S. C., Biswas, P. K., & Chowdhury, P. (2025). Association between schooling pattern and weight with vitamin D status. International Journal of Contemporary Pediatrics, 12(3), 350–355. https://doi.org/10.18203/2349-3291.ijcp20250394

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Original Research Articles