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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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Adults 65y <strong>and</strong> above<br />

8.40 In the NDNS, mean plasma 25(OH)D concentration was 47 nmol/L in men <strong>and</strong> 42.5 nmol/L in women;<br />

16.9% of men <strong>and</strong> 24.1% of women had a plasma 25(OH)D concentration < 25 nmol/L.<br />

8.41 For institutionalised adults the mean plasma 25(OH)D concentration was 33.7 nmol/L in men <strong>and</strong><br />

32.5 nmol/L in women; 38% of men <strong>and</strong> 37% of women had a concentration < 25 nmol/L.<br />

8.42 In the HSE 2005 mean serum 25(OH)D concentration was 53 nmol/L for men <strong>and</strong> 48 nmol/L for<br />

women.<br />

8.43 In the LIDNS, mean serum 25(OH)D concentration) was 52.8 nmol/L in men <strong>and</strong> 44.2 nmol/L in<br />

women; 14% of men <strong>and</strong> women had a serum 25(OH)D concentration < 25 nmol/L.<br />

Serum/plasma 25(OH)D concentration by season<br />

8.44 For all age groups in the NDNS, mean plasma 25(OH)D concentrations were lowest during the winter<br />

months (January-March) <strong>and</strong> highest in the summer months (July-September). For children (4-10y)<br />

mean plasma 25(OH)D concentration was 37 nmol/L in the winter months <strong>and</strong> 66 nmol/L in the<br />

summer months. For older children <strong>and</strong> adolescents (11-18y) mean plasma 25(OH)D concentration<br />

was 31.5 nmol/L in the winter <strong>and</strong> 52.3 nmol/L in the summer. For adults aged 19-64y, the mean<br />

25(OH)D concentration was 34.8 nmol/L in the winter <strong>and</strong> 57.5 nmol/L in the summer. For adults<br />

aged ≥ 65y the mean plasma 25(OH)D concentration was 40.5 nmol/L in winter <strong>and</strong> 50.5 nmol/L in the<br />

summer.<br />

8.45 The proportion of the population with a plasma 25(OH)D concentration < 25 nmol/L in the winter<br />

months was 4-10y, 31%; 11-18y, 40%; 19-64y, 39%; ≥ 65y, 29%. The proportion with plasma 25(OH)D<br />

concentration < 25 nmol/L in the summer months was: 4-10y, 2%; 11-18y, 13%; 19-64y, 8%; <strong>and</strong><br />

≥ 65y, 4%.<br />

8.46 Serum 25(OH)D concentration was also measured by season in the HSE (2010) <strong>and</strong> the SHS. For ages<br />

≥ 16y, concentration was lowest in the winter months compared to the summer months in both<br />

Engl<strong>and</strong> <strong>and</strong> Scotl<strong>and</strong>; it was also lower in Scotl<strong>and</strong> compared to Engl<strong>and</strong> in all seasons. In the winter<br />

months mean serum 25(OH)D concentration was 33.1 nmol/L in Engl<strong>and</strong> <strong>and</strong> 27.9 nmol/L in Scotl<strong>and</strong>,<br />

increasing in the summer months to 60.1 nmol/L in Engl<strong>and</strong> <strong>and</strong> 51.3 nmol/L in Scotl<strong>and</strong>. In Engl<strong>and</strong>,<br />

the proportion with serum 25(OH)D concentration < 25 nmol/L was 42% in winter <strong>and</strong> 7% in summer;<br />

in Scotl<strong>and</strong>, the proportion with plasma 25(OH)D concentration < 25 nmol/L was 54% in winter <strong>and</strong><br />

17% in summer.<br />

8.47 A cohort study of South Asian women (n=35) living in Southern Engl<strong>and</strong> (Darling et al., 2013) found<br />

that 81% <strong>and</strong> 53% had a plasma 25(OH)D concentration < 25nmol/L in winter <strong>and</strong> summer<br />

respectively. Another cohort study of pregnant women in North West London (n=346) (McAree et al.,<br />

2013) reported that the proportion with a plasma 25(OH)D concentration < 25 nmol/L was 49% in<br />

winter <strong>and</strong> 29% in summer.<br />

113

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