Vitamin D status and associated occupational factors in Korean wage workers: data from the 5th Korea national health and nutrition examination survey (KNHANES 2010–2012)
Tóm tắt
Vitamin D deficiency is increasing worldwide. However, few studies have attempted to examine the vitamin D status of wage workers and the correlation between vitamin D deficiency and working conditions. Hence, we aimed to evaluate the prevalence of vitamin D deficiency and the association between occupational conditions and vitamin D deficiency among Korean wage workers. Wage workers aged 20–65 years from the 5th Korea National Health and Nutrition Examination Survey (KNHANES 2010–2012; n = 5409) were included in our analysis. We measured the prevalence of vitamin D deficiency and identified the correlations with the working conditions of these subjects. The prevalence of vitamin D deficiency in male and female subjects was 69.5% and 83.1%, respectively. Among the male subjects, a significant correlation between vitamin D deficiency and working conditions was observed among shift workers, office workers, and permanent workers. No significant correlation with any type of working conditions was observed among female subjects. The prevalence of vitamin D deficiency among Korean wage workers was very high and was found to correlate significantly with working conditions, likely because of insufficient exposure to sunlight associated with certain types of work. Wage workers require more frequent outdoor activity and nutrition management to maintain sufficient vitamin D level.
Tài liệu tham khảo
Choi HS: Vitamin D Status in Korea. Endocrinol Metab (Seoul) 2013, 28: 12–16. 10.3803/EnM.2013.28.1.12
Holick MF, Chen TC: Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 2008, 87: 1080S-1086S.
van der Wielen RP, Lowik MR, van den Berg H, de Groot LC, Haller J, Moreiras O, van Staveren WA: Serum vitamin D concentrations among elderly people in Europe. Lancet 1995, 346: 207–210. 10.1016/S0140-6736(95)91266-5
Kulie T, Groff A, Redmer J, Hounshell J, Schrager S: Vitamin D: an evidence-based review. J Am Board Fam Med 2009, 22: 698–706. 10.3122/jabfm.2009.06.090037
Hosseinpanah F, Pour SH, Heibatollahi M, Moghbel N, Asefzade S, Azizi F: The effects of air pollution on vitamin D status in healthy women: a cross sectional study. BMC Public Health 2010, 10: 519. 10.1186/1471-2458-10-519
Le Goaziou MF, Bodier E, Souweine G, Moreau A, Perdrix C, Flori M, Dupraz C: Musculoskeletal chronic pains and Vitamin D deficiency. Study before after in general practice. Presse Med 2013, 42: e106-e113. 10.1016/j.lpm.2012.09.021
Wepner F, Scheuer R, Schuetz-Wieser B, Machacek P, Pieler-Bruha E, Cross HS, Hahne J, Friedrich M: Effects of vitamin D on patients with fibromyalgia syndrome: a randomized placebo-controlled trial. Pain 2014, 155: 261–268. 10.1016/j.pain.2013.10.002
Ashtari F, Ajalli M, Shaygannejad V, Akbari M, Hovsepian S: The relation between Vitamin D status with fatigue and depressive symptoms of multiple sclerosis. J Res Med Sci 2013, 18: 193–197.
Antiel RM, Caudill JS, Burkhardt BE, Brands CK, Fischer PR: Iron insufficiency and hypovitaminosis D in adolescents with chronic fatigue and orthostatic intolerance. South Med J 2011, 104: 609–611. 10.1097/SMJ.0b013e3182246809
Hoeck AD, Pall ML: Will vitamin D supplementation ameliorate diseases characterized by chronic inflammation and fatigue? Med Hypotheses 2011, 76: 208–213. 10.1016/j.mehy.2010.09.032
Wang JHJ-CK: The association between shift work and bone mineral density: analysis of 2008–2009 Korean National Health and Nutrition Examination Survey. Korean J Occup Environ Med 2012, 24: 274–286.
Sarikaya S, Ozdolap S, Mungan AG, Gumustas S, Koc U, Guven B, Begendik F: Effect of underground working on vitamin D levels and bone mineral densities in coal miners: a controlled study. J Int Med Res 2006, 34: 362–366. 10.1177/147323000603400404
Puligheddu M, Conti S, Campagna M, Meloni M, Pau M, Cocco P, Marrosu F: [Cancer risk among shift workers: a review]. G Ital Med Lav Ergon 2012, 34: 624–626.
Ward M, Berry DJ, Power C, Hypponen E: Working patterns and vitamin D status in mid-life: a cross-sectional study of the 1958 British birth cohort. Occup Environ Med 2011, 68: 902–907. 10.1136/oem.2010.063479
Itoh H, Weng Z, Saito H, Ogawa Y, Nakayama K, Hasegawa-Ohira M, Morimoto K, Maki S, Takahashi M: Association between night-shift work and serum 25-hydroxyvitamin D levels in Japanese male indoor workers: a cross-sectional study. Ind Health 2011, 49: 658–662. 10.2486/indhealth.MS1271
LeBoff MS, Kohlmeier L, Hurwitz S, Franklin J, Wright J, Glowacki J: Occult vitamin D deficiency in postmenopausal US women with acute hip fracture. JAMA 1999, 281: 1505–1511. 10.1001/jama.281.16.1505
Lips P, Graafmans WC, Ooms ME, Bezemer PD, Bouter LM: Vitamin D supplementation and fracture incidence in elderly persons. A randomized, placebo-controlled clinical trial. Ann Intern Med 1996, 124: 400–406. 10.7326/0003-4819-124-4-199602150-00003
Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE, Bassford T, Beresford SA, Black HR, Blanchette P, Bonds DE, Brunner RL, Brzyski RG, Caan B, Cauley JA, Chlebowski RT, Cummings SR, Granek I, Hays J, Heiss G, Hendrix SL, Howard BV, Hsia J, Hubbell FA, Johnson KC, Judd H, Kotchen JM, Kuller LH, Langer RD, Lasser NL, et al.: Calcium plus vitamin D supplementation and the risk of fractures. N Engl J Med 2006, 354: 669–683. 10.1056/NEJMoa055218
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 2008, 52: 1949–1956. 10.1016/j.jacc.2008.08.050
Wacker M, Holick MF: Sunlight and Vitamin D: A global perspective for health. Dermato-endocrinology 2013, 5: 51–108. 10.4161/derm.24494
Morris HA: Vitamin D: a hormone for all seasons--how much is enough? Clin Biochem Rev /Aust Assoc Clin Biochem 2005, 26: 21–32.
Hossein-nezhad A, Holick MF: Vitamin D for health: a global perspective. Mayo Clin Proc 2013, 88: 720–755. 10.1016/j.mayocp.2013.05.011
Wang TJ, Pencina MJ, Booth SL, Jacques PF, Ingelsson E, Lanier K, Benjamin EJ, D’Agostino RB, Wolf M, Vasan RS: Vitamin D deficiency and risk of cardiovascular disease. Circulation 2008, 117: 503–511. 10.1161/CIRCULATIONAHA.107.706127
Souberbielle JC, Body JJ, Lappe JM, Plebani M, Shoenfeld Y, Wang TJ, Bischoff-Ferrari HA, Cavalier E, Ebeling PR, Fardellone P, Gandini S, Gruson D, Guérin AP, Heickendorff L, Hollis BW, Ish-Shalom S, Jean G, von Landenberg P, Largura A, Olsson T, Pierrot-Deseilligny C, Pilz S, Tincani A, Valcour A, Zittermann A: Vitamin D and musculoskeletal health, cardiovascular disease, autoimmunity and cancer: Recommendations for clinical practice. Autoimmun Rev 2010, 9: 709–715. 10.1016/j.autrev.2010.06.009
Hollis BW, Wagner CL: Normal serum vitamin D levels. N Engl J Med 2005, 352: 515–516. author reply 515–516
Holick MF: High prevalence of vitamin D inadequacy and implications for health. Mayo Clin Proc 2006, 81: 353–373. 10.4065/81.3.353
Malabanan A, Veronikis IE, Holick MF: Redefining vitamin D insufficiency. Lancet 1998, 351: 805–806. 10.1016/S0140-6736(05)78933-9
Thomas MK, Lloyd-Jones DM, Thadhani RI, Shaw AC, Deraska DJ, Kitch BT, Vamvakas EC, Dick IM, Prince RL, Finkelstein JS: Hypovitaminosis D in medical inpatients. N Engl J Med 1998, 338: 777–783. 10.1056/NEJM199803193381201
DeLuca HF: Overview of general physiologic features and functions of vitamin D. Am J Clin Nutr 2004, 80: 1689S-1696S.
Haddad JG, Matsuoka LY, Hollis BW, Hu YZ, Wortsman J: Human plasma transport of vitamin D after its endogenous synthesis. J Clin Invest 1993, 91: 2552–2555. 10.1172/JCI116492
Sayre RM, Dowdy JC: Darkness at noon: sunscreens and vitamin D3. Photochem Photobiol 2007, 83: 459–463. 10.1562/2006-06-29-RC-956
Lopes JB, Danilevicius CF, Takayama L, Caparbo VF, Scazufca M, Bonfa E, Pereira RM: Vitamin D insufficiency: a risk factor to vertebral fractures in community-dwelling elderly women. Maturitas 2009, 64: 218–222. 10.1016/j.maturitas.2009.09.020
Nakamura K, Tsugawa N, Saito T, Ishikawa M, Tsuchiya Y, Hyodo K, Maruyama K, Oshiki R, Kobayashi R, Nashimoto M, Yoshihara A, Ozaki R, Okano T, Yamamoto M: Vitamin D status, bone mass, and bone metabolism in home-dwelling postmenopausal Japanese women: Yokogoshi Study. Bone 2008, 42: 271–277. 10.1016/j.bone.2007.09.056
Johnson LK, Hofso D, Aasheim ET, Tanbo T, Holven KB, Andersen LF, Roislien J, Hjelmesaeth J: Impact of gender on vitamin D deficiency in morbidly obese patients: a cross-sectional study. Eur J Clin Nutr 2012, 66: 83–90. 10.1038/ejcn.2011.140
Lim JS, Kim KM, Rhee Y, Lim SK: Gender-dependent skeletal effects of vitamin D deficiency in a younger generation. J Clin Endocrinol Metab 2012, 97: 1995–2004. 10.1210/jc.2011-3098
Lagunova Z, Porojnicu AC, Lindberg F, Hexeberg S, Moan J: The dependency of vitamin D status on body mass index, gender, age and season. Anticancer Res 2009, 29: 3713–3720.
Holick MF: Vitamin D deficiency. N Engl J Med 2007, 357: 266–281. 10.1056/NEJMra070553
Holick MF: Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 2004, 79: 362–371.
Zittermann A: Vitamin D and disease prevention with special reference to cardiovascular disease. Prog Biophys Mol Biol 2006, 92: 39–48. 10.1016/j.pbiomolbio.2006.02.001
Giovannucci E, Liu Y, Hollis BW, Rimm EB: 25-hydroxyvitamin D and risk of myocardial infarction in men: a prospective study. Arch Intern Med 2008, 168: 1174–1180. 10.1001/archinte.168.11.1174
Lind L, Hanni A, Lithell H, Hvarfner A, Sorensen OH, Ljunghall S: Vitamin D is related to blood pressure and other cardiovascular risk factors in middle-aged men. Am J Hypertens 1995, 8: 894–901. 10.1016/0895-7061(95)00154-H
Kunutsor SK, Burgess S, Munroe PB, Khan H: Vitamin D and high blood pressure: causal association or epiphenomenon? Eur J Epidemiol 2014, 29: 1–14. 10.1007/s10654-013-9874-z
Forman JP, Giovannucci E, Holmes MD, Bischoff-Ferrari HA, Tworoger SS, Willett WC, Curhan GC: Plasma 25-hydroxyvitamin D levels and risk of incident hypertension. Hypertension 2007, 49: 1063–1069. 10.1161/HYPERTENSIONAHA.107.087288
Garland CF, Garland FC, Gorham ED, Lipkin M, Newmark H, Mohr SB, Holick MF: The role of vitamin D in cancer prevention. Am J Public Health 2006, 96: 252–261. 10.2105/AJPH.2004.045260
Holick MF: Vitamin D: its role in cancer prevention and treatment. Prog Biophys Mol Biol 2006, 92: 49–59. 10.1016/j.pbiomolbio.2006.02.014
Seung-Hyun Park J-HK: The relationship of serum vitamin D levels and the Framingham risk score among male workeres in the manufacturing sector. Korean J Occup Environ Med 2012, 24: 115–123.
Plotnikoff GA, Finch MD, Dusek JA: Impact of vitamin D deficiency on the productivity of a health care workforce. J Occup Environ Med/Am College Occup Environ Med 2012, 54: 117–121. 10.1097/JOM.0b013e318240df1e
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 Nutr 2005, 135: 317–322.
Bertone-Johnson ER, Powers SI, Spangler L, Brunner RL, Michael YL, Larson JC, Millen AE, Bueche MN, Salmoirago-Blotcher E, Liu S, Ockene JK, Ockene I, Manson JE: Vitamin D intake from foods and supplements and depressive symptoms in a diverse population of older women. Am J Clin Nutr 2011, 94: 1104–1112. 10.3945/ajcn.111.017384
Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM, Endocrine S: Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011, 96: 1911–1930. 10.1210/jc.2011-0385
Rosecrans R, Dohnal JC: Seasonal vitamin D changes and the impact on health risk assessment. Clin Biochem 2014, 47(7–8):670–672. 10.1016/j.clinbiochem.2014.02.004