Volume 2, Issue 4 (2017)
IJMPP 2017, 2(4): 317-323 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Goli Rostami Z, Tavafian S S, Dolatshahi E. Educational program and Vitamin D Deficiency in Middle-aged Women living in Karaj, Iran. IJMPP 2017; 2 (4) :317-323
URL: http://ijmpp.modares.ac.ir/article-32-6534-en.html
URL: http://ijmpp.modares.ac.ir/article-32-6534-en.html
1- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Alborz Medical Sciences University, Karaj, Iran.
2- Alborz Medical Sciences University, Karaj, Iran.
Abstract: (6962 Views)
Background: Vitamin D is a fat-soluble vitamin and is essential nutrient for metabolic and physiological processes in the human body. This study aimed to assess the effectiveness of educational program regarding vitamin D deficiency preventive behaviors and vitamin D supplement amongmiddle-aged women living in Karaj, Iran.
Methods and Materials: Two hundred forty middle-aged women (30-60 years old) with vitamin D deficiency were randomly selected from referrers to comprehensive health centers after blood test. The selected individuals were randomly divided into three equal interventional groups of preventive behaviors education, supplemental consumption, combination of preventive behavior education and supplemental vitamin D consumption, and one control group with sample size of 60 individuals in each group. Six months after intervention, the level of vitamin D in serum of all subjects was measured and General Health Questionnaire (GHQ) was used to determine the subjects' general health.
Results: The results showed that the group which were educated to improve preventive behaviors and also were prescribed supplemental vitamin D was significantly better than the other groups regarding vitamin D deficiency improvement and general health score (P < 0.05). Combination of complementary and education was more effective than the other methods and significantly improved the general health (PV < 0.0001)
Conclusion: This study showed the simultaneous supplementary prescription and preventive behavior education was the most effective to prevent vitamin D deficiency.
Methods and Materials: Two hundred forty middle-aged women (30-60 years old) with vitamin D deficiency were randomly selected from referrers to comprehensive health centers after blood test. The selected individuals were randomly divided into three equal interventional groups of preventive behaviors education, supplemental consumption, combination of preventive behavior education and supplemental vitamin D consumption, and one control group with sample size of 60 individuals in each group. Six months after intervention, the level of vitamin D in serum of all subjects was measured and General Health Questionnaire (GHQ) was used to determine the subjects' general health.
Results: The results showed that the group which were educated to improve preventive behaviors and also were prescribed supplemental vitamin D was significantly better than the other groups regarding vitamin D deficiency improvement and general health score (P < 0.05). Combination of complementary and education was more effective than the other methods and significantly improved the general health (PV < 0.0001)
Conclusion: This study showed the simultaneous supplementary prescription and preventive behavior education was the most effective to prevent vitamin D deficiency.
Subject:
Musculoskeletal Pain Prevention
Received: 2017/11/25 | Accepted: 2017/10/1 | Published: 2018/12/31
Received: 2017/11/25 | Accepted: 2017/10/1 | Published: 2018/12/31
References
1. Kelishadi, R., Poursafa, P. & Sharifi Ghazvini, F. (2014) Relationship between air pollution and vitamin D deficiency in pregnant women and infants in a sunny area, Journal of Environmental Sciences. (3) 12, 79-84.
2. Mobel, N. & Hossein Pena, F. (2009) Relationship between air pollution and vitamin D deficiency in 20-to-50-year-old housewives living in contaminated areas of eastern Tehran with low pollution in Qazvin. PhD Thesis. Shahid Beheshti University, 96.
3. Etemad, Z. & Esmaeil Nasab, N. (2012) The relationship between physical activity level and some coronary heart disease risk factors in students of Kurdistan. University of Medical Sciences Journal. 17 (1), 25-35
4. Holick M. F. (2004) Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr. 80 (6): 1678S-88S. [DOI:10.1093/ajcn/80.6.1678S]
5. Autier, P., Boniol, M., Pizot, C. & Mullie, P. (2014) Vitamin D status and ill health: a systematic review. Lancet Diabetes Endocrinol.2 (1), 76-89.doi:http://dx.doi.org/10.1016/S2213- 8587 (13) 70165-7. [DOI:10.1016/S2213-8587(13)70165-7]
6. Blum, M., Dolnikowski, G. & Seyoum, E. (2008) Vitamin D (3) in fat tissue.Endocrine, 33: 90-4. [DOI:10.1007/s12020-008-9051-4]
7. Moyad M. A. Vitamin D: A rapid review: Side effects and toxicity. Available from: http://www.medscape.com/viewar ticle/589256_10. [Last accessed on 2010 Sep 02].
8. Lappe, J. M, Travers-Gustafson, D., Davies, K. M., Recker RR. & Heaney, R. P. (2007) Vitamin D and calcium supplementation reduces cancer risk: Results of a randomized trial. Am J Clin Nutr; 85: 1586-91. [DOI:10.1093/ajcn/85.6.1586]
9. Harvard School of Public Health Nutrition Source. Vitamin D and health. Available from: http://www.hsph.harvard.edu/nutr itionsource/what-shouldyou-eat/vitamin-d/index.html. [Last accessed on 2010 Aug 30].
10. Lips, P., Hosking, D., Lippuner, K., Norquist, J. M., Wehren, L. & Maalouf, G. (2006) The prevalence of vitamin D inadequacy amongst women with osteoporosis: An international epidemiological investigation. J Intern Med. 260, 245-54. [DOI:10.1111/j.1365-2796.2006.01685.x]
11. Holick, M. F. (2007) Vitamin D deficiency. N Engl J Med, 357, 266-81. [DOI:10.1056/NEJMra070553]
12. Zittermann, A. (2006) Vitamin D and disease prevention with special reference to cardiovascular disease. Prog Biophys Mol Biol. 92, 39-48. [DOI:10.1016/j.pbiomolbio.2006.02.001]
13. Norman, A.W. (2005) An introduction to vitamin D. Department of Biochemistry & Biomedical Sciences University of California, Riverside CA 92521.
14. Ahn, J., Peters, U., Albanes, D., Purdue, M. P., Abnet, C. C. & Chatterjee N, et al. Serum vitamin D concentration and prostate cancer risk: A nested casecontrol study. J Natl Cancer Inst 2008;100:796-804. [DOI:10.1093/jnci/djn152]
15. Anderson, L. N., Cotterchio, M., Vieth, R. & Knight, J. A. (2010)Vitamin D and calcium intakes and breast cancer risk in pre-and postmenopausal women. Am J Clin Nutr. 91, 1699-707. [DOI:10.3945/ajcn.2009.28869]
16. Spedding, S. (2014) Vitamin D and depression: a systematic review and met analysis. Comparing studies with and without biological flaws. Nutrients. 6, 1501-1518. [DOI:10.3390/nu6041501]
17. Parker, G. B., Brotchie, H. & Graham, R. K. (2017) Vitamin D and depression. J Affect. Disorders. 208, 56-61. [DOI:10.1016/j.jad.2016.08.082]
18. Shaffer, J. A., Edmondson, D. & Wasson. L. T. (2014) Vitamin D supplementation for depressive symptoms: a systematic review and meta-analysis of randomized controlled trials. Psychosom Med. 2014; 76: 190- 196. [DOI:10.1097/PSY.0000000000000044]
19. Jiang, S., Jiang, L. & Dai, L. (2006) Mechanisms of osteoporosis in spinal cord injury. Clin Endocrinol. 65, 555- 65. [DOI:10.1111/j.1365-2265.2006.02683.x]
20. Hind, K. & Burrows, M. (2007) Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlledtrials.Bone.40,14-27. [DOI:10.1016/j.bone.2006.07.006]
21. Karlsson, MK., Linden, C. & Karlsson, C. (2000) Exercise during growth and bone mineral density and fractures in old age. Lancet. 355,469-70. [DOI:10.1016/S0140-6736(00)82020-6]
22. Karlsson, M. K., Magnusson, H. & Karlsson, C. (2001) The duration of exercise as a regulator of bone mass. Bone.28, 128-32. [DOI:10.1016/S8756-3282(00)00405-1]
23. Myers, J., Kaykha, A. & George, S. (2004) Fitness versus physical activity patterns in predicting mortality in men. Am J Med. 117: 912-8. [DOI:10.1016/j.amjmed.2004.06.047]
24. Hu, F. B., Willett, W. C. & Li, T. (2004) Adiposity as compared with physical activity in predicting Mortality among women. N Engl J Med. 351: 2694-703. [DOI:10.1056/NEJMoa042135]
25. Knowler, W. C., Barrett-Connor, E. & Fowler, S. E. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. NEngl J Med 2002; 346: 393-403. [DOI:10.1056/NEJMoa012512]
26. Taymori, P., Niknami, S., Berry, T., Lubans, D., Ghofranipour, F. & Kazemnejade, A. (2008) A school- based randomized controlled trial to improve physical activity among Iranian high school girls. Int J Behav Nutr Phys Act. 5, 18. [DOI:10.1186/1479-5868-5-18]
27. Kirk, A., Mutrie, N., Mc Intyre, P. & Fisher, M. (2004) Effects of amounth physical activity counseling intervention onglycaemic control and on the status of cardiovascular risk factors in people with type 2 diabetes. Diabetologia. 47: 821-32. [DOI:10.1007/s00125-004-1396-5]
28. Boule, N. G., Haddad, E., Kenny, G. P., Wells, G. A. & Sigal, R. J. (2001) Effects of exercise on glycemic control and body massin type 2 diabetes mellitus: a meta analysis of controlled clinical trial. JAMA. 286, 1218-27. [DOI:10.1001/jama.286.10.1218]
29. Boule, N. G, Kenny, G. P., Haddad, E., Wells, G. A. & Sigal, R. J. (2001) Meta analysis of the effect of structured exercise training on cardiorespiratory fitness in type 2 diabetes mellitus. Diabetologia. 46, 1071-81. [DOI:10.1007/s00125-003-1160-2]
30. Diana, M., Souheil, H. & Pascale, S. (2017) Assessment of vitamin D levels, awareness among Lebanese pharmacy students, and impact of pharmacist counseling. Journal of Epidemiology and Global Health.7, 55-62. [DOI:10.1016/j.jegh.2016.09.001]
31. Hollis, B. W. (2005) Circulating 25-hydroxyvitamin D levels indicative of vitamin D sufficiency: implications for establishing a new effective dietary intake recommendation for vitamin D. J Nutr. 135: 317-22. [DOI:10.1093/jn/135.2.317]
32. Bogh, M. K, Schmedes, A. V., Philipsen, P. A., Thieden, E. & Wulf, H. C. (2010) Vitamin D production after UVB exposure depends on baseline vitamin D and total cholesterol but not on skin pigmentation. J Invest Dermatol.130: 546- 53. [DOI:10.1038/jid.2009.323]
33. Yangshen, L., Preeta Kaur, C. h., Sandhya, R. & Gautam, C. D. (2017) Epidemic of Vitamin D Deficiency and Its Management:Awareness among Indian Medical Undergraduates. Journal of Environmental and Public Health.7. [DOI:10.1155/2017/2517207]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |