Contributions of sunshine deprivation and maternal vitamin D deficiency to rickets in the United Arab Emirates
EMJ-Emirates Medical Journal. 2006; 24 (1): 29-35
en Inglés
| IMEMR
| ID: emr-163219
ABSTRACT
The aims were to better characterize the clinical and biochemical features of rickets and to asses the contributions of sunshine deprivation to maternal vitamin D status and thus its relation to rickets in the child. The clinical and biochemical characteristics of 40 consecutive rachitic children and the sunshine exposure and vitamin L] status of their mothers at Al-Ain, United Arab Emirates' were studied. Rachitic children had significant skeletal deformities, growth and motor developmental delay and all had vitamin D deficiency. Clinical features' of children with "moderate/severe" vitamin D deficiency [serum 25-OHD 12.5-37.5 nmol/L] were similar to those with "very severe" vitamin D deficiency [2 5 nmol/L]. The medium serum alkaline phosphatase concentration was higher in the latter Sixteen mothers [40%] had "very severe" vitamin D deficiency and 68% were not exposed to sunlight. Maternal body surface area exposed to sunlight correlated with serum 25-OHD] concentrations [r=0.48, p=0.002]. Rickets was mainly due to severe vitamin D deficiency rickets. Maternal vitamin L] deficiency due to sunshine deprivation may contribute to persistence of rickets. Maternal sunshine exposure that ensures adequate vitamin D status should be emphasized in the strategies to eliminate rickets
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Índice:
IMEMR (Mediterraneo Oriental)
Idioma:
Inglés
Revista:
Emirates Med. J.
Año:
2006
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