Serum 25-Hydroxyvitamin D Levels Among Boston Trainee Doctors in Winter
AbstractAs indoor workers, trainee doctors may be at risk for inadequate vitamin D. All trainee doctors (residents) in a Boston pediatric training program (residency) were invited to complete a survey, and undergo testing for serum 25-hydroxyvitamin D [25(OH)D], PTH, and calcium during a 3-week period in March 2010. We examined the association between resident characteristics and serum 25(OH)D using Chi2 and Kruskal-Wallis test and multivariable linear and logistic regression. Of the 119 residents, 102 (86%) participated. Although the mean serum 25(OH)D level was 67 nmol/L (±26), 25 (25%) had a level < 50 nmol/L and 3 (3%) residents had levels < 25 nmol/L. In the multivariable model, factors associated with 25(OH)D levels were: female sex (β 12.7, 95% CI 3.6, 21.7), white race (β 21.7, 95% CI 11.7, 31.7), travel to more equatorial latitudes during the past 3 months (β 6.3, 95% CI 2.0, 10.5) and higher daily intake of vitamin D (β 1.1, 95% CI 0.04, 2.1). Although one in four residents in our study had a serum 25(OH)D < 50 nmol/L, all of them would have been missed using current Centers for Medicare and Medicaid Services (CMS) screening guidelines. The use of traditional risk factors appears insufficient to identify low vitamin D in indoor workers at northern latitudes.
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Growdon, A.S.; Camargo Jr., C.A.; Clark, S.; Hannon, M.; Mansbach, J.M. Serum 25-Hydroxyvitamin D Levels Among Boston Trainee Doctors in Winter. Nutrients 2012, 4, 197-207.
Growdon AS, Camargo Jr. CA, Clark S, Hannon M, Mansbach JM. Serum 25-Hydroxyvitamin D Levels Among Boston Trainee Doctors in Winter. Nutrients. 2012; 4(3):197-207.Chicago/Turabian Style
Growdon, Amanda S.; Camargo Jr., Carlos A.; Clark, Sunday; Hannon, Megan; Mansbach, Jonathan M. 2012. "Serum 25-Hydroxyvitamin D Levels Among Boston Trainee Doctors in Winter." Nutrients 4, no. 3: 197-207.