Determinants of Dietary Vitamin D Intake in Population-Based Cohort Sample of Polish Female Adolescents
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Applied Questionnaire
2.3. Statistical Analysis
3. Results
3.1. Study Group Characteristics
3.2. Dietary Vitamin D Intake and Its Sources
3.3. Dietary Vitamin D Intake in Subgroups
3.3.1. Regions of Poland and Vitamin D Intake
3.3.2. Age and Vitamin D Intake
3.3.3. BMI Classification and Vitamin D Intake
3.3.4. Vitamin D Supplementation and Vitamin D Intake
3.3.5. Vegetarian or Vegan Diet and Vitamin D Intake
3.4. Correlations
4. Discussion
5. Strengths and Limitations of the Study
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Number (%) of Participants | p Value * | ||||
---|---|---|---|---|---|---|
Total | Quartiles of Vitamin D Intake from Food (µg/day) | |||||
Q1 (0.01–1.32) | Q2 (1.33–2.32) | Q3 (2.33–4.03) | Q4 (4.04–29.34) | |||
Total | 4469 (100.00) | 1117 (24.99) | 1116 (24.97) | 1118 (25.02) | 1118 (25.02) | |
Region of Poland: | ||||||
Central | 567 (12.67) | 149 (13.34) | 132 (11.83) | 144 (12.88) | 142 (12.70) | 0.00042 |
Eastern | 914 (20.45) | 283 (25.34) | 197 (17.65) | 220 (19.68) | 214 (19.14) | |
Northern | 1350 (30.21) | 299 (26.77) | 342 (30.64) | 325 (29.07) | 384 (34.35) | |
North-Western | 396 (8.86) | 99 (8.86) | 110 (9.86) | 99 (8.86) | 88 (7.87) | |
Southern | 993 (22.22) | 228 (20.41) | 266 (23.83) | 268 (23.97) | 231 (20.66) | |
South-Western | 249 (5.57) | 59 (5.18) | 69 (6.18) | 62 (5.54) | 59 (5.28) | |
Age: | 0.14204 | |||||
14–17 | 3131 (70.06) | 812 (72.69) | 764 (68.46) | 768 (68.69) | 787 (70.39) | |
18–20 | 1338 (29.94) | 305 (27.31) | 352 (31.54) | 350 (31.31) | 331 (29.61) | |
Body Mass Index (BMI) classification: | ||||||
Underweight | 445 (9.96) | 122 (10.92) | 108 (9.768) | 110 (9.84) | 105 (9.39) | 0.90188 |
Normal weight | 3234 (72.36) | 796 (71.26) | 816 (73.12) | 805 (72.00) | 817 (73.08) | |
Overweight | 927 (10.78) | 119 (10.65) | 125 (11.20) | 119 (10.64) | 119 (10.64) | |
Obesity | 308 (6.89) | 80 (7.16) | 67 (6.00) | 84 (7.51) | 77 (6.88) | |
Vitamin D supplementation: | ||||||
No | 2222 (49.72) | 630 (56.40) | 555 (49.73) | 508 (45.44) | 529 (47.32) | <0.00001 |
Yes | 2247 (50.28) | 487 (43.60) | 561 (50.27) | 610 (54.56) | 589 (52.68) | |
Vegetarian or vegan diet: | ||||||
No | 4113 (92.03) | 964 (86.30) | 1051 (94.18) | 1046 (93.56) | 1052 (94.10) | <0.00001 |
Yes | 356 (7.97) | 153 (3.70) | 65 (5.82) | 72 (6.44) | 66 (5.90) |
Vitamin D Source | Median (Min–Max) ** in µg/day | p Value *** | ||||
---|---|---|---|---|---|---|
Total | Quartiles of Vitamin D Intake from Food (µg/day) | |||||
Q1 | Q2 | Q3 | Q4 | |||
Vitamin intake from all food sources | 2.33 (0.01–29.34) | 0.87 (0.01–1.32) A | 1.81 (1.33–2.32) B | 3.00 (2.33–4.03) C | 5.96 (4.04–29.34) D | <0.001 |
Intake from fish and fish products | 0.52 (0.00–27.28) | 0.00 (0.00–1.18) A | 0.27 (0.00–2.30) B | 1.18 (0.00–3.92) C | 3.32 (0.00–27.28) D | <0.001 |
Salmon, rainbow trout, herring, eel | 0.25 (0.00–21.25) | 0.00 (0.00–1.07) A | 0.00 (0.00–1.88) B | 0.63 (0.00–3.17) C | 2.24 (0.00–21.25) D | <0.001 |
• Salmon | 0.23 (0.00–9.5) | 0.00 (0.00–0.95) A | 0.00 (0.00–1.58) B | 0.00 (0.00–3.17) C | 0.63 (0.00–9.5) D | <0.001 |
• Herring | 0.18 (0.00–7.5) | 0.00 (0.00–0.75) A | 0.00 (0.00–1.25) B | 0.00 (0.00–3.00) C | 0.25 (0.00–7.5) D | <0.001 |
Halibut, mackerel, brook trout, sole, tuna | 0.00 (0.00–5.88) | 0.00 (0.00–0.67) A | 0.00 (0.00–1.33) B | 0.08 (0.00–3.33) C | 0.33 (0.00–5.88) D | <0.001 |
Cod, flounder, plaice, pollock, hake | 0.00 (0.00–1.25) | 0.00 (0.00–0.50) A | 0.00 (0.00–0.50) B | 0.00 (0.00–0.87) C | 0.03 (0.00–1.25) D | <0.001 |
Herring, sardine, and tuna products | 0.00 (0.00–12.36) | 0.00 (0.00–0.41) A | 0.00 (0.00–1.24) B | 0.00 (0.00–1.65) C | 0.41 (0.00–12.36) D | <0.001 |
Other fish products | 0.00 (0.00–0.93) | 0.00 (0.00–0.62) A | 0.00 (0.00–0.31) B | 0.00 (0.00–0.31) C | 0.00 (0.00–0.93) D | <0.001 |
Dairy products | 0.31 (0.00–4.93) | 0.19 (0.00–1.04) A | 0.30 (0.00–2.29) B | 0.36 (0.00–2.05) C | 0.50 (0.00–4.93) D | <0.001 |
Eggs | 0.38 (0.00–8.71) | 0.12 (0.00–1.21) A | 0.37 (0.00–1.71) B | 0.50 (0.00–2.94) C | 0.75 (0.00–8.71) D | <0.001 |
Meat and meat products | 0.39 (0.00–4.33) | 0.13 (0.00–1.14) A | 0.39 (0.00–2.00) B | 0.48 (0.00–2.83) C | 0.68 (0.00–4.33) D | <0.001 |
Cereals | 0.12 (0.00–2.48) | 0.07 (0.00–0.86) A | 0.11 (0.00–0.86) B | 0.14 (0.00–2.04) C | 0.17 (0.00–2.48) D | <0.001 |
Fats | 0.04 (0.00–3.20) | 0.01 (0.00–0.48) A | 0.04 (0.00–1.33) B | 0.05 (0.00–1.58) C | 0.07 (0.00–3.20) D | <0.001 |
Vitamin D Source | Median (Min–Max) ** in Servings/Week | p Value *** | ||||
---|---|---|---|---|---|---|
Total | Quartiles of Vitamin D Intake from Food (µg/day) | |||||
Q1 | Q2 | Q3 | Q4 | |||
Total fish and fish products | 0.70 (0.00–34.53) | 0.00 (0.00–7.00) A | 0.47 (0.00–7.00) B | 1.40 (0.00–12.83) C | 3.73 (0.00–34.53) D | <0.001 |
Salmon, rainbow trout, herring, eel | 0.23 (0.00–14.00) | 0.00 (0.00–0.93) A | 0.00 (0.00–1.52) B | 0.47 (0.00–2.80) C | 1.63 (0.00–14.00) D | <0.001 |
• Salmon | 0.23 (0.00–7.00) | 0.00 (0.00–0.70) A | 0.00 (0.00–1.17) B | 0.00 (0.00–2.80) C | 0.47 (0.00–7.00) D | <0.001 |
• Herring | 0.21 (0.00–7.00) | 0.00 (0.00–0.70) A | 0.00 (0.00–1.17) B | 0.00 (0.00–2.33) C | 0.45 (0.00–7.00) D | <0.001 |
Halibut, mackerel, brook trout, sole, tuna | 0.00 (0.00–12.13) | 0.00 (0.00–2.10) A | 0.00 (0.00–2.33) B | 0.23 (0.00–5.8) C | 0.70 (0.00–12.13) D | <0.001 |
Cod, flounder, plaice, pollock, hake | 0.00 (0.00–19.13) | 0.00 (0.00–7.00) A | 0.00 (0.00–7.00) B | 0.00 (0.00–12.83) C | 0.47 (0.00–19.13) D | <0.001 |
Herring, sardine, and tuna products | 0.00 (0.00–7.00) | 0.00 (0.00–0.23) A | 0.00 (0.00–0.70) B | 0.00 (0.00–0.93) C | 0.23 (0.00–7.00) D | <0.001 |
Other fish products | 0.00 (0.00–7.00) | 0.00 (0.00–4.47) A | 0.00 (0.00–2.33) B | 0.00 (0.00–2.33) C | 0.00 (0.00–7.00) D | <0.001 |
Vitamin D Source | Regions of Poland | p Value *** | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Central (n = 567) | Eastern (n = 914) | Northern (n = 1350) | North-Western (n = 396) | Southern (n = 993) | South-Western (n = 249) | ||||||||
Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | ||
Total intake from food | 100.00 | 2.35 (0.01–25.18) | 100.00 | 2.20 A (0.01–29.34) | 100.00 | 2.41 B (0.04–29.26) | 100.00 | 2.22 (0.05–28.17) | 100.00 | 2.33 (0.07–24.27) | 100.00 | 2.24 (0.13–23.68) | 0.0008 |
Intake from fish and fish products Salmon, rainbow trout, herring, and eel Halibut, mackerel, brook trout, sole, and tuna Cod, flounder, plaice, pollock, and hake Herring, sardine, and tuna products Other fish products | 32.08 | 0.60 (0.00–21.10) 0.26 (0.00–18.47) 0.03 AC (0.00–5.60) 0.00 (0.00–1.25) 0.00 (0.00–8.24) 0.00 (0.00–0.62) | 34.33 | 0.58 (0.00–17.89) 0.25 (0.00–12.95) 0.03 AC (0.00–5.32) 0.00 (0.00–0.50) 0.00 (0.00–12.36) 0.00 (0.00–0.93) | 27.87 | 0.43 A (0.00–27.28) 0.25 (0.00–21.25) 0.00 BC (0.00–5.88) 0.00 (0.00–0.78) 0.00 A (0.00–6.18) 0.00 (0.00–0.62) | 29.93 | 0.49 (0.00–21.47) 0.25 (0.00–21.19) 0.00 C (0.00–2.56) 0.00 (0.00–1.14) 0.00 (0.00–8.24) 0.00 (0.00–0.31) | 32.01 | 0.63 B (0.00–18.39) 0.25 (0.00–13.31) 0.08 A (0.00–5.42) 0.00 (0.00–0.89) 0.00 B (0.00–8.24) 0.00 (0.00–0.31) | 28.83 | 0.43 (0.00–19.90) 0.25 (0.00–17.00) 0.00 (0.00–4.00) 0.00 (0.00–0.62) 0.00 (0.00–3.30) 0.00 (0.00–0.25) | 0.0329 0.6626 <0.0001 0.102 <0.0001 0.4128 |
Dairy products Eggs Meat and meat products Cereals Fats | 16.39 23.12 18.07 6.93 3.41 | 0.31 (0.00–3.29) 0.37 A (0.00–7.43) 0.36 A (0.00–3.47) 0.11 A (0.00–2.04) 0.03 ACD (0.00–2.03) | 23.82 16.56 15.64 6.25 3.40 | 0.31 (0.00–3.84) 0.25 B (0.00–7.50) 0.30 B (0.00–3.94) 0.10 B (0.00–2.48) 0.03 B (0.00–2.11) | 17.02 22.00 22.42 6.68 4.00 | 0.32 (0.00–4.93) 0.49 A (0.00–8.71) 0.47 C (0.00–4.33) 0.12 A (0.00–1.99) 0.04 C (0.00–2.88) | 18.17 21.18 20.13 7.60 2.99 | 0.34 (0.00–3.13) 0.49 A (0.00–5.00) 0.43 AC (0.00–3.60) 0.12 A (0.00–1.82) 0.03 CD (0.00–1.86) | 16.60 21.16 18.66 7.21 4.37 | 0.30 (0.00–3.16) 0.49 A (0.00–6.79) 0.37 A (0.00–4.01) 0.12 A (0.00–1.06) 0.05 BD (0.00–3.20) | 17.54 21.34 20.81 7.30 4.18 | 0.32 (0.00–2.30) 0.49 A (0.00–6.29) 0.45 AC (0.00–3.6) 0.12 A (0.00–1.69) 0.05 BD (0.00–2.93) | 0.19 <0.0001 <0.0001 <0.0001 <0.0001 |
Vitamin D Source | Age of Participants | p Value *** | |||
---|---|---|---|---|---|
14–17 Years (n = 3131) | 18–20 Years (n = 1338) | ||||
Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | ||
Total intake from food | 100.00 | 2.36 (0.02–29.34) | 100.00 | 2.41 (0.01–29.26) | 0.2935 |
Intake from fish and fish products Salmon, rainbow trout, herring, and eel Halibut, mackerel, brook trout, sole, and tuna Cod, flounder, plaice, pollock, and hake Herring, sardine, and tuna products Other fish products | 29.31 | 0.50 (0.00–27.23) 0.25 (0.00–21.25) 0.00 (0.00–5.60) 0.00 (0.00–1.25) 0.00 (0.00–12.36) 0.00 (0.00–0.93) | 30.54 | 0.61 (0.00–27.28) 0.26 (0.00–20.93) 0.00 (0.00–5.88) 0.00 (0.00–0.56) 0.00 (0.00–8.24) 0.00 (0.00–0.62) | 0.1038 0.0800 06081 0.3913 0.3335 0.1275 |
Dairy products Eggs Meat and meat products Cereals Fats | 17.61 21.52 20.54 7.14 3.88 | 0.32 (0.00–3.84) 0.49 (0.00–8.71) 0.39 (0.00–4.20) 0.12 (0.00–2.04) 0.04 (0.00–3.20) | 16.61 21.98 19.46 7.22 4.19 | 0.31 (0.00–4.93) 0.49 (0.00–7.43) 0.43 (0.00–4.33) 0.13 (0.00–2.48) 0.05 (0.00–2.68) | 0.1091 0.1778 0.7289 0.0081 0.0121 |
Vitamin D Source | Body Mass Index (BMI) Classification | p Value *** | |||||||
---|---|---|---|---|---|---|---|---|---|
Underweight (n = 445) | Normal Weight (n = 3234) | Overweight (n = 482) | Obesity (n = 308) | ||||||
Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | ||
Total intake from food | 100.00 | 2.24 (0.01–23.14) | 100.00 | 2.33 (0.02–29.3) | 100.00 | 2.30 (0.04–24.98) | 100.00 | 2.42 (0.01–25.97) | 0.7471 |
Intake from fish and fish products Salmon, rainbow trout, herring, and eel Halibut, mackerel, brook trout, sole, and tuna Cod, flounder, plaice, pollock, and hake Herring, sardine, and tuna products Other fish products | 29.53 | 0.46 (0.00–19.18) 0.25 (0.00–15.20) 0.00 (0.00–3.20) 0.00 (0.00–0.56) 0.00 (0.00–8.24) 0.00 (0.00–0.37) | 31.04 | 0.53 (0.00–27.28) 0.25 (0.00–21.25) 0.00 (0.00–5.90) 0.00 (0.00–1.25) 0.00 (0.00–12.36) 0.00 (0.00–0.93) | 30.71 | 0.50 (0.00–18.79) 0.25 (0.00–17.50) 0.00 (0.00–4.00) 0.00 (0.00–0.63) 0.00 (0.00–4.94) 0.00 (0.00–0.62) | 31.45 | 0.47 (0.00–21.47) 0.25 (0.00–15.53) 0.00 (0.00–4.20) 0.00 (0.00–0.80) 0.00 (0.00–0.62) 0.00 (0.00–0.31) | 0.7428 0.723 0.7571 0.5637 0.7054 0.7914 |
Dairy products Eggs Meat and meat products Cereals Fats | 18.48 20.78 19.80 7.10 4.32 | 0.30 (0.00–3.84) 0.36 (0.00–8.71) 0.40 (0.00–3.60) 0.12 (0.00–0.98) 0.04 (0.00–1.01) | 18.43 20.67 19.07 6.98 3.82 | 0.32 (0.00–4.93) 0.38 (0.00–8.11) 0.37 (0.00–4.20) 0.12 (0.00–2.48) 0.04 (0.00–3.20) | 17.56 21.62 20.43 6.04 3.63 | 0.30 (0.00–3.16) 0.49 (0.00–7.50) 0.40 (0.00–4.09) 0.14 (0.00–0.98) 0.04 (0.00–2.93) | 18.82 19.94 20.05 6.53 3.20 | 0.31 (0.00–3.33) 0.43 (0.00–3.71) 0.42 (0.00–4.33) 0.10 (0.00–2.04) 0.03 (0.00–1.85) | 0.1302 0.5984 0.7790 0.364 0.1844 |
Vitamin D Source | Vitamin D Supplementation | Vegetarian or Vegan Diet | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
No (n = 2222) | Yes (n = 2247) | p Value *** | No (n = 4113) | Yes (n = 356) | p Value *** | |||||
Intake (%) | Median ** (Min-Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | Intake (%) | Median ** (Min–Max) | |||
Total intake from food | 100.00 | 2.19 (0.02–28.17) | 100.00 | 2.47 (0.01–29.34) | <0.0001 | 100.00 | 2.37 (0.01–29.34) | 100.00 | 1.70 (0.01–28.75) | <0.0001 |
Intake from fish and fish products Salmon, rainbow trout, herring, and eel Halibut, mackerel, brook trout, sole, and tuna Cod, flounder, plaice, pollock, and hake Herring, sardine, and tuna products Other fish products | 29.03 | 0.42 (0.00–27.22) 0.25 (0.00–21.25) 0.00 (0.00–5.60) 0.00 (0.00–1.25) 0.00 (0.00–12.36) 0.00 (0.00–0.93) | 32.72 | 0.61 (0.00–27.28) 0.32 (0.00–21.19) 0.08 (0.00–5.88) 0.00 (0.00–1.14) 0.00 (0.00–8.24) 0.00 (0.00–0.93) | <0.0001 0.0001 <0.0001 0.0002 0.0647 0.1163 | 31.33 | 0.55 (0.00–27.28) 0.00 (0.00–21.25) 0.00 (0.00–5.88) 0.00 (0.00–1.25) 0.00 (0.00–12.36) 0.00 (0.00–0.93) | 28.20 | 0.09 (0.00–19.66) 0.00 (0.00–13.76) 0.00 (0.00–2.42) 0.00 (0.00–0.50) 0.00 (0.00–8.24) 0.00 (0.00–0.31) | <0.0001 0.0002 0.0001 0.0174 0.0059 0.0015 |
Dairy products Eggs Meat and meat products Cereals Fats | 18.77 20.58 20.64 7.02 3.95 | 0.30 (0.00–4.93) 0.37 (0.00–7.43) 0.39 (0.00–4.33) 0.11 (0.00–1.99) 0.04 (0.00–3.20) | 17.97 20.88 18.08 6.69 3.67 | 0.33 (0.00–3.84) 0.49 (0.00–8.71) 0.38 (0.00–4.09) 0.12 (0.00–2.48) 0.04 (0.00–2.93) | 0.0002 0.0026 0.2341 0.1837 0.8308 | 17.68 20.30 20.31 6.65 3.72 | 0.31 (0.00–4.93) 0.38 (0.00–8.12) 0.42 (0.00–4.33) 0.12 (0.00–2.48) 0.04 (0.00–3.20) | 28.41 28.19 0.00 10.09 5.11 | 0.29 (0.00–2.00) 0.36 (0.00–8.71) 0.00 (0.00–0.00) 0.11 (0.00–1.33) 0.03 (0.00–2.30) | 0.5086 0.206 <0.0001 0.0889 0.0007 |
Variable | Correlations | ||
---|---|---|---|
r | p | ||
Number of servings of fish and fish products per week | Total fish and fish products | 0.74 | <0.01 |
Salmon, rainbow trout, herring, and eel | 0.71 | <0.01 | |
Halibut, mackerel, brook trout, sole, and tuna | 0.56 | <0.01 | |
Cod, flounder, plaice, pollock, and hake | 0.43 | <0.01 | |
Herring, sardine, and tuna products | 0.54 | <0.01 | |
Other fish products | 0.41 | <0.01 | |
Vitamin D intake from fish and fish products (µg/day) | Intake from fish and fish products | 0.76 | <0.01 |
Salmon, rainbow trout, herring, and eel | 0.71 | <0.01 | |
Halibut, mackerel, brook trout, sole, and tuna | 0.56 | <0.01 | |
Cod, flounder, plaice, pollock, and hake | 0.43 | <0.01 | |
Herring, sardine, and tuna products | 0.54 | <0.01 | |
Other fish products | 0.42 | <0.01 | |
Body Mass Index (kg/m2) | 0.03 | 0.0093 |
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Lachowicz, K.; Stachoń, M. Determinants of Dietary Vitamin D Intake in Population-Based Cohort Sample of Polish Female Adolescents. Int. J. Environ. Res. Public Health 2022, 19, 12184. https://doi.org/10.3390/ijerph191912184
Lachowicz K, Stachoń M. Determinants of Dietary Vitamin D Intake in Population-Based Cohort Sample of Polish Female Adolescents. International Journal of Environmental Research and Public Health. 2022; 19(19):12184. https://doi.org/10.3390/ijerph191912184
Chicago/Turabian StyleLachowicz, Katarzyna, and Małgorzata Stachoń. 2022. "Determinants of Dietary Vitamin D Intake in Population-Based Cohort Sample of Polish Female Adolescents" International Journal of Environmental Research and Public Health 19, no. 19: 12184. https://doi.org/10.3390/ijerph191912184