Prevalence of vitamin D level disorders in therapeutic patients and features of their correction

Abstract

Objective: to study the prevalence of vitamin D level disorders in therapeutic patients and the features of their correction. Materials and methods: 322 patients who applied for medical help in the field of therapy (rheumatology and cardiology) were examined. Methods: clinical, laboratory (study of the level of vitamin D in the blood), statistical. Results: it was found that among patients with a therapeutic profile, vitamin D concentration disorders (deficiency and insufficiency) occur in 72,7 % of the surveyed. There is a high prevalence of risk factors for osteoporosis in the examined patients: female sex prevails (81 %), age average age was (53,6 14,3) years, drug use (50 % take proton pump inhibitors, 21,4 % take glucocorticoids). When comparing the proportion of people with impaired vitamin D levels in comparison with the data of previous years, there was a decrease in the proportion of people with vitamin D deficiency and an increase in the proportion of people with vitamin D deficiency. Among people with a vitamin D level of 30100 ng/ml, daily use of vitamin D preparations in dosages exceeding the recommended consumption levels was noted. Conclusion: based on the data obtained, the prevalence of vitamin D deficiency and insufficiency remains high. However, recently there has been a trend towards a decrease in the proportion of people with vitamin D deficiency and an increase in the proportion of people with vitamin D deficiency. In this connection, it is necessary to inform the population about the recommended adequate levels of vitamin D in blood serum and safe dosages of vitamin D preparations for daily intake.