Prevalence and Contributing Factors of Vitamin D Deficiency Among Anesthesiology Residents
-
Ananda Dwiyogi Asadul
,
Ari Santri Palinrungi
,
Haizah Nurdin
,
A. Husni Tanra
,
Nur Surya Wirawan
,
Rusmin B.Syukur
Abstract
Background: Vitamin D plays a vital role in bone metabolism, immune function, and overall health. Healthcare professionals, particularly those working indoors, may be at increased risk for deficiency due to limited sunlight exposure. This study aimed to evaluate serum vitamin D levels and explore associated factors among anesthesiology residents.
Methods: A retrospective cross-sectional study was conducted among 50 anesthesiology residents at Dr. Wahidin Sudirohusodo General Hospital in Makassar from January to February 2025. Data were collected through self-administered questionnaires and medical records. Serum 25-hydroxyvitamin D [25(OH)D] levels were used to determine vitamin D status. Statistical analysis was performed using SPSS version 26, with P values < 0.05 considered significant.
Results: Among the 50 participants, 76% were found to be vitamin D deficient. No significant associations were found between vitamin D levels and sex, age, or BMI. However, vitamin D deficiency was more common among residents with obesity and younger age groups. Vitamin D supplementation (p = 0.022) and duration of sunlight exposure (p = 0.029) showed significant associations with serum vitamin D levels. Dietary intake and comorbidities were not significantly related to vitamin D status.
Conclusion: A high prevalence of vitamin D deficiency was observed among anesthesiology residents, likely due to occupational limitations on sun exposure. Supplementation and regular sun exposure appear to be protective factors. Targeted strategies, including routine screening and preventive interventions, are recommended for at-risk healthcare workers.
[2] Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911–30.
[3] Calvo MS, Whiting SJ, Barton CN. Vitamin D intake: a global perspective of current status. J Nutr. 2005;135(2):310–6.
[4] Ovesen L, Andersen R, Jakobsen J. Geographical differences in vitamin D status, with particular reference to European countries. Proc Nutr Soc. 2003;62(4):813–21.
[5] Martineau AR, Jolliffe DA, Hooper RL, Greenberg L, Aloia JF, Bergman P, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583.
[6] Tantri AR, Soenarto RF, Firdaus R, Theresia S, Anakotta V. Low Incidence of Vitamin D Levels Deficiency in Anesthesiology PPDSts: A Cross-Sectional, Retrospective Study. Bali J Anesthesiol. 2022;6(4):210.
[7] Villasis-Keever MA, Zurita-Cruz JN, Garduño-Espinosa J, López-Alarcón M, Barradas Vázquez AS, Miranda-Novales MG, et al. Factors associated with vitamin D deficiency in health care workers exposed to SARS-CoV-2: a cross-sectional study. Front Nutr. 2024;11:1440185.
[8] Park HY, Lim YH, Park JB, Rhie J, Lee SJ. Environmental and occupational factors associated with vitamin D deficiency in Korean adults: the Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2014. Int J Environ Res Public Health. 2020;17(24):9166.
[9] Bishnoi S, Gombar S, Ahuja V, Bhardwaj N, Kaur J. Vitamin D Levels of Anesthesiologists Working in Tertiary Care Hospital of South Asian Country: An Observational Study. J Anaesthesiol Clin Pharmacol. 2021;37(2):237.
[10] Alharbi AA, Alharbi MA, Aljafen AS, Aljuhani AM, Almarshad AI, Alomair IA, et al. Gender-specific differences in the awareness and intake of Vitamin D among adult population in Qassim Region. J Family Community Med. 2018; 25(3):148-154.
[11] Yan X, Zhang N, Cheng S, Wang Z, Qin Y. Gender differences in vitamin D status in China. Med Sci Monit. 2019;25:7094–101.
[12] Ciarambino T, Crispino P, Minervini G, Giordano M. Vitamin D: can gender medicine have a role? Biomedicines. 2023;11(6):1762.
[13] Alsheekh AMA, Abais MF, Eljamay SM. Vitamin D Deficiency Relationship with Age and Gender. Derna Acad J Appl Sci. 2025;3(2).
[14] Vallejo MS, Blümel JE, Arteaga E, Aedo S, Tapia V, Araos A, et al. Gender differences in the prevalence of vitamin D deficiency in a southern Latin American country: a pilot study. Climacteric. 2020;23(4):410–6.
[15] Bennour I, Haroun N, Sicard F, Mounien L, Landrier JF. Vitamin D and obesity/adiposity—a brief overview of recent studies. Nutrients. 2022;14(10):2049.
[16] Perna S. Is vitamin D supplementation useful for weight loss programs? A systematic review and meta-analysis of randomized controlled trials. Medicina. 2019;55(7):368.
[17] McGill AT, Stewart JM, Lithander FE, Strik CM, Poppitt SD. Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutr J. 2008;7:4.
[18] Bordelon P, Ghetu MV, Langan RC. Recognition and management of vitamin D deficiency. Am Fam Physician. 2009;80(8):841–6.
[19] Płudowski P, Kos-Kudła B, Walczak M, Fal A, Zozulińska-Ziółkiewicz D, Sieroszewski P, et al. Guidelines for preventing and treating vitamin D deficiency: a 2023 update in Poland. Nutrients. 2023;15(3):695.
[20] Sakamoto RR. Sunlight in vitamin D deficiency: Clinical implications. J Nurse Pract. 2019;15(4):282–5.
[21] O'Sullivan F, Laird E, Kelly D, van Geffen J, van Weele M, McNulty H, et al. Ambient UVB dose and sun enjoyment are important predictors of vitamin D status in an older population. J Nutr. 2017;147(5):858–68.
[22] Wacker M, Holick MF. Sunlight and Vitamin D: A global perspective for health. Dermatoendocrinol. 2013;5(1):51–108.
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| Keywords | ||
| Vitamin D deficiency Sunlight exposure Supplementation Serum 25(OH)D | ||
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