Prevalence of vitamin D deficiency in postmenopausal women in Armenia
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vitamin D deficiency

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Espitia, F. J., & Orozco, L. (2019). Prevalence of vitamin D deficiency in postmenopausal women in Armenia. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 6(3), 171–176.


Introduction: Vitamin D deficiency decreases calcium absorption in the diet; Therefore, the body is forced to use skeletal calcium, which can weaken the bones. Thus, postmenopausal women with low levels of vitamin D have a higher risk of osteoporotic fractures.
Objectives: To determine the prevalence of vitamin D deficiency in postmenopausal women in Armenia (Quindío).
Materials and methods: observational, descriptive, crosssectional study in a center of the city of Armenia, carried out between October 2012 and September 2018. A population of 537 postmenopausal women attended in the menopause and climacteric consultation, older than 40, was included years, with a diagnosis of menopause; those that were chosen by simple random sampling. Women with iatrogenic menopause, under treatment with anticoagulants (heparin), anticonvulsants (phenytoin, phenobarbital), history of cancer, history of fractures in the last year and those who did not want to participate were excluded. The plasma concentration of 25 (OH) D3 was determined by high performance liquid chromatography. Deficiency was defined with ranges of 25 (OH) D3 <20 ng/mL and insufficiency 20-29.9 ng/ mL. Sociodemographic variables, sexual and reproductive health antecedents, personal pathological antecedents and lifestyle variables were evaluated. The information collected was described and analyzed using conventional statistical techniques, with stratified analysis according to variables.
Results: the average age was 53.7 ± 8.7 years (range 42 to 78). The average concentration, in the total population, of 25 (OH) D3, was 32.45 ± 15.87 ng/mL (range 7.53-80.41). The prevalence of vitamin D deficit, in the study group, was present in 73.92% (n = 397) of the women, who recorded values below 30 ng/mL, reporting a prevalence of insufficiency of 40.78% (n = 219) and 33.14% deficiency (n = 178). The deficit increased in older women (77.57% in those over 70).
Conclusions: In the city of Armenia, approximately three quarters of postmenopausal women have vitamin D levels within the established parameters for deficiency or insufficiency. It is necessary to improve the efficiency and impact of vitamin D supplementation programs in this population group.
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