Articles

Does Aging Increase Vitamin D Serum Level in Healthy Postmenopausal Women?

Abstract

Vitamin D deficiency is the most under-diagnosed medical condition in postmenopausal women. There are few epidemiologic studies on vitamin D status of postmenopausal women in Iran. This study aimed to investigate the 25-hydroxyvitamin D levels in postmenopausal women living in Tehran, capital of Iran. In this cross sectional study, 110 women were selected via convenience sampling method from menopause clinic of Tehran Women General Hospital between 2011 and 2012. For each woman, a questionnaire was completed, and 25-hydroxyvitamin D levels were determined by chemiluminescence's immunoassay. Vitamin D deficiency has been considered as a 25(OH)D of less than 20ng/ml. Vitamin D insufficiency has been defined as a 25(OH)D of 21-29ng/ml, and sufficiency as a 25(OH)D of 30-100ng/ml. The data was analyzed by using Pearson correlation test in SPSS version 16. The mean age of women was 52.67±5 years. The mean age at natural menopause onset was 47.66±4.44 years, and the median menopause age was 49.00. The median 25(OH)D level was 19.28 (Inter Quartile Range=26.08). We found vitamin D deficiency and vitamin D insufficiency 52.7% and17.3% respectively. Serum 25(OH) D concentrations were significantly correlated with age(r=0.21, P=0.024). These findings indicate that 25(OH)D level in postmenopausal women from Tehran is low. There is a statistically significant positive correlation between vitamin D concentration and age in late postmenopausal period.

Holick MF. Vitamin D deficiency. N Engl J Med 2007;19;357(3):266-81.

Holick MF. The vitamin D epidemic and its health consequences. J Nutr 2005;135(11):2739S-48S.

MacLaughlin J, Holick MF. Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest 1985;76(4):1536-8.

Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96(7):1911-30.

Heaney RP, Dowell MS, Hale CA, Bendich A. Calcium absorption varies within the reference range for serum 25- hydroxyvitamin D. J Am Coll Nutr 2003;22(2):142-6.

Mithal A, Wahl DA, Bonjour JP, Burckhardt P, Dawson- Hughes B, Eisman JA, El-Hajj Fuleihan G, Josse RG, Lips P, Morales-Torres J; IOF Committee of Scientific Advisors (CSA) Nutrition Working Group. Global vitamin D status and determinants of hypovitaminosis D. Osteoporosis Int 2009;20(11):1807-20.

Lips P, Hosking D, Lippuner K, Norquist J, Wehren L, Maalouf G, Ragi-Eis S, Chandler J. The prevalence of vitamin D inadequacy amongst women with osteoporosis: an international epidemiological investigation. J Intern Med 2006;260(3):245-54.

Goldray D, Mizrahi-Sasson E, Merdler C, Edelstein-Singer M, Algoetti A, Eisenberg Z, Jaccard N, Weisman Y.. Vitamin D deficiency in elderly patients in a general hospital. J Am Geriatr Soc 1989;37(7):589-92.

Fuleihan GEH, Deeb M. Hypovitaminosis D in a sunny country. N Engl J Med 1999;340(23):1840-1.

Mishal A. Effects of different dress styles on vitamin D levels in healthy young Jordanian women. Osteoporosis Int 2001;12(11):931-5.

Hashemipour S, Larijani B, Adibi H, Sedaghat M, Pajouhi M, Bastan-Hagh MH, Soltani A, Javadi E, Shafaei AR, Baradar-Jalili R, Hossein-Nezhad A. The status of biochemical parameters in varying degrees of vitamin D deficiency. J Bone Miner Metab 2006;24(3):213-8.

Maddah M, Sharami SH, Neyestani TR. Vitamin D Insufficiency Among Postmenopausal Women in Urban and Rural Areas in Guilan, Northern Iran. J Nutr Elder 2009;28(4):386-93.

Rassouli A, Milanian I, Moslemi-Zadeh M. Determination of serum 25-hydroxyvitamin D3 levels in early postmenopausal Iranian women: relationship with bone mineral density. Bone 2001;29(5):428-30.

Hosseinpanah F, Rambod M, Hossein-nejad A, Larijani B, Azizi F. Association between vitamin D and bone mineral density in Iranian postmenopausal women. J Bone Miner Metab 2008;26(1):86-92.

Lips P. Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for boneloss and fractures and therapeutic implications. Endocr Rev 2001;22(4):477-501.

Omdahl JL, Garry PJ, Hunsaker LA, Hunt WC, Goodwin JS. Nutritional status in a healthy elderly population: vitamin D. Am J Clin Nutr 1982;36(6):1225-33.

Hashemipour S, Larijani B, Adibi H, Javadi E, Sedaghat M, Pajouhi M, Soltani A, Shafaei AR, Hamidi Z, Fard AR, Hossein-Nezhad A, Booya F. Vitamin D deficiency and causative factors in the population of Tehran. BMC Public health 2004;4(1):38.

Pérez-López FR, Brincat M, Erel CT, Tremollieres F,= Gambacciani M, Lambrinoudaki I, Moen MH, Schenck- Gustafsson K, Vujovic S, Rozenberg S, Rees M. EMAS position statement: Vitamin D and postmenopausal health. Maturitas 2012;71(1):83-8.

Files
IssueVol 51, No 10 (2013) QRcode
SectionArticles
Keywords
Aging Postmenopausal women Vitamin D

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Asadi M, Jouyandeh Z, Nayebzadeh F, Qorbani M. Does Aging Increase Vitamin D Serum Level in Healthy Postmenopausal Women?. Acta Med Iran. 1;51(10):701-704.