Calcium and vitamin D in adults attending an outpatient nutrition clinic
DOI:
https://doi.org/10.5020/18061230.2018.5429Keywords:
Calcium, Dietary, Vitamin D, Adult.Abstract
Objective: To assess calcium and vitamin D intake in patients attending a reference outpatient nutrition clinic. Methods: Quantitative cross-sectional study carried out from November 2015 to June 2016 to analyze 1,000 dietary recalls of patients aged 20 to 59 years attending an outpatient nutrition clinic of a university center in the countryside of Rio Grande do Sul. Recalls with incomplete household measures were excluded. Measures were standardized using pictures from a household measures book. The analysis of calcium and vitamin D intake was based on the Dietary Reference Intakes. Data were analyzed using descriptive and inferential statistics with a significance level of 5%. Results: Calcium and vitamin D intake was symmetrical, with 89.5% (n=895) of inadequate vitamin D intake and 86.6% (n=866) of inadequate calcium intake, i.e., below the daily recommendation. Men presented significantly higher calcium intake compared to women (p<0.001), while vitamin D intake showed no significant differences between genders (p=0.307). Conclusion: There was a high inadequacy of calcium and vitamin D intake in the population analyzed.Downloads
References
Leite SC, Baratto I, Silva R. Consumo de cálcio e risco de osteoporose em uma população de idosos. RBONE. 2014;8(48):165-74.
Lima AC. A utilização de cálcio e vitamina D na prevenção e no tratamento da osteoporose: Uma revisão de literatura. REBES. 2014;4(1):50-6.
Araujo MC, Bezerra IL, Barbosa FS, Junger WL, Yokoo EM, Pereira RA, et al. Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos. Revista de Saúde Pública, São Paulo. 2013;47(Supl 1):177s-89s.
Maeda SS, Lazaretti-Castro M. An overview on the treatment of postmenopausal osteoporosis. Arq Bras Endocrinol Metab. 2014;58(2):162-71.
Teixeira TM, Costa CL. Papel da vitamina D no lúpus eritematoso sistêmico. Rev Nutr. 2012;25(4):531-8.
Institute of Medicine. Dietary reference intakes for calcium and vitamin D. Washington: The National Academies Press; 2010.
Inda AJ Filho, Melamed ML. Vitamina D e doença renal. O que nós sabemos e o que nós não sabemos. J Bras Nefrol. 2013;35(4):323-31.
Mozos I, Marginean O. Links between vitamin D deficiency and cardiovascular diseases. Biomed Res Int. 2015;2015:109275.
Lichtenstein A, Ferreira MJ, Sales MM, Aguiar FB, Fonseca LAM, Sumita NM, et al. Vitamin D: non-skeletal actions and rational use. Rev Assoc Med Bras. 2013;59(5):495-506.
França NAG, Martini LA. Funções plenamente reconhecidas de nutrientes: cálcio. São Paulo: ILSI; 2014.
Borg ST, Verlaan S, Hemsworth J, Mijnarends DM, Schols JMGA, Luiking YC, et al. Micronutrient intakes and potential inadequacies of community-dwelling older adults: a systematic review. Br J Nutr. 2015;113(8):1195-206.
Leão LS, Cardoso FS. Efeitos do consumo de cálcio na composição corporal e perda de peso em adultos. RBCS. 2014;12(40):69-73.
Dietary reference intakes for calcium. Washington: The National Academies Press; 2010.
Basile LH. Gestante e necessidade da vitamina D. Int J Nutrology. 2014;7(1):5-13.
Bosco SMD, Conde SR, Machado IK. Métodos práticos para cálculo de dietas. Lajeado: Univates; 2007.
Ethgen O, Hiligsmann M, Burlet N, Reginster JY. Public health impact and cost-effectiveness of dairy products supplemented with vitamin D in prevention of osteoporotic fractures. Arch Public Health. 2015;73:48.
Horta PM, Souza AC Lopes, Santos LC. Dietary quality maintained among overweight brazilian women enrolled in a primary healthcare service. J Health Popul Nutr. 2014;32(4):608-14.
Bellan M, Pirisi M, Sainaghia PP. Osteoporose na artrite reumatoide: papel do sistema vitamina D/hormônio paratireóideo. Rev Bras Reumatol. 2015;55(3):256-63.
Rafaelli RA, Nomura PR, Figueira FD, Santos ICPF, Silva LFRS, Venturini D. Influência da vitamina D nas doenças endocrinometabólicas. Semina Ciênc Biol Saúde. 2015;36(1 Supl):333-48.
Ahmadieh H, Arabi A. Vitamins and bone health: beyond calcium and vitamin D. Nutr Rev. 2011;69(10):584-98.
Choi S, Yeum K, Park S, Choi B, Joo N. Dietary calcium and framingham risk score in vitamin d deficient male (KNHANES 2009–2011). Yonsei Med J. 2015;56(3):845-52.
Bonucci E. Bone mineralization. Front Biosci (Landmark Ed). 2012;17:100-28.
Pludowski P, Holick MF, Pilz S, Wagner CL, Hollis BW, Grant WB et al. Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality-A review of recent evidence. Autoimmun Rev. 2013;12(10):976-89.
Zhu K, Prince RL. Calcium and bone. Clin Biochem. 2012;45(12):936-42.
Souza MPG. Diagnóstico e tratamento da osteoporose. Rev Bras Ortop. 2010;45(3):220-9.
Fontes TMP, Araújo LFB, Soares PRG. Osteoporose no climatério I: epidemiologia, definição, rastreio e diagnóstico. Femina. 2012;40(2):109-16.
Tai V, Leung W, Grey A, Reid IR, Bolland MJ. Calcium intake and bone mineral density: systematic review and meta-analysis. BMJ. 2015;351:4183.
Khan B, Nowson CA, Daly RM, English DR, Hodge AM, Giles GG, et al. Higher dietary calcium intakes are associated with reduced risks of fractures, cardiovascular events, and mortality: a prospective cohort study of older men and women. J Bone Miner Res.2015;30(10):1758-66.
Lee AW, Cho SS. Association between phosphorus intake and bone health in the NHANES population. Nutr J. 2015;14:28.
Wadolowska L, Sobas K, Szczepanska JW, Slowinska MA, Czlapka-Matyasik M, Niedzwiedzka E. Dairy products, dietary calcium and bone health: possibility of prevention of osteoporosis in women: the polish experience. Nutrients. 2013;5(7):2684-707.
Andrade SAF. Osteoporose: um problema de saúde pública. Unilus Ensino Pesquisa. 2015;12(28):41-6.
Domene SMA, Assumpção D, Barros MBA, Luz VG, Fisberg RG. Ingestão de minerais e fitatos: indicadores para o monitoramento de risco nutricional. Vig Sanit Debate. 2014;2(4):69-75.
Cardoso AMG, Barcelos RS, Mesenburg MA, Silva CML. Prevalência do consumo de cálcio em universitárias. Rev Acadêmica Medicina UFPEL. 2013;7(1):1-3.
Viudes DR, Brecailo MK, Schwabsilva J, Levinske LC, Melhem ARF, Kühl AM. Perfil nutricional e consumo alimentar de pacientes com excesso de peso atendidos por um ambulatório de nutrição. Publ UEPG Ci Biol Saúde. 2014;20(2):115-24.
Steiner ML, Azevedo LH, Bonacordi CL, Barros AZ, Strufaldi R, Fernandes CE. Avaliação de consumo alimentar, medidas antropométricas e tempo de menopausa de mulheres na pós-menopausa. Rev Bras Ginecol Obstet. 2015;37(1):16-23.
Murphy MM, Barraj LM, Toth LD, Laura S Harkness LS, Bolster DR. Daily intake of dairy products in Brazil and contributions to nutrient intakes: a cross-sectional study. Public Health Nutr. 2016;19(3):393-400.
Ruiz FS, Oliveira AF, Simão ANC, Lozovoy MAB, Alfieri AF, Sandrini F, et al. Associação entre deficiência de vitamina D, adiposidade e exposição solar em participantes do sistema de hipertensão arterial e diabetes melito. Semina Ciênc Biol Saúde. 2014;35(2):103-14.
Souza LB, Malta MB, Donato PM, Corrente JE, Carvalhaes MABL, Papini JS. Inadequação de consumo alimentar, antropometria e estilo de vida de universitárias da área de saúde. J Health Sci Inst. 2012;30(4):377-81.
Michaëlsson K, Melhus H, Lemming EW, Wolk A, Byberg L. Long term calcium intake and rates of all cause and cardiovascular mortality: community based prospective longitudinal cohort study. BMJ. 2013;346:228.
Silva MR, Costa RR, Souza GN, Faria LS, Sampedro GD. Fatores associados ao consumo de leite fluido em comunidades limítrofes rural-urbanas. Rev Med Minas Gerais. 2014;24(Supl 5):S33-S6.
Anta RMO, Rodríguez LGR, Lombán BM, Sánchez JMP, Vizuete AA, Sobaler AML. Ingesta de calcio y vitamina D en una muestra representativa de mujeres españolas; problemática específica en menopausia. Nutr Hosp. 2013;28(2):306-13.