Betül ORHAN KILIÇ, Serhat KILIÇ, Eylem GÜL ATEŞ

COVID-19 PANDEMİSİ DÖNEMİNDE TÜRK ÇOCUKLARINDA D VİTAMİNİ DURUMU; TEK MERKEZ DENEYİMİ

Amaç: COVID-19 ile ilgili karantina, çocukların güneş ışığına maruz kalma oranını azaltmıştır ve çocuklar 25-hidroksivitamin D [25(OH)D] eksikliğine karşı duyarlı hale gelmiştir. Bu çalışma, pandeminin ilk yılında ve pandemi öncesi 2 yıl süresince bakılmış 25(OH)D düzeylerini incelemeyi amaçlamıştır. Gereç ve Yöntem: Bu çalışmaya 2018 Ekim–2020 Mart tarihleri arasında eşdeğer sağlık kontrolü yaptıran çocuklar dahil edilmiştir ve D vitamini bakılma tarihine göre; 2018 Ekim -2019 Mart (Grup 1), 2019 Ekim ve 2020 Mart (Grup 2), 2020 Ekim ve 2021 Mart (Grup 3) olarak kategorize edilmiştir. Grup 1, 2 ve 3'te çocukların 25(OH)D düzeyleri ile D vitamini eksikliği oranlarını karşılaştırılmıştır. Bulgular: Çocukların pandemi süresince pandemi öncesi yıllara kıyasla ortalama 25(OH)D düzeylerinin COVID-19 sırasında daha düşük olduğunu bulunmuştur(p=0,039). Çalışmada, 0-1 yaş ve 4-7 yaş grubu çocuklarda 25(OH)D eksikliği oranın pandemi öncesi döneme kıyasla daha yüksek olduğu görülmüştür (p= 0.013, p=0.011). Sonuç: 4-7 yaş arası çocuklar arasında daha düşük 25(OH)D seviyeleri, karantina sırasında azalan güneşlenme süresi ile ilişkilidir. Ancak 25(OH)D eksikliğinin bebeklerde görülme oranlarının artması endişe vericidir.

Anahtar Kelimeler:

COVID-19, child, vitamin D, confinement, deficiency, çocuk, D vitamini, karantina, eksiklik

Vitamin D Status in Turkish Children During the Covid-19 Pandemic; A Single Center Experience

Objective: COVID-19-related lockdown decreased the children's exposure to sunlight, and they were susceptible to 25-hydroxyvitamin D [25(OH)D] deficiency. The present study aimed to examine the 25(OH)D levels 2 years before and during the first year of the pandemic. Materials and Methods: This study included children who underwent health checks between the equivalent period during 2018 October–2020 March, and they were categorized according to the date vitamin D was checked; 2018 October -2019 March (Group 1), 2019 October and 2020 March (Group 2), 2020 October, and 2021 March (Group 3). We compared the children’s 25(OH)D levels and vitamin D deficiency rates between Groups 1, 2, and 3. Results: We found that the mean of the children's 25(OH)D levels was lower during COVID-19 than in the last two years before the pandemic (p=0.039). The present study showed that the rates of 25(OH)D deficiencies among ages 0-1, and 4-7 were higher during the pandemic than before (p= 0.013, p=0.011). Conclusion: Reduced sunbathing time during confinement is associated with lower 25(OH)D levels among children aged 4–7. Although increased rates of 25(OH)D deficiency in infants are worrying.

Keywords:

COVID-19, child, vitamin D, confinement, deficiency, çocuk, D vitamini, karantina, eksiklik,

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