Vitamin D status and its predictors in New Zealand aged-care residents eligible for a government-funded universal vitamin D supplementation programme.

Abstract:

OBJECTIVE:The provision of prescribed vitamin D to all aged-care residents has been implemented in New Zealand as part of a government-led falls prevention programme. To our knowledge, there has been no evaluation of this universal programme on vitamin D status and functional and health outcomes. Thus, we aimed to determine 25-hydroxyvitamin D (25(OH)D) concentrations and their predictors in aged-care residents across the country and to investigate whether the government-funded programme was associated with adequate vitamin D status. DESIGN:Cross-sectional survey of sociodemographic, biochemical, anthropometric, dietary and health characteristics. Blood samples were analysed for serum 25(OH)D and other biochemical measures. Multiple regression was used to examine predictors of vitamin D status. SETTING:Sixteen residential aged-care facilities throughout New Zealand. SUBJECTS:Residents aged ≥60 years with residency duration >12 weeks (n 309). RESULTS:Mean serum 25(OH)D was 89·9 (95 % CI 85·2, 94·5) nmol/l and monthly supplements (1250 µg (50 000 IU)) were taken by 75 % of all residents. Of those not taking a funded supplement, 65·3 % had serum 25(OH)D 125 nmol/l. CONCLUSIONS:Residents taking supplemental vitamin D had adequate vitamin D status; however monitoring of long-term supplementation should be considered, due to the high proportion of participants with high serum 25(OH)D levels.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

MacDonell SO,Miller JC,Harper MJ,Waters DL,Houghton LA

doi

10.1017/S1368980016001683

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

3349-3360

issue

18

eissn

1368-9800

issn

1475-2727

pii

S1368980016001683

journal_volume

19

pub_type

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