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Instituto Nacional de Salud Pública

2017, Número 5

salud publica mex 2017; 59 (5)


Estado de la vitamina D por factores sociodemográficos e índice de masa corporal en mujeres mexicanas en edad reproductiva

Contreras-Manzano A, Villalpando S, Robledo-Pérez R

Idioma: Ingles.
Referencias bibliográficas: 52
Paginas: 518-525
Archivo PDF: 348.49 Kb.


RESUMEN

Objetivo. Describir la prevalencia de deficiencia (DVD) e insuficiencia (IVD) de vitamina D (VD), y las principales fuentes dietéticas de VD en una muestra probabilística de mujeres mexicanas en edad reproductiva participantes de la Ensanut 2012, estratificando por factores sociodemográficos y categorías de IMC. Material y métodos. Las concentraciones séricas de 25-hidroxivitamina-D (25-OH-D) se midieron utilizando la técnica ELISA en 4 162 mujeres participantes de la Ensanut 2012, que fueron clasificadas con DVD, IVD u óptimos niveles de VD. Se recolectaron datos sociodemográficos, antropometría y dieta, y se evaluó su asociación con DVD/IVD por medio de un modelo de regresión logística multinomial. Resultados. 36.8% de las mujeres presentaron DVD y 49.8% IVD. La media de ingesta de VD fue 2.56 µg/d. La probabilidad de presentar DVD o IVD fue mayor en las mujeres con sobrepeso (RRR: 1.85 y 1.44, p ‹ 0.05), obesidad (RRR: 2.94 y 1.93, p ‹ 0.001), residentes del área urbana (RRR: 1.68 y 1.31, p ‹ 0.06), del tercil 3 de nivel socioeconómico (RRR: 5.32 y 2.22, p ‹ 0.001) o indígenas (RRR: 2.86 y 1.70, p ‹ 0.05) respectivamente. Conclusiones. La alta prevalencia de DVD/IVD en mujeres mexicanas es un llamado a las autoridades de salud para implementar una política de suplementación de alimentos más fuerte y hacer recomendaciones para una razonable exposición al sol.


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