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Seasonal variation in vitamin D levels in the Canterbury, New Zealand population in relation to available UV radiation

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Summary:

Plasma 25-hydroxyvitamin D (25[OH]D), total calcium (CaT), ionised calcium (CaI) and parathyroid hormone (PTH) concentrations in healthy volunteers (11 9 female, 82 male; median age 45 years), measured between February and July 2004, were modelled in a relationship with vitamin D-weighted ultraviolet (UV) energy measurements (dUV) for Christchurch, obtained from the National Institute of Water and Atmospheric Research UV Atlas. 25(OH)D levels were <75 nmol/L in 88% of subjects in February 2004 and in 100% of subjects in June and July. Levels were severely deficient (<12.5 nmol/L) in 1.5% of subjects. Between February and July, there were significant decreases in 25(OH)D and CaI concentrations and a significant increase in the CaT concentration. There was a hyperbolic relationship between PTH and 25(OH)D while CaT and CaI correlated negatively with PTH (r = -0.30 and -0.33; both p<0.001). Monthly mean dUV intensity ranged from 10 kJ∙m-2∙day-1 in December 2003 to 0.5 kJ∙m-2∙day-1 in June 2004. Compartmental modelling estimated that a Christchurch person made 1200 IU/day of vitamin D in mid-summer but only 60 IU/day in midwinter. The authors suggest that a daily supplement of 2600 IU vitamin D3 would correct vitamin D deficiency.

Comment:
I’ve included this paper to just alert readers that this topic – Vitamin D deficiency – is receiving more and more attention in health journals. To date it has been associated with bone disease, acute stroke, colorectal cancer and more recently diabetes and cardiovascular disease. Therefore it may have implications for Mäori and warrants further attention and possible investigation in future studies.
Reference: N Z Med J. 2007;120(1262): U2733
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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