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Table 4 Prevalence of hypovitaminosis D in healthy children and adolescents living in Italy

From: Vitamin D in pediatric age: consensus of the Italian Pediatric Society and the Italian Society of Preventive and Social Pediatrics, jointly with the Italian Federation of Pediatricians

Study

Period of enrolment

Number

M (%)

Age (range or as specified)

City/Region (Latitude)

% overweight

% obese

% receiving vitamin D

% not Caucasian

25(OH)D assay

Severe deficiency, % [25(OH)D < 10 ng/ml]

Deficiency, % [25(OH)D < 20 ng/ml]

Insufficiency, % [25(OH)D: 20–29.9 ng/ml]

Hypovitaminosis D, % [25(OH)D < 30 ng/ml]

Factors for associated with serum 25(OH)D levels

Lippi G et al. [69]

June 2004–June 2007

192

a

1 week-17.9 years

Verona (45°N)

a

a

a

a

CL

6.2 (< 11 ng/ml)

a

a

a

a

Marrone G et al. [70]

July 2009–June 2010

93

41.9

2–220 months

Udine (46°N)

a

11.8

33.3

14.0

CL

6.4 (< 5 ng/ml)

54.8

a

a

Ethnicity, BMI, seasonality

Pacifico L et al. [71]

Nov 2008-Mar 2009; Nov 2009-Mar 2010

452

46.7

b

Roma (41°N)

67.2 (overweight or obese)

a

0

CL

a

34.5 (< 17 ng/ml)

33.0 (17–27 ng/ml)

67.5 (< 27 ng/ml)

BMI

Lippi G et al. [72]

Oct 2008-Oct 2011

270

57.8

12.0–20.9 years

Parma (44°N)

a

a

a

a

CL

a

19.3

36.3

55.6

a

Mazzoleni S et al. [73]

Nov 2010-June 2012

58

69.0

1.1–15.3 years

Padua (45°N)

15.5

0

a

19.0

CL

a

50

27.6

77.6

a

Cadario F et al. [74]

June 2009-Sept 2009

62

a

1–3 days

Novara (45°N)

a

a

56.5 (mothers)

48.4

CL

46.3

75.6

a

a

Ethnicity, maternal supplementation

Vierucci F et al. [50]

Oct 2010-Sept 2012

652

49.7

2.0–21.0 years

Pisa (43°N)

18.9

23.0

0

5.7

RIA

9.5

45.9

33.9

79.5

Age, seasonality, ethnicity, BMI, sun exposure, sunscreen use

Bellone S et al. [75]

Jan 2010-Oct 2012

557

51.5

11.2 ± 0.1 yearsc

Novara (45°N)

79.7 (overweight or obese)

a

0

CL

a

Normal weight 31.8

Normal weight 39.9

Normal weight 71.7

BMI, waist and hip circumference

Obese 44.4

Obese 36.7

Obese 81.1

Franchi B et al. [76]

Jan 2010-Dec 2012

1374

53.9

0–16 years

Verona (45°N)

a

a

a

16.4

CL

a

Caucasian 44.2

Caucasian 30.6

Caucasian 74.8

Age, seasonality, ethnicity, gestational age, birth weight, BMI

Not Caucasian 75.9–89.7

Not Caucasian 44.8–69.2

Not Caucasian 16.0–31.1

Ciresi A et al. [77]

Jan 2011- Dec 2012

80d

72.5

4.3–16.0 years

Sicily (37°N)

a

a

a

a

CL

a

40.0

35.0

75.0

Seasonality

Stagi S et al. [78]

Sept 2010-Dec 2013

679

48.0

2.1–17.9 years

Florence (44°N)

24.7

4.3

0

0

CL

20.5

58.7

30.0

88.7

Age, seasonality, BMI, sun exposure, sunscreen use

Vierucci F et al. [79]

Oct 2010-Sept 2012

427

50.0

10.0–21.0 years

Pisa (43°N)

21.3

22.7

0

4.0

RIA

8.9

49.9

32.3

82.8

Age, seasonality, BMI, ethnicity, sun exposure, sunscreen use

Banzato C et al. [80]

Oct 2009-May 2010

32

65.6

7–16 years

Verona (45°N)

100.0

0

0

CL

31.3

84.4

a

a

a

Cadario F et al. [81]

Apr 2012-Mar 2013

533

a

1–3 days

Novara (45°N)

a

a

58.2 (mothers)

35.8

TM

33.3

85.4

12.5

97.9

Season of birth, ethnicity, maternal supplementation

Colao A et al. [82]

Oct 2012-Oct 2013

373

59.0

11–20 years

Campania (40°N)

19.8

26.8

0

a

CL

a

1.6

79.4

19.0

BMI, smoking, exercise performance

Prodam F et al. [83]

July 2009-Dec 2013

575

50.2

6–18 years

Novara (45°N)

28.2

71.8

0

0

CL

a

46.1

37.6

83.7

Age, BMI, waist circumference, seasonality, UVR, sun exposure

Di Nisio A et al. [84]

Oct 2013

108

100

11–14 years

Salerno (40°N)

45.4 (overweight or obese)

0

a

CL

a

a

a

83.3

BMI

  1. CL chemiluminescence, RIA radioimmunoassay, TM tandem mass, BMI body mass index
  2. adata not reported
  3. bI 25(OH)D3 tertile: 11.5 ± 4.2 years; II 25(OH)D3 tertile 11.2 ± 4.3 years; III 25(OH)D3 tertile 11.0 ± 4.0 years (median ± interquartile range)
  4. cmean ± standard error of mean
  5. dchildren affected by growth hormone deficiency