We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Vitamin D status and clinical implications in the adult population of Malaysia: a position paper by the Malaysian Vitamin D Special Interest Group.
- Authors
Lee, Joon-Kiong; Chee, Winnie SS; Foo, Siew Hui; Lee, Verna KM; Sallehuddin, Hakimah; Khor, Hui-Min; Arasu, K.; Mohamad, Masni; Ahmad, A.R.; a/l Puvaneswaran, Sivaroshan; Koh, Kar-Chai; Hoo, Fan-Kee; Tan, Gie-Hooi; Mitchell, P.J.
- Abstract
Purpose: Vitamin D deficiency and insufficiency is common among populations globally, and in Asia and Malaysia. The purpose of this Position Paper is to propose recommendations for both clinicians and non-clinicians to promote vitamin D sufficiency in Malaysian adults. Formation of a national multisector, multidisciplinary alliance is also proposed to progress initiatives relating to safe sun exposure, adequate vitamin D intake through food fortification, and vitamin D supplementation for high-risk groups. Methods: Literature reviews were undertaken to inform summaries of the following: vitamin D status globally and in Asian and Malaysian populations, vitamin D status among individuals with common medical conditions, and current recommendations to achieve vitamin D sufficiency through sun exposure, food intake and supplementation. Recommendations were based on the findings of the literature reviews, recent European guidance on vitamin D supplementation, the 2018 road map for action on vitamin D in low- and middle-income countries, and research recommendations proposed by the Malaysian Ministry of Health in 2017. Results: Recommendations on assessment of vitamin D in the adult Malaysian population include using serum or plasma 25-hydroxyvitamin D concentration as a biomarker, widespread participation by Malaysian laboratories in the Vitamin D Standardization Program, adoption of the US Endocrine Society definitions of vitamin D deficiency and insufficiency, and development of a comprehensive nationwide vitamin D status study. Specific high-risk groups are identified for vitamin D assessment and recommendations relating to loading doses and ongoing management are also made. Conclusion: This Position Paper provides individual clinicians and national stakeholder organisations with clear recommendations to achieve vitamin D sufficiency in the adult population of Malaysia.
- Subjects
MALAYSIA; VITAMIN D metabolism; MIDDLE-income countries; SUNSHINE; FOOD consumption; VITAMIN D; DIETARY supplements; IMMUNOASSAY; HEALTH care teams; LOW-income countries; ENZYME-linked immunosorbent assay; VITAMIN D deficiency; HEALTH promotion
- Publication
Osteoporosis International, 2023, Vol 34, Issue 11, p1837
- ISSN
0937-941X
- Publication type
Article
- DOI
10.1007/s00198-023-06841-4