Sinem BOZKURT, 1 Berat Meryem ALKAN, 1 Fatma YILDIZ, 1 Sevgi GÜMÜŞ, 1 Nebahat SEZER, 2 Özge ARDIÇOĞLU, 1 Selami AKKUŞ2

1Department of Physical Medicine and Rehabilitation, Atatürk Training and Research Hospital, Ankara, Turkey
2Department of Physical Medicine and Rehabilitation, Medical Faculty of Yıldırım Beyazıt University, Ankara, Turkey

Keywords: 25-hydroxyvitamin D defficiency; seasonal variations; vitamin D


Objectives: This study aims to assess the 25-hydroxyvitamin D [25-(OH)D] levels in patients who were seen at a physical medicine and rehabilitation outpatient clinic while also taking into account the seasonal serum vitamin D (vit D) variation.

Patients and methods: We retrospectively evaluated the medical records of the patients who attended a physical medicine and rehabilitation outpatient clinic, and the serum 25-(OH)D levels in 440 subjects of varying ages and sexes in both the summer (n=177) and winter (n=263). Serum 25-(OH)D, parathyroid hormone, alkaline phosphatase (ALP), calcium, and phosphorus levels were recorded.

Results: A large percentage of the adult Turkish population has insufficient levels of vit D during the winter and summer. Serum 25-(OH)D levels were significantly lower in the winter compared with the summer season (mean vit D: 13.9 μ/l and 19.7 μ/l, respectively; p≤0.001). The prevalence of 25-(OH)D deficiency was 94% in the winter and 85% in the summer. With respect to age or sex, there were no differences in the 25-(OH)D levels.

Conclusion: Our results indicate that although Turkey is a Mediterranean country, the Turkish people should check have their levels of 25-(OH)D periodically checked, and if necessary, appropriate supplements should be given to prevent a secondary chronic disease due to vit D deficiency.