文摘
To study seasonal inter-individual and intra-individual variations in serum 25-hydroxy vitamin D (25(OH)D) and to explore parameters associated with 25(OH)D in a healthy Swedish adult population. 540 blood donors (60?% men; mean age 41?±?13?years) and 75 thrombocyte donors (92?% men, aged 46?±?11?years) were included. Serum was collected during 12?months and analyzed for 25(OH)D and parathyroid hormone (S-iPTH). The blood donors answered questionnaires concerning vitamin D supplements, smoking, physical activity, sunbed use and sun holidays. Repeated serum samples were collected from the thrombocyte donors to study the intra-individual variations in S-25(OH)D. S-25(OH)D varied greatly over the year correlating with the intensity of the UV-B irradiation (r S?=?0.326; p?<?0.001). During January–March, a S-25(OH)D level below the thresholds of 50 and 75?nmol/L was observed in 58 and 88?%, respectively, and during July–September in 11 and 50?% (p?<?0.001). S-25(OH)D was negatively correlated with body mass index and S-iPTH, but was significantly higher in holiday makers in sunny destinations, sunbed users, non-smokers, and in the physically active. The intra-individual analyses showed a mean increase in S-25(OH)D by 8?nmol/L/month between April and August. Approximately 75?% had serum 25(OH)D values <75?nmol/L during 75?% of the year and 50?% had serum 25(OH)D <50?nmol/L during 50?% of the year. Serum 25(OH)D was strongly associated with parameters related to sun exposure, but only weakly with intake of vitamin D supplements.