Vitamin D deficiency among physicians: a comparison between hospitalists and community-based physicians

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• 作者：G. Munter ; T. Levi-Vineberg ; N. Sylvetsky
• 关键词：Occupational medicine ; Osteoporosis ; Physician’s health ; Sun exposure ; Vitamin D
• 刊名：Osteoporosis International
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：26
• 期：6
• 页码：1673-1676
• 全文大小：119 KB
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• 作者单位：G. Munter (1) (3)
  T. Levi-Vineberg (2)
  N. Sylvetsky (1)
  
  1. Department of Internal Medicine and Endocrine Unit, Shaare Zedek Medical Center, Jerusalem, Israel
  3. Faculty of Medicine, Hebrew University, POB 3235, 91031, Jerusalem, Israel
  2. Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  Gynecology
  Endocrinology
  Rheumatology
  
• 出版者：Springer London
• ISSN：1433-2965

文摘

Summary Physicians are indoor workers with low sun exposure. The aim of this study was to compare serum 25-hydroxyvitamin D(25(OH)D) levels among hospitalists and community-based physicians. 25(OH)D levels among hospitalist physicians were significantly lower than those among community-based physicians. Hospitalist physicians should be considered for vitamin D deficiency screening and replacement. Introduction Vitamin D deficiency is now recognized as a widespread phenomenon, even in a sunny, Mediterranean country such as Israel. Physicians may be vulnerable to low vitamin D levels due to long work hours and lack of sun exposure. Methods Forty-three physicians employed in a hospital and 38 physicians who work in the community in Jerusalem were enrolled. Their serum 25(OH)D levels were measured, and a questionnaire was filled to assess the risk of vitamin D deficiency. Results Mean serum levels of 25(OH)D among hospitalist physicians were significantly lower than those among community-based physicians (15?±- vs. 19.7?±-?ng/ml, respectively; p-lt;-.00?l). Arab physicians had a lower 25(OH)D level compared to Jewish physicians (18.2?±-.6 vs. 11.4?±-.7?ng/ml; p-lt;-.001). After exclusion of Arab physicians from the analysis, 25(OH)D levels remained higher in hospitalist compared to community-based physicians (15.9?±- vs. 20.4?±-?ng/ml; p-lt;-.004). The variables that were significantly linked to low mean serum levels of 25(OH)D were as follows: age, night shifts, daily sun exposure, and ethnic origin. Conclusion Hospitalist physicians are at greater risk for low vitamin D levels than community-based physicians.