Assessment of vitamin D among male adolescents and young adults hospitalized with eating disorders

Purpose Medical complications of eating disorders in males are understudied compared to females, as is the case of vitamin D deficiency. The aim of this study was to assess vitamin D levels among male and female adolescents and young adults hospitalized for medical complications of eating disorders. Methods We retrospectively reviewed electronic medical records of patients aged 9–25 years (N = 565) admitted to the University of California, San Francisco Eating Disorders Program for medical instability, between May 2012 and August 2020. Serum vitamin D (25-hydroxy) level was assessed at admission as was history of prior calcium, vitamin D, or multivitamin supplementation. Linear regression was used to assess factors associated with vitamin D levels. Results A total of 93 males and 472 females met eligibility criteria (age 15.5 ± 2.8, 58.8% anorexia nervosa; admission body mass index 17.6 ± 2.91). Among male participants, 44.1% had 25-hydroxyvitamin D levels < 30 ng/mL, 18.3% had 25-hydroxyvitamin D levels < 20 ng/mL, and 8.6% had 25-hydroxyvitamin D levels < 12 ng/mL. There were no significant differences in 25-hydroxyvitamin D levels in males compared to females, except that a lower proportion (1.9%) of female participants had 25-hydroxyvitamin D levels < 12 ng/mL (p = 0.001). Only 3.2% of males reported calcium or vitamin D-specific supplementation prior to hospital admission, while 8.6% reported taking multivitamins. White race, prior calcium/vitamin D supplementation, and higher calcium levels were associated with higher vitamin D levels on admission. Conclusions Nearly half of patients admitted to the hospital for malnutrition secondary to eating disorders presented with low 25-hydroxyvitamin D levels; males were more likely than females to have severe vitamin D deficiency. These findings support vitamin D assessment as part of the routine medical/nutritional evaluation for hospitalized eating disorder patients, with particular attention on male populations..

Plain English summary Medical complications of eating disorders in males are understudied compared to females. Little is known about vitamin D levels in male adolescents and young adults with eating disorders. We studied vitamin D levels in male and female adolescents and young adults hospitalized at the University of California, San Francisco between 2012 and 2020. We found that 44% of males had low vitamin D levels. Despite nearly half of males having low vitamin D, few were receiving calcium, vitamin D, or multivitamin supplementation prior to the hospitalization. White race, prior calcium or vitamin D supplementation, and higher calcium levels were associated with higher vitamin D levels. Medical providers should consider assessing for low vitamin D levels among males and females with eating disorders..

Medienart:	E-Artikel

Erscheinungsjahr:	2022
Erschienen:	2022

Enthalten in:	Zur Gesamtaufnahme - volume:10
Enthalten in:	Journal of eating disorders - 10(2022), 1 vom: 18. Juli

Sprache:	Englisch

Beteiligte Personen:	Nagata, Jason M. [VerfasserIn] Grandis, Anna [VerfasserIn] Bojorquez-Ramirez, Paola [VerfasserIn] Nguyen, Anthony [VerfasserIn] Downey, Amanda E. [VerfasserIn] Ganson, Kyle T. [VerfasserIn] Patel, Khushi P. [VerfasserIn] Machen, Vanessa I. [VerfasserIn] Buckelew, Sara M. [VerfasserIn] Garber, Andrea K. [VerfasserIn]

Links:	Volltext [kostenfrei]

Themen:	Adolescent Boys Feeding and eating disorders Male Vitamin D

Anmerkungen:	© The Author(s) 2022

doi:	10.1186/s40337-022-00627-5

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC2131367333