Patterns of Vitamin D Deficiency in a Community Outpatient Psychiatric Practice: a Real-World Evaluation of Treatment Gaps.
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| Title: | Patterns of Vitamin D Deficiency in a Community Outpatient Psychiatric Practice: a Real-World Evaluation of Treatment Gaps. |
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| Authors: | Jegede, Oluwole (AUTHOR), Gayam, Vijay (AUTHOR), Gunasekara, Ravindi (AUTHOR), Tiongson, Benjamin (AUTHOR), Ishola, Adenike (AUTHOR), Sidhu, Jasdeep (AUTHOR), Virk, Jeevanjot (AUTHOR), Virk, Inderpreet (AUTHOR), Ahmed, Saad (AUTHOR), Ojo, Olawale (AUTHOR), Ojimba, Chiedozie (AUTHOR), Ogunlesi, Christiana (AUTHOR), Olupona, Tolu (AUTHOR) |
| Source: | Psychiatric Quarterly. Jun2020, Vol. 91 Issue 2, p561-570. 10p. 3 Charts, 1 Graph. |
| Subjects: | Vitamin D deficiency, Community mental health services, Vitamin D metabolism, Vitamin D, Psychiatric practice, Demographic characteristics |
| Abstract: | Vitamin D is traditionally recognized for its role in bone mineralization but recent observations suggest additional pertinent functions in neuronal biology. The present study examines the rate and pattern of Vitamin D deficiency in the outpatient mental health clinic of a community teaching hospital as well as the vitamin D supplementation practices of outpatient psychiatrists. Participants include 148 consecutive psychiatric outpatients. Individuals with conditions that alter the metabolism of vitamin D were excluded from the study as are those who may be taking medications that influence Vitamin D metabolism. Statistical analysis was performed using the SPSS 25th edition, statistical significance set at p < 0.05. The majority of patients in the study were between 41 and 65 years old (n = 91, 61.5%), African American (n = 120, 81.1%) and female (n = 80, 54.1%). The median level is 23.7 ng/ml. As defined by the Endocrine Society's Clinical Practice Guidelines, 68.2% of the population had insufficient and deficient Vitamin D levels (32.4% and 35.8% respectively), 62.4% of whom were not prescribed any Vitamin D supplementation and of this untreated group, 84% were African Americans. No clinical or demographic characteristics showed any statistical difference in both the "treated" and "not treated groups". Logistic regression did not reveal any significant predictors for Vitamin D deficiency. Vitamin D deficiency remains a significant issue among patients with psychiatric disorders. Our findings show gaps in Vitamin D deficiency treatment and recommend that future studies examine physician prescription practices in light of the racial disparity in Vitamin D deficiency treatment oberved in this study. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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