Generic placeholder image

Current Nutrition & Food Science

Editor-in-Chief

ISSN (Print): 1573-4013
ISSN (Online): 2212-3881

Research Article

Vitamin D Fortified Food Intake: Do We Know and Consume Enough: A Cross-Sectional Study in Jazan, Saudi Arabia

Author(s): Mohammed Somaili*, Areej Areeshi, Entsar Qadah, Naif Gharwi, Abdullah Madkhali, Khalid Muafa, Atheer Akoor, Raghad Mobaraki, Saleh Ghulaysi, Mohsen Deibaji, Abdulrahman Aqeel, Omar Oraibi, Ahmad Sayed, Abo-Obaida Yassin and Bashayer Khormi

Volume 20, Issue 1, 2024

Published on: 09 June, 2023

Page: [118 - 130] Pages: 13

DOI: 10.2174/1573401319666230504122346

Price: $65

conference banner
Abstract

Background: Vitamin D plays a very important role in the human body. In Saudi Arabia, the sun exposure is limited for many reasons. The use of vitamin D-fortified food or supplements may complement the daily body requirements. The knowledge and perception of the general population towards vitamin D-fortified intake in Jazan, Saudi Arabia, are not known.

Objectives: In this study, we aim to evaluate the knowledge and attitude toward vitamin Dfortified food intake among the general population in the Jazan region.

Methods: We performed a cross-sectional questionnaire-based study using the convenient sampling method on the Jazan general population. The questionnaire was composed of questions distributed over three domains. The data were analyzed using SPSS software version 23. Frequency and percentages were used to display categorical variables. Mean and standard deviation were used to present numerical variables. The independent t-test and analysis of variance (ANOVA) test were both used to test for factors associated with knowledge and perception score.

Results: A total of 921 participants were included in the study. The majority of participants (72.2%) were between 20 and 40 years; the female gender and Saudi nationality represent the majority of participants in this study. In terms of occupation, 32.9% were currently employed, and 44.5% were students. Regarding education, 64.9% had a bachelor’s degree, and 19.9% had a high school education. The minimum knowledge score was 0, the maximum was 25, and the mean was 10.6 + 4.35.

The knowledge levels toward the vitamin D-fortified food intake showed that 64.9% had a moderate knowledge level. With regard to the assessment of participants’ perception towards vitamin D-fortified food intake, 69.6% reported having a vitamin D-rich food before, while 5.8% reported they never did, and 34.6% did not know. The most commonly reported reason for never having vitamin D-fortified food was not knowing what food to take for 19 participants (35.8%). Occupation and education levels of participants were significantly associated with knowledge of vitamin D-fortified food intake.

Conclusion: Despite the population in the current study having a moderate level of knowledge about vitamin D-fortified food, the practices towards intake of vitamin D-fortified food or supplements are still underused.

Keywords: Knowledge, perceptions, vitamin D-fortified food, Jazan, Saudi Arabia, attitude.

Graphical Abstract
[1]
Omdahl JL, DeLuca HF. Regulation of vitamin D metabolism and function. Physiol Rev 1973; 53(2): 327-72.
[http://dx.doi.org/10.1152/physrev.1973.53.2.327] [PMID: 4267263]
[2]
Michael FH. Evolution and function of vitamin D. Recent Results Cancer Res 2003; 164: 3-28.
[3]
Prietl B, Treiber G, Pieber T, Amrein K. Vitamin D and immune function. Nutrients 2013; 5(7): 2502-21.
[http://dx.doi.org/10.3390/nu5072502] [PMID: 23857223]
[4]
Pfeifer M, Begerow B, Minne HW. Vitamin D and muscle function. Osteoporos Int 2002; 13(3): 187-94.
[http://dx.doi.org/10.1007/s001980200012] [PMID: 11991436]
[5]
Lamberg-Allardt C. Vitamin D in foods and as supplements. Prog Biophys Mol Biol 2006; 92(1): 33-8.
[http://dx.doi.org/10.1016/j.pbiomolbio.2006.02.017] [PMID: 16618499]
[6]
Pilz S, Trummer C, Pandis M, et al. Vitamin D: Current guidelines and future outlook. Anticancer Res 2018; 38(2): 1145-51.
[PMID: 29374751]
[7]
Calvo MS, Whiting SJ. Public health strategies to overcome barriers to optimal vitamin D status in populations with special needs. J Nutr 2006; 136(4): 1135-9.
[http://dx.doi.org/10.1093/jn/136.4.1135] [PMID: 16549495]
[8]
Michael FH, Neil CB, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: An endocrine society clinical practice guideline. J Clin Endocrinol Metab 2011; 96(7): 1911-30.
[9]
Balvers MGJ, Brouwer-Brolsma EM, Endenburg S, de Groot LCPGM, Kok FJ, Gunnewiek JK. Recommended intakes of vitamin D to optimise health, associated circulating 25-hydroxyvitamin D concentrations, and dosing regimens to treat deficiency: Workshop report and overview of current literature. J Nutr Sci 2015; 4e23
[10]
Forrest KYZ, Stuhldreher WL. Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res 2011; 31(1): 48-54.
[http://dx.doi.org/10.1016/j.nutres.2010.12.001] [PMID: 21310306]
[11]
Rucker D, Allan JA, Fick GH, Hanley DA. Vitamin D insufficiency in a population of healthy western Canadians. CMAJ 2002; 166(12): 1517-24.
[PMID: 12074117]
[12]
Cashman KD, Dowling KG, Škrabáková Z, et al. Vitamin D deficiency in Europe: Pandemic? Am J Clin Nutr 2016; 103(4): 1033-44.
[http://dx.doi.org/10.3945/ajcn.115.120873] [PMID: 26864360]
[13]
G R Gupta A. Vitamin D deficiency in India: Prevalence, causalities and interventions. Nutrients 2014; 6(2): 729-75.
[http://dx.doi.org/10.3390/nu6020729] [PMID: 24566435]
[14]
Meddeb N, Sahli H, Chahed M, et al. Vitamin D deficiency in Tunisia. Osteoporos Int 2005; 16(2): 180-3.
[http://dx.doi.org/10.1007/s00198-004-1658-6] [PMID: 15197539]
[15]
Tariq A, Khan SR, Basharat A. Assessment of knowledge, attitudes and practice towards Vitamin D among university students in Pakistan. BMC Public Health 2020; 20(1): 355.
[http://dx.doi.org/10.1186/s12889-020-8453-y] [PMID: 32183774]
[16]
Azizi S, Tariq T, Vitamin D. Vitamin D deficiency among afghan adolescents in Kabul. J Coll Physicians Surg Pak 2019; 29(11): 1072-7.
[http://dx.doi.org/10.29271/jcpsp.2019.11.1072] [PMID: 31659965]
[17]
Kaddam IM, Al-Shaikh AM, Abaalkhail BA, et al. Prevalence of vitamin D deficiency and its associated factors in three regions of Saudi Arabia. Saudi Med J 2017; 38(4): 381-90.
[http://dx.doi.org/10.15537/smj.2017.4.18753] [PMID: 28397944]
[18]
Future Saudi Cities Programme City Profiles Series Available from: https://saudiarabia.un.org/en/39494-future-saudi-citiesprogramme-city-profiles-series-jazan
[19]
Mohamed N, Al-Qerem W, Gassar E, Hailat M, Elhamdy F, Ling J. Students’ “D”ilemma: An Assessment of Knowledge. Attitudes and Practice Toward Vitamin D Among University Students 2020.
[20]
Alamoudi LH, Almuteeri RZ, Al-Otaibi ME, et al. Awareness of Vitamin D Deficiency among the General Population in Jeddah, Saudi Arabia. J Nutr Metab 2019; 20194138187
[http://dx.doi.org/10.1155/2019/4138187] [PMID: 30944738]
[21]
Dresselhaus A, Shrode F. Mobile technologies & Academics: Do students use mobile technologies in their academic lives and are librarians ready to meet this challenge? Infor Technol Libr 2012; 31(2): 82-101.
[http://dx.doi.org/10.6017/ital.v31i2.2166]
[22]
O’Connor C, Glatt D, White L, Revuelta IR. Knowledge, attitudes and perceptions towards vitamin D in a UK adult population: A cross-sectional study. Int J Environ Res Public Health 2018; 15(11): 2387.
[http://dx.doi.org/10.3390/ijerph15112387] [PMID: 30373274]
[23]
Zhou M, Zhuang W, Yuan Y, Li Z, Cai Y. Investigation on vitamin D knowledge, attitude and practice of university students in Nanjing, China. Public Health Nutr 2016; 19(1): 78-82.
[http://dx.doi.org/10.1017/S1368980015000373] [PMID: 25702904]
[24]
Benedik E. Sources of vitamin D for humans. Int J Vitam Nutr Res 2022; 92(2): 118-25.
[http://dx.doi.org/10.1024/0300-9831/a000733] [PMID: 34658250]
[25]
Jalal S, Almohammed K, Buwaleed Z. Knowledge and Practice of Female Students regarding Vitamin D Deficiency. Int J Nurs Educ 2020; 12: 111-6.
[26]
Kamel S. AL-Otaibi H A A Evaluation of vitamin D3 content in selected dried, canned and smoked fish. J Nutritional Med Diet Care 2022; p. 8.
[27]
Aakre I, Bøkevoll A, Chaira J, et al. Variation in nutrient composition of seafood from North West Africa: Implications for food and nutrition security. Foods 2020; 9(10): 1516.
[http://dx.doi.org/10.3390/foods9101516] [PMID: 33096911]
[28]
Kerry J, David M, David JL, et al. Vitamin D and cognitive function. Scand J Clin Lab Invest Suppl 2012; 243: 79-82.
[29]
Bouillon R, Eelen G, Verlinden L, Mathieu C, Carmeliet G, Verstuyf A. Vitamin D and cancer. J Steroid Biochem Mol Biol 2006; 102(1-5): 156-62.
[http://dx.doi.org/10.1016/j.jsbmb.2006.09.014] [PMID: 17113979]
[30]
Khan AH, Iqbal R, Naureen G, Dar FJ, Ahmed FN. Prevalence of vitamin D deficiency and its correlates: Results of a community-based study conducted in Karachi, Pakistan. Arch Osteoporos 2012; 7(1-2): 275-82.
[http://dx.doi.org/10.1007/s11657-012-0108-x] [PMID: 23152063]
[31]
Blebil AQ, Dujaili JA, Teoh E, Wong PS, Kc B. Assessment of awareness, knowledge, attitude, and the practice of vitamin D among the general public in Malaysia. J Karnali Academy Health Sci 2019; 2(3): 171-80.
[http://dx.doi.org/10.3126/jkahs.v2i3.26646]
[32]
Buttriss JL, Lanham-New SA. Is a vitamin D fortification strategy needed? Nutr Bull 2020; 45(2): 115-22.
[http://dx.doi.org/10.1111/nbu.12430] [PMID: 32536809]
[33]
Moulas AN, Vaiou M. Vitamin D fortification of foods and prospective health outcomes. J Biotechnol 2018; 285: 91-101.
[http://dx.doi.org/10.1016/j.jbiotec.2018.08.010] [PMID: 30176270]
[34]
Aspray TJ, Bowring C, Fraser W, et al. National osteoporosis society vitamin D guideline summary. Age Ageing 2014; 43(5): 592-5.
[http://dx.doi.org/10.1093/ageing/afu093] [PMID: 25074538]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy