Vitamin D status and associations with substance use patterns among people with severe substance use disorders in Western Norway

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作者
Mitra Bemanian
Ranadip Chowdhury
Krister Stokke
Christer Frode Aas
Kjell Arne Johansson
Jørn Henrik Vold
Lars Thore Fadnes
机构
[1] Haukeland University Hospital,Bergen Addiction Research, Department of Addiction Medicine
[2] University of Bergen,Department of Global Public Health and Primary Care, Faculty of Medicine
[3] Centre for Health Research and Development,Division of Psychiatry
[4] Society for Applied Studies,undefined
[5] Haukeland University Hospital,undefined
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Scientific Reports | / 12卷
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摘要
Chronic and harmful substance use is associated with a cluster of harms to health, including micronutrient deficiencies. Maintaining adequate levels of vitamin D is important for musculoskeletal and other aspects of health. In this prospective longitudinal cohort study, 666 participants drawn from outpatient opioid agonist therapy (OAT) clinics and community care clinics for substance use disorder in Western Norway were assessed annually for determination of serum 25-hydroxyvitamin D [s-25(OH)D] levels. Fifty-seven percent were deficient at baseline (s-25(OH)D < 50 nmol/l), and 19% were severely deficient (s-25(OH)D < 25 nmol/l). Among those deficient/severely deficient at baseline, 70% remained deficient/severely deficient at the last measurement (mean duration 714 days). Substance use patterns and dosage of opioids for OAT were not associated with vitamin D levels. One exception was found for cannabis, where consumption on a minimum weekly basis was associated with lower levels at baseline (mean difference: −5.2 nmol/l, 95% confidence interval [CI]: −9.1, − 1.3), but without clear time trends (mean change per year: 1.4 nmol/l, CI: − 0.86, 3.7). The high prevalence of sustained vitamin D deficiency in this cohort highlights the need for targeted monitoring and supplementation for this and similar at-risk populations.
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