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      Vitamin D status of northern indigenous people of Russia leading traditional and “modernized” way of life

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          Abstract

          Background

          Vitamin D status in groups of northern indigenous people of Russia leading close to traditional (seminomadic reindeer herding), post-traditional (in settlements) or “modernized” (in towns) way of life was analysed.

          Design

          The survey study groups consisted of 178 Nenets and Komi aged 18–60 living in the Arctic (66–67°N). Urban Komi, Udmurts and Komi-Permiaks (n=150) living in a non-Arctic area (57–61°N) formed a control group. The concentration of serum 25-hydroxyvitamin D (25OHD), as a transport form of vitamin D, was assessed by enzyme immunoassay analysis.

          Results

          The group average 25OHD levels in both rural and urban Arctic residents are within the range of values seen in the non-Arctic urban subjects adjusted for season: 39.7–47.7 nmol/l. Abandoning traditional lifestyle associates with lower vitamin D levels in indigenous Arctic people. Mean±standard deviation 25OHD values among Nenets were lower in those living in the administrative centre (a big settlement) with a population of 1,460 (32.2±12.90 nmol/l) than in the residents of small settlements (39.6±14.08 nmol/l), and in reindeer herders (42.4±13.45 nmol/l; p<0.05 in both cases). Komi townspeople had lower 25OHD concentrations (47.7±12.00 nmol/l) than Komi reindeer herders (68.7±25.20; p<0.01).

          Conclusions

          The transition from seminomadic to post-traditional and “modernized” way of life has led to a decrease in the consumption of traditional foods among the indigenous people of the Russian Arctic. Our data support the notion that the traditional northern diet promotes healthy vitamin D levels, while adherence to the “western” type of diet correlates with a lower 25OHD concentration.

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          Most cited references31

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          Dietary reference intakes for calcium and vitamin d

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            Vitamin D deficiency and whole-body and femur bone mass relative to weight in healthy newborns.

            Vitamin D is required for normal bone growth and mineralization. We sought to determine whether vitamin D deficiency at birth is associated with bone mineral content (BMC) of Canadian infants. We measured plasma 25-hydroxyvitamin D [25(OH)D] as an indicator of vitamin D status in 50 healthy mothers and their newborn term infants. In the infants, anthropometry and lumbar, femur and whole-body BMC were measured within 15 days of delivery. Mothers completed a 24-hour recall and 3-day food and supplement record. We categorized the vitamin D status of mothers and infants as deficient or adequate and then compared infant bone mass in these groups using nonpaired t tests. Maternal and infant variables known to be related to bone mass were tested for their relation to BMC using backward stepwise regression analysis. Twenty-three (46%) of the mothers and 18 (36%) of the infants had a plasma 25(OH)D concentration consistent with deficiency. Infants who were vitamin D deficient were larger at birth and follow-up. Absolute lumbar spine, femur and whole-body BMC were not different between infants with adequate vitamin D and those who were deficient, despite larger body size in the latter group. In the regression analysis, higher whole-body BMC was associated with greater gestational age and weight at birth as well as higher infant plasma 25(OH)D. A high rate of vitamin D deficiency was observed among women and their newborn infants. Among infants, vitamin D deficiency was associated with greater weight and length but lower bone mass relative to body weight. Whether a return to normal vitamin D status, achieved through supplements or fortified infant formula, can reset the trajectory for acquisition of BMC requires investigation.
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              Vitamin D and living in northern latitudes--an endemic risk area for vitamin D deficiency.

              To review the current literature on the health effects of vitamin D, especially the effects on inhabitants living in the northern latitudes. Literature review. The scientific literature concerning health effects of vitamin D was reviewed and the current dietary recommendations for inhabitants living in northern latitudes were discussed. Vitamin D is a steroid-structured hormone produced in the skin upon exposure to UVB-radiation or obtained from certain food products (for example, liver). Its production is mediated by the vitamin D receptor, which belongs to the nuclear receptor family, and exerts its function as a transcription factor regulating several target genes. Active metabolites of vitamin D play an important role in calcium and phosphate homeostasis. Deficiency of vitamin D results in diminished bone mineralization and an increased risk of fractures. In addition, vitamin D is connected to a variety of other diseases that include different cancer types, muscular weakness, hypertension, autoimmune diseases, multiple sclerosis, type 1 diabetes, schizophrenia and depression. Vitamin D plays a fundamental role in calcium and phosphate homeostasis. A deficiency of vitamin D has been attributed to several diseases. Since its production in the skin depends on exposure to UVB-radiation via the sunlight, the level of vitamin D is of crucial importance for the health of inhabitants who live in the Nordic latitudes where there is diminished exposure to sunlight during the winter season. Therefore, fortification or supplementation of vitamin D is necessary for most of the people living in the northern latitudes during the winter season to maintain adequate levels of circulating 25(OH)D3 to maintain optimal body function and prevent diseases.
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                Author and article information

                Journal
                Int J Circumpolar Health
                Int J Circumpolar Health
                IJCH
                International Journal of Circumpolar Health
                Co-Action Publishing
                1239-9736
                2242-3982
                02 December 2014
                2014
                : 73
                : 10.3402/ijch.v73.26038
                Affiliations
                [1 ]Institute and Museum of Anthropology, Moscow State University, Moscow, Russia
                [2 ]Research Department, Perm State Humanitarian Pedagogical University, Perm, Russia
                [3 ]Department of Family Medicine, Northern State Medical University, Arkhangelsk, Russia
                [4 ]Federal Center for Hygiene and Epidemiology, Perm, Russia
                Author notes
                [* ]Correspondence to: Andrew Kozlov, Institute and Museum of Anthropology, Moscow State University, 11 build.1, Mohovaya Street, RU-125009 Moscow, Russia, Email: dr.kozlov@ 123456gmail.com
                Article
                26038
                10.3402/ijch.v73.26038
                4255095
                25472642
                f6a0eb05-5b01-4c97-8791-c4201b66fa79
                © 2014 Andrew Kozlov et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 September 2014
                : 05 November 2014
                : 09 November 2014
                Categories
                Original Research Article

                Medicine
                25ohd,nutrition,lifestyle,reindeer herders,circumpolar regions,arctic
                Medicine
                25ohd, nutrition, lifestyle, reindeer herders, circumpolar regions, arctic

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