Results of Vitamin D Prescription in High Schools by Mahsa Houshdar in BJSTR
Abstract
Introduction: Online Medicare is a method in which parts of a medical process - whether its diagnostics, monitoring or the treatment itself
will be done by using online services. This system has been operated in 4 boys high school, 5 girl high schools.
Method: At the first step the students registered for using
the system. It was not mandatory and not free. They participated in
estimating
depression scale, anxiety scale and clinical interview by online medical
care system. During this estimation, we could find the existence and
severity of depression and anxiety in each one of the participants, also
we could find the consequent needs of each one, such as supportive
therapy in mild depression or anxiety, need to visited by psychologist
in moderate cases, need to visited by psychiatrist in moderate-severe
cases, need to visited by psychiatrist and psychologist in severe cases
and need to perform medical lab examination tests The lab examination
tests were performed on persons specified by the system. The lab
examinations were included: serum level of vitamin D, serum level of
vitamin
B12, serum level of calcium, fasting blood sugar, HbA1c, thyroid
function tests and CBC. All of the students were solely treated by
vitamins
or minerals therapy and/ or treatment of medical problem (such as
hypothyroidism). This system has been operated in high schools during
4 years. (April 2011 till March 2016). From Oct 2014 till May 2016, the
ministry of education of Albors state of Iran has been given 5000IU
vitamin D3/ Monthly to every high schools students. During this period
online medical care system had been operated in 6 high school of above
average area of Karaj. Thus we had enough information to compare the
prevalence of vitamin D deficiency (serum vitamin D level <10) and
insufficiency (serum vitamin D level >10 & < 30) from the
beginning of operation of the project till March 2016.
Results: Totally, the serum vitamin D3 level of 180 students
have been measured from Oct 2014 till April 2015 and the results compare
with the serum vitamin D3 level of 203 students have been measured from
Oct 2o15 till March 2016. The mean of vitamin D deficiency in
academic year 2014-2015 was %34.06 and in academic year 2015-2016, it
was %14.70. The mean of vitamin D insufficiency in academic year
2014-2015 was %50.26 and in academic year 2015-2016, it was %60.53.
There was no any case of vitamin D toxicity. This results show that
the prescription of 5000IU vitamin D3 can significantly decrease the
range of vitamin D3 deficiency in high schools, but we need more time
for
decreasing the range of vitamin the insufficiency
Conclusion: During two year prescription of 5000 IU vitamin D3/ monthly in high school, we face on 2.5 time decreasing of vitamin D
deficiency and a few increasing of vitamin D insufficiency and no case of vitamin D toxicity.
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