1. Determinants of Vitamin D Supplementation among Individuals with Type 1 Diabetes
- Author
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Magdalena Molenda, Aleksandra Uruska, Dorota Zozulińska-Ziółkiewicz, Agnieszka Banaś, and Mikołaj Kamiński
- Subjects
Adult ,Male ,medicine.medical_specialty ,endocrine system diseases ,type 1 diabetes ,Health, Toxicology and Mutagenesis ,lcsh:Medicine ,030209 endocrinology & metabolism ,Logistic regression ,Article ,Young Adult ,03 medical and health sciences ,social environment ,0302 clinical medicine ,Internal medicine ,diabetologist ,medicine ,Vitamin D and neurology ,Humans ,Medical history ,survey ,030212 general & internal medicine ,Type 1 diabetes ,physician ,business.industry ,Public health ,diabetology ,lcsh:R ,Public Health, Environmental and Occupational Health ,Social environment ,vitamin d ,Odds ratio ,Vitamin D Deficiency ,medicine.disease ,Confidence interval ,Cross-Sectional Studies ,Diabetes Mellitus, Type 1 ,dietary supplement ,Dietary Supplements ,supplementation ,poland ,Female ,business - Abstract
Half of the individuals with type 1 diabetes (T1DM) may present Vitamin D (VD) deficiency. There is little known about factors determining a decision on VD supplementation. The study aimed to determine the factors affecting vitamin D supplementation in people with T1DM. A cross-sectional survey study using the authors&rsquo, questionnaire paper and its digital version was performed. The questions involved data on the basic characteristics of the respondent, medical history, VD supplementation status, influence of the social environment, self-education, and the most important personal motivator for VD supplement use. Multivariate logistic regression analysis was performed. We collected a total of n = 184 papers and n = 550 digital complete surveys. From 734 total respondents, 62.0% declared VD supplementation. The main personal rationale for VD supplementation were recommendation of medical specialist 172 (37.8%) and self-education 135 (29.7%). The main reasons for non-supplementation of VD were lack of knowledge about VD 159 (57.0%) and lack of motivation 77 (27.6%). VD supplementation was independently associated with a family doctor (odds ratio (OR), 95% confidence interval (CI): 4.67, 2.32&ndash, 9.40) or medical specialist recommendation (16.20, 9.57&ndash, 27.43), and self-education (5.97, 3.90&ndash, 9.13). Most Polish individuals with T1DM use VD supplements, and the decision is related to physicians&rsquo, recommendations and self-education.
- Published
- 2020