Status of vitamin D and factors associated with older institutionalized Natal/RN.
Vitamin D; Elderly; Nursing home.
The present study aims to evaluate the vitamin D status and associated factors in elderly living in nursing homes in Natal/RN. A cross-sectional study, derived from the project "Human Aging and Health: the reality of institutionalized elderly in the city of Natal/ RN." The study population was carried out of with 153 elderly individuals of both sexes. The theoretical model was defined according to the Social Determinants of Health, being chosen as dependent variable the concentration of vitamin 25 (OH) D in the serum and as independent variables: type of ILPI, time of institutionalization and schooling (distal layers), sex, skin color, body mass index, calf circumference, physical activity, mobility, intake of vitamin D and calcium, use of vitamin D supplementation, use of antiepileptic drugs (proximal layers) and seasons of the year (transverse layer). Other variables related to the possible consequences of vitamin D deficiency, such as: multimorbidity, falls, sarcopenia, depressive symptoms, cognition and functionality, were analyzed. Food consumption data were obtained by direct food weighing method. Descriptive analysis was performed for characterization of the sample and Pearson's chi-square test was used to assess associations. The mean age of the elderly individuals was 81.7 (9.2), predominantly female, 54.7% were white, 52% were single, 64.5% had some degree of education and 68% living in institutions non-profit. Regarding the health condition, 53% of the elderly were in the nutritional state of leanness, 60.3% were indicative of loss of lean mass, 70.2% did not practice physical activity, 86.9% had some degree of mobility, 66.7% had involvement, and 18.8% had antiepileptic drugs. The elderly population studied presented high dietary inadequacy of vitamin D and calcium, 98% and 77.8%, respectively; and 71.2% had vitamin D insufficiency (CI: 3,10-28,96 ng/dL). Serum insufficiency of 25 (OH) D in elderly individuals was associated with absence of physical activity (p = 0.003), as well as the summer season, during the diagnosis period (p = 0.046). These results indicate vitamin D deficiency in the institutionalized elderly population, which needs to be evaluated in the context of the elderly's health, stimulating modifiable practices in lifestyle and adequate clinical nutritional care.