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• W2897739503 endingPage "e0205342" @default.
• W2897739503 startingPage "e0205342" @default.
• W2897739503 abstract "The role of tobacco-smoke exposure on serum vitamin D concentration in US pediatric population is not known. We hypothesized that tobacco smoke exposure would increase the prevalence of vitamin D deficiency in US children.Representative national data were accessed from the National Health and Nutrition Examination Survey (NHANES) 2009-2010 databank on 2,263 subjects of ages 3 to 17 years. Subjects were categorized into two groups based on their age: children, if <10 years; and youth if 10 to 17 years. Descriptive and multiple logistic regression analyses were conducted to determine the effect of serum cotinine-verified tobacco smoke exposure on vitamin D status after controlling for key sociodemographic confounders. Vitamin D deficiency was defined as 25(OH)D <20 ng/mL, insufficiency as 25(OH)D of 20-29.9 ng/mL, and sufficiency as 25(OH)D of ≥30 ng/mL. Tobacco smoke exposure status was defined by serum cotinine concentration as follows: unexposed and non-smoking (<0.05 ng/mL) and exposed (passive and active smokers combined) (≥0.05ng/mL). Specifically, passive and active smoking were defined as cotinine of 0.05-10 ng/mL, and ≥10ng/mL respectively.The prevalence of second-hand smoke exposure was 42.0% (95%CI, 36.7%-47.5%); while the prevalence of active smoking among teenagers was 9.0% (95%CI, 6.2%-12.5%). Vitamin D deficiency occurred at a frequency of 15.1% in children unexposed to tobacco smoke, 20.9% in children exposed to passive tobacco smoke, and 18.0% among actively smoking youth (p<0.001). Tobacco smoke exposure independently predicted vitamin D deficiency after controlling for age, sex, race, BMI, maternal education, and family socio-economic status (OR:1.50; 95%CI, 1.14-1.85, p = 0.002).This analysis of a nationwide database reports that tobacco smoke exposure is an independent predictor of vitamin D deficiency in US children." @default.
• W2897739503 created "2018-10-26" @default.
• W2897739503 creator A5049812521 @default.
• W2897739503 creator A5081424680 @default.
• W2897739503 date "2018-10-08" @default.
• W2897739503 modified "2023-10-16" @default.
• W2897739503 title "Tobacco smoke exposure is an independent predictor of vitamin D deficiency in US children" @default.
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• W2897739503 doi "https://doi.org/10.1371/journal.pone.0205342" @default.
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• W2897739503 hasPublicationYear "2018" @default.
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