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dc.contributor.advisorWandurraga Sánchez, Edwin Antoniospa
dc.contributor.advisorRojas López, Ricardo Flaminiospa
dc.contributor.advisorVergara Rueda, Jessica Inésspa
dc.contributor.advisorSerrano Gómez, Sergio Eduardospa
dc.contributor.authorGuzmán Cruz, Kelly Alejandraspa
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.date.accessioned2020-06-26T19:56:34Z
dc.date.available2020-06-26T19:56:34Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1685
dc.description.abstractIntroducción: La deficiencia de vitamina D es considerada una pandemia, hay en la actualidad numerosas publicaciones que documentan esta deficiencia en pacientes con osteopenia y/o osteoporosis, sin embargo, no hay estudios en Colombia ni Latinoamérica que evalúen la deficiencia e insuficiencia de vitamina D en población sana, ni en dermatólogos los cuales pueden ser susceptibles a tener esta deficiencia por las largas jornadas laborales y la falta de exposición al sol. Objetivo: Determinar la prevalencia de deficiencia de vitamina D en dermatólogos y residentes de dermatología en Colombia y evaluar sus factores asociados. Metodología: estudio tipo piloto, observacional, analítico de corte transversal, en el cual se incluyeron dermatólogos y residentes de dermatología que asistieron al congreso Colombiano de dermatología en noviembre de 2016. Se tuvieron en cuenta variables sociodemográficas, examen físico, prácticas de fotoexposición, encuesta nutricional y medición de 25 OH vitamina D3. Todos los formatos se transcribieron en un documento de Excel para luego ser analizadas en STATA 14. Se garantizó la protección de datos personales de los participantes del estudio mediante la anonimización de datos y se firmó consentimiento informado para pacientes que aceptaron participar en el estudio. Resultados esperados: Se espera determinar la prevalencia de deficiencia de vitamina D de dermatólogos y de residentes de dermatología de Colombia y la caracterización de las variables sociodemográficas,clínicas de fotoexposición y variables alimentarias para determinar factores de riesgo de la población a estudio.spa
dc.description.tableofcontentsRESUMEN PROYECTO ............................................................................................................................ 10 1. DESCRIPCIÓN DEL PROYECTO .................................................................................................. 11 1.1. Planteamiento del problema y justificación: ........................................................ 11 1.2. Marco teórico ......................................................................................................................... 13 1.3. Estado del arte ...................................................................................................................... 19 1.4. Objetivos del estudio ......................................................................................................... 21 1.4.1. General............................................................................................................................... 21 1.4.2. Específicos ........................................................................................................................ 21 1.5. Metodología ............................................................................................................................ 21 1.5.1. Tipo de estudio: .............................................................................................................. 21 1.5.2. Población: ......................................................................................................................... 21 1.5.3. Criterios de inclusión: .................................................................................................. 21 1.5.4. Criterios de exclusión: ................................................................................................. 22 1.5.5. Calculo del tamaño de la muestra: .......................................................................... 22 1.5.6. Muestreo: .......................................................................................................................... 22 1.5.7. Recolección de la información: ................................................................................ 22 1.5.8. Definición de variables: ............................................................................................... 23 1.6. Plan de análisis de datos ................................................................................................. 29 1.7. Consideraciones éticas ..................................................................................................... 29 2. RESULTADOS .................................................................................................................................... 31 3. DISCUSIÓN ......................................................................................................................................... 44 4. CONCLUSIONES ............................................................................................................................... 48spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleNiveles de vitamina D en dermatólogos y residentes de dermatología de diferentes regiones de Colombia: un estudio pilotospa
dc.title.translatedVitamin D levels in dermatologists and dermatology residents from different regions of Colombia: a pilot studyeng
dc.degree.nameEspecialista en Dermatologíaspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programEspecialización en Dermatologíaspa
dc.description.degreelevelEspecializaciónspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsVitamin D deficiency
dc.subject.keywordsVitamin D
dc.subject.keywordsSunlight
dc.subject.keywordsDermatologists
dc.subject.keywordsMedicine
dc.subject.keywordsDermatology
dc.subject.keywordsResearch
dc.subject.keywordsInsufficient vitamin D
dc.subject.keywordsPhysiological processes
dc.subject.keywordsCardiovascular diseases
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2spa
dc.relation.referencesGuzmán C., Kelly A. (2018). Niveles de vitamina D en dermatólogos y residentes de dermatología de diferentes regiones de Colombia: un estudio piloto. Floridablanca (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNABspa
dc.relation.references1. Zuluaga-Espinoza N et al. Vitamina D: nuevos paradigmas. Med Lab. 2011;17:211-246.spa
dc.relation.references2. Gilaberte Y, Aguilera J, Carrascosa JM, Figueroa FL, Gabriel JR De, Nagore E. La vitamina D : evidencias y controversias. Actas Dermosifiliogr. 2016;102(8):572-588. doi:10.1016/j.ad.2011.03.015spa
dc.relation.references3. Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ VR. Estimates of optimal vitamin D status. Osteoporos Int. 2005;16(7):713-716. doi:10.1007/s00198-005-1867-7spa
dc.relation.references4. Holick MF. High prevalence of vitamin D inadequacy and implications for health. Mayo Clin Proc. 2006;81(3):353-373. doi:10.4065/81.3.353spa
dc.relation.references5. Thomas MK et al. Hypovitaminosis D in Medical Inpatients. N Engl J Med. 1998;338(12):777-783.spa
dc.relation.references6. Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(26):266-281. doi:10.1136/bmj.318.7193.1284aspa
dc.relation.references7. Barberán M, Aguilera G, Brunet L MF. Déficit de vitamina D. Revisión epidemiológica actual. Rev Hosp Clínica la Univ Chile. 2014;25(1):127-134. https://www.redclinica.cl/Portals/0/Users/014/14/14/deficit_vitamina_C.pdf.spa
dc.relation.references8. O’Mahony L, Stepien M et al. The potential role of vitamin D enhanced foods in improving vitamin D status. Nutrients. 2011;3(12):1023-1041. doi:10.3390/nu3121023spa
dc.relation.references9. Molina A LA. Vitamina D y piel. Rev Asoc Colomb Dermatol. 2012;3:239-252.spa
dc.relation.references10. Webb A. Who, what, where and when-influences on cutaneous vitamin D synthesis. Prog Biophys Mol Biol. 2006;92(1):17-25. doi:10.1016/j.pbiomolbio.2006.02.004spa
dc.relation.references11. Preston DS. Nonmelanoma cancers of the skin. N Engl J Med. 1992;327(23):1649-1662.spa
dc.relation.references12. Elwood JM JJ. Melanoma and sun exposure: An overview of published studies. Int J Cancer. 1997;73(2):198-203. doi:10.1002/(SICI)1097- 0215(19971009)73:2<198::AID-IJC6>3.0.CO;2-Rspa
dc.relation.references13. Armstrong BK KA. The epidemiology of UV induced skin cancer. J Photochem Photobiol B Biol. 2001;63(1-3):8-18. doi:10.1016/S1011-1344(01)00198-1spa
dc.relation.references14. Bhan A, Rao AD. Osteomalacia as a Result of Vitamin D Deficiency. Endocrinol Metab Clin NA. 2010;39(2):321-331. doi:10.1016/j.ecl.2010.02.001spa
dc.relation.references15. Avenell A, Gillespie WJ, Gillespie LD OD. Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis ( Review ). 2009;(2).spa
dc.relation.references16. Holick MF. Resurrection of vitamin D deficiency and rickets. 2006;116(8). doi:10.1172/JCI29449.2062spa
dc.relation.references17. Nagpal S, Na S, Rathnachalam R. Noncalcemic Actions of Vitamin D Receptor Ligands. 2015;26(January):662-687. doi:10.1210/er.2004-0002spa
dc.relation.references18. YC L. Molecular Mechanism of Vitamin D in the Cardiovascular System. J Investig Med. 2013;59(6):868-871. doi:10.231/JIM.0b013e31820ee448.MOLECULARspa
dc.relation.references19. Hewison M. Vitamin D and the immune system: new perspectives on an old theme. Endocrinol Metab Clin North Am. 2011;39(2):1-14. doi:10.1016/j.ecl.2010.02.010.Vitaminspa
dc.relation.references20. Buell JS D-HB. Vitamin D and Neurocognitive Dysfunction: Preventing “D”ecline? Mol Asp Med. 2008;29(6):415-422. doi:10.1016/j.mam.2008.05.001.Vitaminspa
dc.relation.references21. Bischoff-Ferrari HA, Willett WC, Orav EJ, Lips P, Meunier PJ, Lyons RA et al. A Pooled Analysis of Vitamin D Dose Requirements for Fracture Prevention. N Engl J Med. 2012;367(64):40-49. doi:10.1056/NEJMoa1109617spa
dc.relation.references22. Bjelakovic G, Gluud LL, Nikolova D, Whitfield K, Wetterslev J, Simonetti RG et al. Vitamin D supplementation for prevention of mortality in adults ( Review ). Cochrane Database Syst Rev. 2014;1.spa
dc.relation.references23. Koutkia P, Chen TC HM. Vitamin D Intoxication Associated with an Over-the-Counter Supplement To. N Engl J Med. 2001;345(1):64-70.spa
dc.relation.references24. Darlington S, Williams G, Neale R, Frost C GA. A Randomized Controlled Trial to Assess Sunscreen Application and Beta Carotene Supplementation in the Prevention of Solar Keratoses. Arch Dermatol. 2003;139:451-455.spa
dc.relation.references25. Boyd AS et al. The effects of chronic sunscreen use on the histologic changes of dermatoheliosis. J Am Acad Dermatol. 1995;33(6):941-946.spa
dc.relation.references26. Mendell MJ et al. Improving the Health of Workers in Indoor Environments : Priority Research Needs for a National Occupational Research Agenda. Am J Public Heal. 2002;92(9):1430-1440.spa
dc.relation.references27. Aris RM et al. Guide to Bone Health and Disease in Cystic Fibrosis. J Clin Endocrinol Metab,. 2005;90(November):1888-1896. doi:10.1210/jc.2004-1629spa
dc.relation.references28. Grant W, Garland C HM. Comparisons of Estimated Economic Burdens due to lnsuff icient Solar Ultraviolet lrradiance and Vitamin D and Excess Solar UV Irradiance for the United States. Photochem Photobiol. 2005;81:1276-1286. doi:10.1562/2005-01-24-RA-424spa
dc.relation.references29. Ginde AA, Liu MC CC. Demographic Differences and Trends of Vitamin D Insufficiency in the US Population, 1988-2004. Arch Intern Med. 2009;169(6):626-632.spa
dc.relation.references30. Growdon AS, Camargo CA, Clark S, Hannon MM MJ. Serum 25-hydroxyvitamin D levels among Boston trainee doctors in winter. Nutrients. 2012;4(3):197-207. doi:10.3390/nu4030197spa
dc.relation.references31. González-Padilla E, Soria Lopez A, Gonzalez-Rodriguez E et al. Elevada prevalencia de hipovitaminosis D en los estudiantes de medicina de Gran Canaria, Islas Canarias (España). Endocrinol y Nutr. 2011;58(6):267-273. doi:10.1016/j.endonu.2011.03.002spa
dc.relation.references32. Baidya A, Chowdhury S, Mukhopadhyay S GS. Profile of vitamin D in a cohort of physicians and diabetologists in Kolkata. Indian J Endocrinol Metab. 2012;16:416-418. doi:10.4103/2230-8210.104113spa
dc.relation.references33. Mahdy S, Al-Emadi S a, Khanjar I a et al. Vitamin D status in health care professionals in Qatar. Saudi Med J. 2010;31(1):74-77. http://www.ncbi.nlm.nih.gov/pubmed/20062904.spa
dc.relation.references34. Beloyartseva M, Mithal A, Kaur P et al. Widespread vitamin D deficiency among Indian health care professionals. Arch Osteoporos. 2012;7(1-2):187-192. doi:10.1007/s11657-012-0096-xspa
dc.relation.references35. Munter G, Levi-Vineberg T SN. Vitamin D deficiency among physicians: a comparison between hospitalists and community-based physicians. Osteoporos Int. 2015;26(6):1673-1676. doi:10.1007/s00198-015-3028-yspa
dc.relation.references36. Head DE, Coursin DB, Springman SR, Seaman L, Andrei AC KD et al. Vitamin D deficiency in anesthesia department caregivers at the end of winter. ASA Annu Meet. 2014;25:802-806. doi:10.1111/aas.12316spa
dc.relation.references37. Czarnecki D, Meehan CJ BF. The vitamin D status of Australian dermatologists. Clin Exp Dermatol. 2009;34(5):624-625. doi:10.1111/j.1365-2230.2008.03002.xspa
dc.relation.references38. Gonzalez G, Alvarado JN, Rojas A, Navarrete C, Velasquez CG AE. High prevalence of vitamin D deficiency in Chilean healthy postmenopausal women with normal sun exposure: additional evidence for a worldwide concern. Menopause. 2007;14(3):455-461. doi:10.1097/GME.0b013e31802c54c0spa
dc.relation.references39. Van der Meer IM, Middelkoop BJ, Boeke AJ LP. Prevalence of vitamin D deficiency among Turkish , Moroccan , Indian and sub-Sahara African populations in Europe and their countries of origin : an overview. Osteoporos Int. 2011;22(4):1009-1021. doi:10.1007/s00198-010-1279-1spa
dc.relation.references40. Toss G, Almqvist S, Larsson L ZH. Vitamin D Deficiency in Welfare Institutions for the Aged. Acta Med Scand. 2009;208:87-89.spa
dc.relation.references41. Portela ML, Monico A, Barahona A, Dupraz H, Sol Gonzales-Chaves MM ZS. Comparative 25-OH-vitamin D level in institutionalized women older than 65 years from two cities in Spain and Argentina having a similar solar radiation index. Nutrition. 2010;26(3):283-289. doi:10.1016/j.nut.2009.04.022spa
dc.relation.references42. Roomi MA, Farooq A, Ullah E LK. Hypovitaminosis D and its association with lifestyle factors. Pak J Med Sci. 2015;31(5):2-6.spa
dc.relation.references43. Xiang F, Jiang J, Li H, Yuan J, Yang R, Wang Q et al, Zhang Y. High prevalence of vitamin D insufficiency in pregnant women working indoors and residing in Guiyang , China. J Endocrinol Invest. 2013;36(7):503-504. doi:10.3275/8814spa
dc.relation.references44. Hilger J, Friedel A, Herr R, Rausch T, Roos F, Wahl DA, Pierroz DD, Weber P HK. Systematic Review A systematic review of vitamin D status in populations worldwide British Journal of Nutrition. Br J Nutr. 2014;111(1):23-45. doi:10.1017/S0007114513001840spa
dc.relation.references45. Goswami R, Gupta N, Goswami D, Marwaha RK, Tandon N KN. Prevalence and significance of low 25-hydroxyvitamin D concentrations in healthy subjects in Delhi. Am J Clin Nutr. 2000;72:472-475.spa
dc.relation.references46. Wandurraga EA, Marín LF, Natera AK, Gómez CM MJ. Diabetes Evaluación de causas secundarias de baja masa ósea en mujeres colombianas con osteoporosis posmenopáusica. Rev Colomb Endocrinol y Metab. 2016;3(4):12-16.spa
dc.relation.references47. González D, Zúñiga C KW. Insuficiencia de vitamina D en pacientes adultos con baja masa ósea y osteoporosis en la Fundación Santa Fe de Bogotá 2008-2009. Rev Colomb Reum. 2010;17(4):212-218.spa
dc.relation.references48. Molina JF, Molina J, Escobar JA, Betancur JF GA. Niveles de 25 hidroxivitamina D y su correlación clínica con diferentes variables metabólicas y cardiovasculares en una población de mujeres posmenopáusicas Levels of 25-hydroxyvitamin D and their clinical correlation with several metabolic and cardiovasc. Acta Med Colomb. 2011;36(1):18-23.spa
dc.relation.references49. Vásquez-awad D, Cano-gutiérrez CA, Gómez-ortiz A, et al. Vitamina D . Consenso colombiano de expertos. Consenso Colomb Vitam D. 2017;39(2):140-157.spa
dc.relation.references50. Gannage-Yared M, Chemali R, Yaacoub N HG. Hypovitaminosis D in a Sunny Country : Relation to Lifestyle and Bone Markers. J Bone Min Res. 2000;15(9):1856-1862.spa
dc.relation.references51. Sherman SS, Hollis BW TJ. Vitamin D status and related parameters in a healthy population: The effect of age, sex, and season. J Clin Endocrinol Metab. 1990;71:405-413.spa
dc.relation.references52. Guzel R, Kozanoglu E, Guler-Uysal F, Soyupak S ST. Vitamin D Status and Bone Mineral Density of Veiled and Unveiled Turkish Women. J Womens Heal Gend Based Med. 2001;10:765-770.spa
dc.relation.references53. Goldner WS, Stoner JA, Thompson J, Taylor K, Larson L, Erickson J et al. Prevalence of Vitamin D Insufficiency and Deficiency in Morbidly Obese Patients : A Comparison with Non-Obese Controls. Obes Surg. 2008;18:145-150. doi:10.1007/s11695-007-9315-8spa
dc.relation.references54. Nisar N, Qadri MH, Fatima K PS. Original Article Dietary habits and life style among the students of a private Medical University Karachi. J Pak Med Assoc. 2008;58:687-690.spa
dc.relation.references55. Leenders TJ, van Eijndhoven FH, van der Veer E MF. Vitamin D Deficiency in Risk Groups Living in Tropical Curaçao. West Indian Med J. 2013;62(3):195-200.spa
dc.relation.references56. Setiati S. Vitamin D status among Indonesian eldery women living in institutionalized care units. Acta Med Indones.2008 Apr;40(2):78-83.spa
dc.relation.references57. Jemini R, Meyers I, Demanet C, Smitz J, Sosso M, Mets T. The prevalence of antibodies in an elderly sub-Saharan African population. Clin Exp Immunol 2002 Jan;127(1):99-106.spa
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001497287;https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001497364;https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001475567*
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001521095*
dc.contributor.googlescholarhttps://scholar.google.es/citations?hl=es#user=2YFaNiwAAAAJ;https://scholar.google.es/citations?hl=es#user=_j9J_3EAAAAJ*
dc.contributor.orcidhttps://orcid.org/0000-0003-0997-4517*
dc.contributor.orcidhttps://orcid.org/0000-0001-6418-7116*
dc.contributor.scopushttps://www.scopus.com/authid/detail.uri?authorId=7102916772;https://www.scopus.com/authid/detail.uri?authorId=55575308900;https://www.scopus.com/authid/detail.uri?authorId=56027001700*
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dc.subject.lembDeficiencia de vitamina Dspa
dc.subject.lembVitamina Dspa
dc.subject.lembLuz solarspa
dc.subject.lembDermatólogosspa
dc.subject.lembMedicinaspa
dc.subject.lembDermatologíaspa
dc.subject.lembInvestigacionesspa
dc.description.abstractenglishIntroduction: Vitamin D deficiency is considered a pandemic, there are currently numerous publications that document this deficiency in patients with osteopenia and / or osteoporosis, however, there are no studies in Colombia or Latin America that evaluate vitamin D deficiency and insufficiency in healthy population, nor in dermatologists who may be susceptible to this deficiency due to long working hours and lack of sun exposure. Objective: To determine the prevalence of vitamin D deficiency in dermatologists and dermatology residents in Colombia and to evaluate its associated factors. Methodology: pilot, observational, analytical cross-sectional study, which included dermatologists and dermatology residents who attended the Colombian dermatology congress in November 2016. Sociodemographic variables, physical examination, photoexposure practices, survey were taken into account nutrition and measurement of 25 OH vitamin D3. All the formats were transcribed into an Excel document to later be analyzed in STATA 14. The personal data protection of the study participants was guaranteed through data anonymization and informed consent was signed for patients who agreed to participate in the study. Expected results: It is expected to determine the prevalence of vitamin D deficiency in dermatologists and dermatology residents of Colombia and the characterization of sociodemographic variables, clinical photoexposure and dietary variables to determine risk factors of the population under study.eng
dc.subject.proposalInsuficiencia de vitamina D
dc.subject.proposalProcesos fisiológicos
dc.subject.proposalEnfermedades cardiovasculares
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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