Nursing Home, Vitamin D Deficiency
Conditions
Brief summary
Objective: The aim of the present study was to determine the effect of nursing interventions and sunlight exposure to reach optimum vitamin D levels by individuals living in nursing homes on vitamin D levels. Material Method: In the first stage of this two-stage randomized-controlled experimental study with pretest-posttest design conducted in June - August 2018 period in the nursing home in Central Town of Tokat Province, the questionnaire prepared by the researcher, standardized mini mental test, Fitzpatrick skin typing questionnaire and Katz Index of activities of daily living were applied. Intervention (n=20) and control (n=20) groups were established with individuals using simple random method according to age, gender, skin type and vitamin D level. In the second stage, 30-35% of the body surface area of individuals in the intervention group was exposed to sunlight five days a week in July. For the participants in the control group, sunbathing was not offered. 25(OH)D, calcium, parathormone, phosphorus, alkaline phosphatase and albumin levels of all individuals were measured in blood samples taken at the beginning and end of the study. Two-way mixed ANOVA, Mann-Whitney U test, Wilcoxon signed rank test and Chi-square tests were used to evaluate the data.
Interventions
BEHAVIORALSunbathing
the individuals were exposed directly to sun in the nursing home garden on open and sunny days without sunscreen for five days a week for a month with an average of 21.0 ± 5.0 min (min 15 min - max 30 min). About 30-35% of their bodies (hand, face, neck, forearm open up to elbows and legs open up to the knee caps) were open.
Sponsors
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
pretest-posttest randomized controlled experimental study
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* individuals (25 women and 41 men) who lived in nursing home during June 27, 2018 and August 01, 2018 period * 60 years and older * able to perform their daily life activities independently * agreed to participate in the study
Exclusion criteria
* malignancies * advanced liver and kidney failure * history of gastric-bowel operation * skin disease that could prevent sun exposure * hyperparathyroidism * malabsorption * use of drugs that affect the levels of vitamin D, calcium, PTH and phosphorus and albumin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vitamin D | 5 week | Vitamin D Level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calicium | 5 week | Calcium Level |
| Phosphorus | 5 week | Phosphorus level |
| Alkaline Phosphatase | 5 week | Alkaline phosphatase level |
| Albumin | 5 week | Albumin level |
| Parathormone | 5 week | Parathormone level |
Countries
Turkey (Türkiye)
Outcome results
None listed