Original Article

Impact Of Mediterranean Climate and Seasonal Variation on Vitamin D Levels in Children


  • İlke Beyitler
  • Murat Uncu
  • Nerin Bahceciler
  • Burcin Şanlıdağ
  • Ceyhun Dalkan
  • Salih Kavukcu

Received Date: 26.01.2018 Accepted Date: 21.03.2018 Cyprus J Med Sci 2018;3(1):15-18


Vitamin D deficiency causes several health problems. We investigated the frequency of vitamin D deficiency and insufficiency and the impact of seasonal variation on the 25-Hydroxyvitamin D [25(OH) D] levels of healthy children living in Cyprus.


A total of 565 healthy children (aged, 0-18 y) under routine pediatric consultation who were followed in our Department of Pediatrics between February 2013 and September 2016 and who were screened for 25(OH) D level were included.


This analysis demonstrated a frequency of 22.5% vitamin D deficiency and 29% insufficiency. 25(OH) D results had a positive correlation with temperature (r=0.25, p=0.00) and a negative correlation with age (r=-0.43, p=0.00). 25(OH) D deficiency was more frequent in females than in males (p=0.04). Deficiency was the most frequent during winter and spring and the least frequent during summer (p=0.00). Deficiency was the most frequent in December and April and the least frequent in June and July (p=0.00), and it was the least frequent in children in the age group of 0-12 month sand the most frequent in those in the age group of 169–216 months (p=0.00). Within this group, 85 of children were evaluated for Ca, P, and alkaline phosphatase (ALP). 25(OH) D results did not have a correlation with Ca, P, and ALP values. When the vitamin D deficient and sufficiency groups were compared, Ca (p=0.01), P (p=0.03), and temperature (p=0.04) values were lower in the deficient group.


Vitamin D deficiency is an important health problem even in our country, which has sufficient sun exposure. Therefore, children should spend more time outdoors to adequately benefit from vitamin D synthesis from sunshine.

Keywords: Climate, vitamin D, children