title: Prevalence of vitamin D deficiency and association with functional status in newly admitted male veteran nursing home residents.
abstract: OBJECTIVE
  To provide the first report on prevalence of vitamin D deficiency in newly admitted nursing home (NH) residents and associations with functional disabilities and chronic diseases.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Nursing home (NH).
  
  
  METHODS
  Male veterans newly admitted to a NH for rehabilitation, skilled-nursing care, intermediate care, or respite care between January 2011 and June 2012.
  
  
  METHODS
  Total serum 25-hydroxyvitamin D (25(OH)D) levels were measured on admission. Vitamin D supplement users and those without 25(OH)D measurement within 7 days of admission were excluded, leaving an analytical sample of 104 residents. Vitamin D deficiency was defined as 25(OH)D less than 20 ng/mL. Data were collected on age, ethnicity, season, body mass index (BMI), functional disability in activities of daily living (ADLs) (mobility, bathing, dressing, toileting, continence, and feeding), and prevalent chronic diseases.
  
  
  RESULTS
  Prevalence of vitamin D deficiency was 49.0%. In multivariate logistic regression models adjusted for age, ethnicity, and BMI, vitamin D deficiency was significantly associated with number of ADL disabilities (odds ratio (OR) = 1.4 for each 1-point increase in ADL disability score, P = .03) and prevalent diabetes mellitus (OR = 3.0, P = .03). In regression models using each ADL disability as a separate variable, only disability in feeding (OR = 4.7, P = .05) and diabetes mellitus (OR = 2.9, P = .04) remained significant.
  
  
  CONCLUSIONS
  Almost half the individuals entering the NH and not taking vitamin D supplements had vitamin D deficiency. Greater number of ADL disabilities, disability in feeding, and prevalent diabetes mellitus were independently associated with vitamin D deficiency.
authors.affiliation: Community Living Center, Veterans Affairs Pacific Islands Health Care System, Honolulu, Hawaii; Department of Geriatric Medicine, John A. Hartford Foundation Center of Excellence in Geriatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.
authors.forename: Gotaro
authors.initials: G
authors.lastname: Kojima
authors.forename: Anna
authors.initials: A
authors.lastname: Tamai
authors.forename: Kamal
authors.initials: K
authors.lastname: Masaki
authors.forename: Gregory
authors.initials: G
authors.lastname: Gatchell
authors.forename: James
authors.initials: J
authors.lastname: Epure
authors.forename: Craig
authors.initials: C
authors.lastname: China
authors.forename: G Webster
authors.initials: GW
authors.lastname: Ross
authors.forename: Helen
authors.initials: H
authors.lastname: Petrovitch
authors.forename: Marianne
authors.initials: M
authors.lastname: Tanabe
mesh_terms: D000203:Activities of Daily Living; D002908:Chronic Disease / Q000453:epidemiology; D004185:Disability Evaluation; D006801:Humans; D008297:Male; D009735:Nursing Homes; D015995:Prevalence; D012189:Retrospective Studies; D014728:Veterans; D014808:Vitamin D Deficiency / Q000453:epidemiology*
keywords: functional disability; nursing home; veterans; vitamin D deficiency