Toggle Health Problems and D

Submariners need Vitamin D (no surprise) – Review March 2023

Vitamin D status in active duty Navy military personnel: a systematic review

Occup Environ Med . 2023 Apr 3;oemed-2022-108710. doi: 10.1136/oemed-2022-108710
Moisés Henriques 1 2, Diogo Rodrigues 3, Susana Viegas 2, Florentino Serranheira 2, Ema Sacadura-Leite 2 4

Objectives: Active duty Navy military personnel are prone to vitamin D deficiency due to an occupational environment detrimental to sunlight exposure. The main objective of this systematic review is to provide a worldwide overview of vitamin D status in this population.

Methods: The Condition, Context, Population (CoCoPop) mnemonic was used to define the inclusion criteria (vitamin D status; all contexts; active duty Navy military personnel). Studies with recruits or veterans were excluded. Scopus, Web of Science and PubMed/Medline databases were searched from inception to 30 June 2022. Joanna Briggs Institute and Downs & Black checklists were used for quality assessment and data were synthesised in narrative and tabular formats.

Results: Thirteen studies published between 1975 and 2022 and conducted in northern hemisphere Navies, including mainly young and male service members, were included. The prevalence of vitamin D deficiency was globally reported as significant. Nine studies included a total of 305 male submariners who performed 30-92 days submarine patrol and reported the effect of sunlight deprivation in the decrease of vitamin D levels.

Conclusions: This new systematic review underlines the high prevalence of vitamin D deficiency in the Navy, especially in submariners, and the need to implement measures to prevent vitamin D deficiency. Serum 25(OH)D data available and the heterogeneity of the studies limited a pooled analysis. Most studies included only submariners, which may limit generalisability to all active duty Navy military personnel. Further research on this topic should be promoted.

Prospero registration number: CRD42022287057.
No such attachment on this page

See also VitaminDWiki

Attached files

ID Name Comment Uploaded Size Downloads
19421 submariners need Vitamin D.pdf admin 04 Apr, 2023 535.15 Kb 40