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Case–control studies
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Marwaha et al., 2005
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Healthy school children
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NA
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BMD (distal forearmand calcaneum) using DXA
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Serum 25OHD, mean (SD) (nmol/L): 29.5 (18.0)
LSES: 26 (1); USES: 34 (1)
25OHD < 22.5 nmol/L: 35.7%; LSES 42.3% vs. USES 27%, p < 0.01
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India
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(from LSES and USES); age range 10–18 y
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Prevalence of clinical vit D deficiency (defined by genu varum or genu valgum): LSES 11.6% vs. USES 9.7%, p = 0.07
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n = 5,137 (3,089 LSES; 2,048 USES)
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Forearm mean BMD significantly higher (p < 0.01) in USES group compared with LSES
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LSES 65.1% female
USES 52.7% female
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BMD adjusted for height and weight
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Serum calcium not significantly different between groups, but dietary calcium intake lower in LSES group
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Indian
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No significant correlation between BMD and serum 25OHD in either group
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