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1% to 69.6% (p-trend0.001), whereas in males, it decreased from 93.2% to 49.3% (p-trend0.001). Serum 25(OH)D was observed to have an overall increase of 2.2 ± 0.1 nmol/l (p 0.001) along with the seasonally adjusted annual increase of 1.3 ± 0.2 nmol/l from 2008 to 2017 (p 0.001). The decreasing trend in vitamin D deficiency in SA across all demographics suggests successful public health campaigns over time. It will be interesting to investigate further whether the general improvement in the vitamin D status at the commun