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Vitamin D levels in a paediatric population of normal weight and obese subjects

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Abstract

Background

Vitamin D exerts pleiotropic effects and few studies are available in the Italian population.

Aim

Aim of our study was to evaluate vitamin D status in children living in Northern Italy.

Methods

We studied vitamin D levels in a population of 113 normal weight (NW) and 444 obese (OB) children, prepubertal and pubertal. We considered vitamin D levels >20 ng/ml as normal, but also measured percentage of children with vitamin D levels higher than a cutoff of 30 ng/ml.

Results

68.2 % of NW children showed normal levels of vitamin D, while 31.8 % showed a clear vitamin D deficiency. Only 28.3 % showed vitamin D levels higher than 30 ng/ml. Obese children showed 55.6 % of subjects with normal levels of vitamin D and 44.4 % of subjects a status of vitamin D deficiency. Only the 18.9 % showed vitamin D levels higher than 30 ng/ml. Mean vitamin D levels in NW children (27.3 ± 1.2 ng/ml) were higher than in OB children (21.8 ± 0.6 ng/ml). No differences have been found between prepubertal and pubertal children in terms of vitamin D levels.

Conclusions

Our paediatric population demonstrates a low percentage of vitamin D sufficiency. In particular, obese children show only 19 % of subjects with normal levels while almost half of this population shows a clear deficiency. Further studies are needed to support these results and to evaluate the possible metabolic consequences.

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References

  1. Kumar J, Muntner P, Kaskel FJ, Hailpern SM, Melamed ML (2009) Prevalence and associations of 25-hydroxyvitamin D deficiency in US children: NHANES 2001–2004. Pediatrics 124:362–370

    Article  Google Scholar 

  2. Thacher TD, Clarke BL (2011) Vitamin D insufficiency. Mayo Clin Proc 86:50–60

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Arabi A, El Rassi R, El-Hajj Fuleihan G (2010) Hypovitaminosis D in developing countries-prevalence, risk factors and outcomes. Nat Rev Endocrinol 6:550–561

    Article  CAS  PubMed  Google Scholar 

  4. Hazell TJ, DeGuire JR, Weiler HA (2012) Vitamin D: an overview of its role in skeletal muscle physiology in children and adolescent. Nutr Rev 70:520–533

    Article  PubMed  Google Scholar 

  5. Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M, Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society (2008) Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics 122:398–417

    Article  PubMed  Google Scholar 

  6. Marrone G, Rosso I, Moretti R, Valent F, Romanello C (2012) Is vitamin D status known among children living in Northern Italy? Eur J Nutr 51:143–149

    Article  CAS  PubMed  Google Scholar 

  7. Alemzadeh R, Kichler J, Babar G, Calhoun M (2008) Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism 57:183–191

    Article  CAS  PubMed  Google Scholar 

  8. Zgaga L, Theodoratou E, Farrington SM et al (2011) Diet, environmental factors, and lifestyle underlie the high prevalence of vitamin D deficiency in healthy adults in Scotland, and supplementation reduces the proportion that are severely deficient. J Nutr 141:1535–1542

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Holick MF, Binkley MC, Bischoff-Ferrari HA et al (2011) Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 96:1911–1930

    Article  CAS  PubMed  Google Scholar 

  10. Rosen CJ, Adams JS, Bikle DD et al (2012) The nonskeletal effects of vitamin D: an Endocrine Society scientific statement. Endocr Rev 33:456–492

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Lips P (2006) Vitamin D physiology. Prog Biophys Mol Biol 92:4–8

    Article  CAS  PubMed  Google Scholar 

  12. Sempos CT, Durazo-Arvizu RA, Dawson-Hughes B et al (2013) Is there a reverse J-shaped association between 25-hydroxyvitamin D and all-cause mortality? Results from the US Nationally Representative NHANES. J Clin Endocrinol Metab 98:3001–3009

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  13. Ginde AA, Scragg R, Schwartz RS, Camargo CA Jr (2009) Prospective study of serum 25-hydroxyvitamin D level, cardiovascular disease mortality, and all cause mortality in older US adults. J Am Geriatr Soc 57:1595–1603

    Article  PubMed  Google Scholar 

  14. Sokol SI, Tsang P, Aggarwal V, Melamed ML, Srinivas VS (2011) Vitamin D status and risk of cardiovascular events: lessons learned via systematic review and meta-analysis. Cardiol Rev 19:192–201

    Article  PubMed  Google Scholar 

  15. Ross AC, Manson JE, Abrams SA et al (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B (2006) Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84:18–28

    CAS  PubMed  Google Scholar 

  17. Maguire JL, Birken C, Thorpe KE, Sochett EB, Parkin PC (2014) Parathyroid hormone as a functional indicator of vitamin d sufficiency in children. JAMA Pediatrics 168:383–385

    Article  PubMed  Google Scholar 

  18. Cacciari E, Milani S, Balsamo A et al (2006) Italian cross-sectional growth charts for height, weight and BMI (2 to 20 yr). J Endocrinol Invest 29:581–593

    Article  CAS  PubMed  Google Scholar 

  19. Turer CB, Lin H, Flores G (2013) Prevalence of vitamin D deficiency among overweight and obese US children. Pediatrics 131:152–161

    Article  Google Scholar 

  20. Norman AW, Bouillon R, Whiting SJ, Vieth R, Lips P (2007) 13th Workshop consensus for vitamin D nutritional guidelines. J Steroid Biochem Mol Biol 103:204–205

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Rovner AJ, O’ Brien KO (2008) Hypovitaminosis D among healthy children in the United States: a review of the current evidence. Arch Pediatr Adolesc Med 162:513–519

    Article  PubMed  Google Scholar 

  22. El-Hajj Fuleihan G, Nabulsi M, Tamim H et al (2006) Effect of vitamin D replacement on musculoskeletal parameters in school children: a randomized controlled trial. J Clin Endocrinol Metab 91:405–412

    Article  PubMed  Google Scholar 

  23. Lippi G, Montagnana M, Targher G (2007) Vitamin D deficiency among Italian children. CMAJ 177:1529–1530

    Article  PubMed Central  PubMed  Google Scholar 

  24. Cheng S, Tylavsky F, Kroger H et al (2003) Association of low 25-hydroxyvitamin D concentrations with elevated parathyroid hormone concentrations and low cortical bone density in early pubertal and prepubertal Finnish girls. Am J Clin Nutr 78:485–492

    CAS  PubMed  Google Scholar 

  25. Pekkinen M, Viljakainen H, Saarnio E, Lamberg-Allardt C, Mäkitie O (2012) Vitamin D is a major determinant of bone mineral density at school age. PLoS One 7:e40090

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  26. Grethen E, McClintock R, Gupta CE, Jones R, Cacucci BM, Diaz D, Fulford AD, Perkins SM, Considine RV, Peacock M (2011) Vitamin D and hyperparathyroidism in obesity. J Clin Endocrinol Metab 96:1320–1326

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Hollis BW, Wagner CL (2013) The role of the parent compound vitamin D with respect to metabolism and function: why clinical dose intervals can affect clinical outcomes. J Clin Endocrinol Metab 98:4619–4628

    Article  CAS  PubMed  Google Scholar 

  28. Grethen E, Hill KM, Jones R, Cacucci BM, Gupta CE, Acton A, Considine RV, Peacock M (2012) Serum leptin, parathyroid hormone, 1,25-dihydroxyvitamin D, fibroblast growth factor 23, bone alkaline phosphatase, and sclerostin relationships in obesity. J Clin Endocrinol Metab 97:1655–1662

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  29. Earthman CP, Beckman LM, Masodkar K, Sibley SD (2012) The link between obesity and low circulating 25-hydroxyvitamin D concentrations: considerations and implications. Int J Obesity 37:387–396

    Article  Google Scholar 

  30. Bischoff-Ferrari HA, Borchers M, Gudat F, Durmuller U, Stahelin HB, Dick W (2004) Vitamin D receptor expression in human muscle tissue decreases with age. J Bone Miner Res 19:265–269

    Article  CAS  PubMed  Google Scholar 

  31. Zanello LP, Norman AW (2004) Rapid modulation of osteoblast ion channel responses by 1 alpha,25(OH)2-vitamin D3 requires the presence of a functional vitamin D nuclear receptor. Proc Natl Acad Sci USA 101:1589–1594

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  32. Ceglia L (2008) Vitamin D and skeletal muscle tissue and function. Mol Asp Med 29:407–414

    Article  CAS  Google Scholar 

  33. Reis JP, von Muhlen D, Miller ER 3rd (2008) Relation of 25-hydroxyvitamin D and parathyroid hormone levels with metabolic syndrome among US adults. Eur J Endocrinol 159:41–48

    Article  CAS  PubMed  Google Scholar 

  34. Lu L, Yu Z, Pan A et al (2009) Plasma 25-hydroxyvitamin D concentration and metabolic syndrome among middle-aged and elderly Chinese individuals. Diabetes Care 32:1278–1283

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Vimaleswaran KS, Berry DJ, Lu C et al (2013) Causal relationship between obesity and vitamin D status: bi-directional Mendelian randomization analysis of multiple cohorts. Plos Med 10:e1001383

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

This work was supported by Regione Piemonte (Ricerca Sanitaria Finalizzata 2008, Grant no. 2827).

Conflict of interest

The authors declare they have no conflict of interest.

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Correspondence to G. Genoni.

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Bellone, S., Esposito, S., Giglione, E. et al. Vitamin D levels in a paediatric population of normal weight and obese subjects. J Endocrinol Invest 37, 805–809 (2014). https://doi.org/10.1007/s40618-014-0108-3

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  • DOI: https://doi.org/10.1007/s40618-014-0108-3

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