Vitamin D status in preschool children and its relations to vitamin D sources and body mass index-Fish Intervention Studies-KIDS (FINS-KIDS).

The aims of this study were to determine vitamin D status (serum 25-hydroxyvitamin D3 [s-25(OH)D3]) and examine possible associations between vitamin D status and vitamin D-rich dietary sources, sun exposure, and body mass index in preschool children ages 4 to 6 y. This is a cross-sectional study based on baseline data (collected in January-February 2015) from the two-armed randomized controlled trial Fish Intervention Studies-KIDS (FINS-KIDS) conducted in Bergen, Norway. S-25(OH)D3 concentration was determined by liquid chromatography-tandem mass spectrometry. Information regarding habitual dietary intake, recent sun vacations, and body mass index were assessed with questionnaires answered by the children's caregivers. The children (n = 212) had a mean (standard deviation) s-25(OH)D3 of 60.7 (13.8) nmol/L; 18.9% had s-25(OH)D3 ≤50 nmol/L. In logistic regression models, non-overweight versus overweight status was inversely associated with s-25(OH)D3 ≤50 nmol/L (odds ratio: 0.41; 95% confidence interval, 0.18-0.95; P = 0.037). Non-sun versus sun vacations were associated with s-25(OH)D3 ≤75 nmol/L (odds ratio: 5.33; 95% confidence interval, 1.93-14.77; P = 0.001). The majority of the preschool children (81%) had s-25(OH)D3 >50 nmol/L. Children with overweight status had an increased risk of s-25(OH)D3 ≤50 nmol/L, and children who had not been on sun vacations were at a greater risk of s-25(OH)D3 ≤75 nmol/L.

Midtbø LK ，Nygaard LB ，Markhus MW ，Kjellevold M ，Lie Ø ，Dahl L ，Kvestad I ，Frøyland L ，Graff IE ，Øyen J ... -  《-》

Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia.

Chee WSS ，Chang CY ，Arasu K ，Wong SY ，Ong SH ，Yang WY ，Chong MHZ ，Mavinkurve M ，Khoo EJ ，Chinna K ，Weaver CM ... -  《Nutrients》

Low serum 25-hydroxyvitamin D concentrations are associated with total adiposity of children in the United States: National Health and Examination Survey 2005 to 2006.

A negative association between serum 25-hydroxyvitamn D (25[OH]D) concentrations and adiposity has been found in adults. We hypothesized that serum 25(OH)D concentrations of children would correlate positively with vitamin D intake and correlate negatively with adiposity measures. Using a nationally representative sample of children aged 6 to 18 years from the National Health and Nutrition Examination Survey 2005-2006 (n = 2492), serum 25(OH)D concentrations were compared with measures of adiposity (weight, waist circumference [WC], WC-to-height ratio, body mass index, skinfold thickness, and percent body fat). Based on Endocrine Society's serum 25(OH)D concentration criteria, 26.9% ± 2.3% of the children were vitamin D deficient (<20 ng/mL) and 26.5% ± 2.6% had sufficient levels (≥30 ng/mL). Controlling for age, sex, ethnicity, and income, linear regression analysis indicated that dietary vitamin D intake was positively associated with serum 25(OH)D levels (P < .05) and markers of adiposity were negatively associated with serum 25(OH)D levels: WC, WC-to-height ratio, body mass index, and triceps skinfold thickness (P < .05). A subgroup analysis (n = 2086; 8-18 years) of body fat, fat mass index, and percent body fat measured by dual-energy x-ray absorptiometry also was negatively associated with serum 25(OH)D levels (P < .05). When standardized β coefficients were compared, strength of the inverse relationship to serum 25(OH)D concentrations was very similar for several adiposity measures. In conclusion, risk of a vitamin D deficiency was fairly common among children based on Endocrine Society criteria and low serum 25(OH)D concentrations were strongly associated with increased adiposity in children.

Moore CE ，Liu Y 《-》

National Estimates of Serum Total 25-Hydroxyvitamin D and Metabolite Concentrations Measured by Liquid Chromatography-Tandem Mass Spectrometry in the US Population during 2007-2010.

The 2007-2010 NHANES provides the first US nationally representative serum 25-hydroxyvitamin D [25(OH)D] concentrations measured by standardized liquid chromatography-tandem mass spectrometry. We describe patterns for total 25(OH)D and individual metabolites in persons aged ≥1 y stratified by race-ethnicity and grouped by demographic, intake, physiologic, and lifestyle variables. We measured 25-hydroxycholecalciferol [25(OH)D3], 25-hydroxyergocalciferol [25(OH)D2], and C3-epimer of 25(OH)D3 [C3-epi-25(OH)D3] in serum samples (n = 15,652) from the 2007-2010 cross-sectional NHANES [total 25(OH)D = 25(OH)D3 + 25(OH)D2]. Concentrations (median, detection rate) of 25(OH)D3 (63.6 nmol/L, 100%) and C3-epi-25(OH)D3 (3.40 nmol/L, 86%) were generally detectable; 25(OH)D2 was detectable in 19% of the population. Total 25(OH)D, 25(OH)D3, and C3-epi-25(OH)D3 displayed similar demographic patterns and were strongly correlated (Spearman's r > 0.70). Concentrations of 25(OH)D2 (90th percentile) were much higher in persons aged ≥60 y (17.3 nmol/L) than in younger age groups (≤4.88 nmol/L). We noted significant race-ethnicity differences in mean total 25(OH)D [non-Hispanic blacks (NHBs), Hispanics, and non-Hispanic whites (NHWs): 46.6, 57.2, and 75.2 nmol/L, respectively] and in the prevalence of total 25(OH)D <30 nmol/L overall (24% of NHBs, 6.4% of Hispanics, and 2.3% of NHWs) as well as stratified by season (winter months: 30% of NHBs, 7.5% of Hispanics, and 3.8% of NHWs; summer months: 17% of NHBs, 4.4% of Hispanics, and 1.6% of NHWs). Persons with higher vitamin D intakes (diet, supplements, or both) and those examined during May-October had significantly higher total 25(OH)D. Significant race-ethnicity interactions in a multiple linear regression model confirmed the necessity of providing race-ethnicity-specific estimates of total 25(OH)D. Race-ethnicity differences in the prevalence of low total 25(OH)D remained strong even after adjustment for season to account for the NHANES design imbalance between season, latitude, and race-ethnicity. The strong correlation between C3-epi-25(OH)D3 and 25(OH)D3 may be because the epimer is a metabolite of 25(OH)D3. The presence of 25(OH)D2 mainly in older persons is likely a result of high-dose prescription vitamin D2.

Schleicher RL ，Sternberg MR ，Looker AC ，Yetley EA ，Lacher DA ，Sempos CT ，Taylor CL ，Durazo-Arvizu RA ，Maw KL ，Chaudhary-Webb M ，Johnson CL ，Pfeiffer CM ... -  《-》

Effect of age and body mass index on vitamin D level in children with asthma in Riyadh.

Bindayel IA 《-》