Osteoporosis, bone & mineral

Longitudinal Associations Between Vitamin D Status and Cardiometabolic Risk Markers Among Children and Adolescents

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Low serum 25(OH)D concentrations are associated with unfavorable levels of cardiometabolic markers in children and adolescents. Interventions to improve vitamin D levels in children with a poor status early in life may help to reduce cardiometabolic risk.

Study context

Population
Children and adolescents from the pan-European IDEFICS/I.Family cohort with ≥1 serum 25(OH)D measurement at cohort entry or follow-up
Participants
2,171 children
Exposure
Serum 25(OH)D as independent variable vs z-scores of cardiometabolic risk markers
Outcome
Association of serum 25(OH)D with z-scores of cardiometabolic risk markers (waist circumference, SBP, DBP, HDL, LDL, non-HDL, TG, ApoA1, ApoB, FPG, HOMA-IR, metabolic syndrome score)
Methodological detailslongitudinal, pan-European IDEFICS/I.Family cohort, linear mixed-effect models
  • Longitudinal
  • pan-European IDEFICS/I.Family cohort
  • Linear mixed-effect models

Main finding

As reported in the abstract

Cardiometabolic risk marker z-scores

HOMA-IR z-score change per 5 ng/mL increase in 25(OH)D

decreased by 0.07 units

Observational data: associations, not effects.

Further findings

25(OH)D consistently associated with HOMA-IR irrespective of sex or body mass index (BMI) category

Original publication

Longitudinal Associations Between Vitamin D Status and Cardiometabolic Risk Markers Among Children and Adolescents. J Clin Endocrinol Metab. Published 1 June 2023. doi:10.1210/clinem/dgad310

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