Obesity

Metabolic remodeling and the modulatory role of vitamin D deficiency in African American children and adolescents with obesity

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Obesity in African American youth is linked to widespread metabolic remodeling across amino acid, lipid, and inflammatory pathways, reflecting core features of cardiometabolic risk. Vitamin D status may also influence these responses, suggesting a potential role in modifying obesity-related risk. These findings highlight the importance of early identification and prevention strategies and point to vitamin D as a possible target for future investigation.

Study context

Population
African American participants aged 2–21 years, Children's Hospital of Philadelphia, 2002–2020; vitamin D deficiency in 86, including 62 of 309 with overweight or obesity (20%)
Participants
551 participants
Exposure
Obesity vs no obesity; modulation by vitamin D deficiency
Outcome
Plasma metabolites associated with obesity
Methodological detailsmetabolomic profiling, Nightingale NMR platform
  • Metabolomic profiling
  • Nightingale NMR platform

Main finding

As reported in the abstract

Metabolite markers and ratios significantly associated with obesity (FDR < 0.05)
142
Significant overrepresentation of nominally significant interactions with vitamin D deficiency (global enrichment analysis)
p < 2.2 × 10-¹⁶

Observational data: associations, not effects.

Original publication

Metabolic remodeling and the modulatory role of vitamin D deficiency in African American children and adolescents with obesity. Int J Obes (Lond). Published 12 January 2026. doi:10.1038/s41366-025-02003-0

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