Hill TR, Cotter AA, Mitchell S, Boreham CA, Dubitzky W, Murray L, Strain JJ, Flynn A, Robson PJ, Wallace JMW, Kiely M, Cashman KD.

2008

May

British Journal of Nutrition

Vitamin D status and its determinants in adolescents from the Northern Ireland Young Hearts 2000 cohort

Validated

Altmetric: 2 ()

serum 25-hydroxyvitamin D vitamin D insufficiency determinants season gender adolescents BONE-MINERAL DENSITY PARATHYROID-HORMONE CONCENTRATIONS D DEFICIENCY 25-HYDROXYVITAMIN-D CONCENTRATIONS HYPOVITAMINOSIS-D FINNISH GIRLS PREVALENCE WOMEN CHILDREN WINTER

99

1061

1067

Despite recent concerns about the high prevalence of sub-clinical vitamin D deficiency in adolescents, relatively few studies have investigated the underlying reasons. The objective of the present study was to investigate the prevalence and predictors of vitamin D inadequacy among a large representative sample of adolescents living in Northern Ireland (54-55 degrees N). Serum concentrations of 25-hydroxyvitamin D (25(OH)D) were analysed by enzyme-immunoassay in a subgroup of 1015 of the Northern Ireland Young Hearts 2000 cohort; a cross-sectional study of 12 and 15 year-old boys and girls. Overall mean 25(OH)D concentration throughout the year was 64.3 (range 5-174) nmol/l; 56.7 and 78.1 nmol/l during winter and summer, respectively. Reported intakes of vitamin D were very low (median 1.7 mu g/d). Of those adolescents studied, 3 % and 36 % were vitamin D deficient and inadequate respectively, as defined by serum 25(OH)D concentrations < 25 and < 50 nmol/l. Of the subjects, 46 % and 17 % had vitamin D inadequacy during winter and summer respectively. Gender differences were also evident with 38 % and 55 % of boys and girls respectively classified as vitamin D inadequate during winter (P < 0.001). Predictors of vitamin D inadequacy during winter were vitamin D intake and gender. In conclusion, there is a high prevalence of vitamin D inadequacy in white-skinned adolescents in Northern Ireland, particularly during wintertime and most evident in girls. There is a clear need for dietary recommendations for vitamin D in this age group and for creative strategies to increase overall vitamin D status in the population.

10.1017/S0007114507842826