Journal
CLINICAL PEDIATRICS
Volume 51, Issue 2, Pages 146-153Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0009922811417290
Keywords
25(OH) vitamin D; 25-hydroxyvitamin D; diabetes; insulin resistance; lipids; obesity; type 2 diabetes prevention; vascular risk
Categories
Funding
- Native American Research Centers for Health (NARCH) [U26IHS300002]
- Indian Health Service (IHS)
- National Institute of Diabetes Digestive and Kidney Diseases (NIDDK)
- National Institute for Minority Health and Health Disparities
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Aims/Hypothesis. Vitamin D insufficiency has not been well studied in Native American (NA) children, who are at risk for obesity and diabetes. The authors examined vitamin D insufficiency and its association with body mass index (BMI) and insulin resistance. Methods. In a cross-section of NA children 5 to 18 years old (N = 198), anthropometrics, biomarkers of insulin resistance, and 25-hydroxy-vitamin D concentration [25(OH) vitamin D] were measured. BMI% and homeostatic model assessment of insulin resistance (HOMA-IR) were calculated. Results. Mean age was 10.8 +/- 0.3 years (mean +/- SEM). Mean serum 25(OH) vitamin D was 17.8 +/- 0.4 ng/mL and 97% had vitamin D insufficiency [25(OH) vitamin D < 30 ng/mL]. After adjusting for BMI, 25(OH) vitamin D was inversely associated with HOMA-IR (P < .0001) and several other markers of insulin resistance. Conclusions/Interpretation. Vitamin D insufficiency was nearly universal in this cohort of NA children and was associated with diabetes and vascular risk markers. Whether vitamin D supplementation can improve insulin resistance must be studied further.
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