Factors Associated with Vitamin D Deficiency in European Adolescents: The HELENA Study

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概要

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• Evidence indicates low 25-hydroxyvitamin D [(25(OH)D] concentrations in European adolescents. Identification of potential determinants is therefore essential to guide public health initiatives aiming at optimizing vitamin D status across Europe. The aim of the study was to identify potential influencing factors of 25(OH)D concentrations in European adolescents aged 12.5 to 17.5 y, participating in the multi-centre cross-sectional Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. A subset of 1,006 participants (46.8% males) was drawn from the main study. Measures of body composition, biochemical markers, socioeconomic status, dietary intake, physical activity, fitness, sleep time and vitamin D genetic polymorphism (rs1544410) were assessed. Stepwise multivariate linear regression analysis was conducted stratified by gender. In males, linear regression of 25(OH)D, suggested that (1) winter season (β=−0.364; p<0.01), (2) higher latitudes (β=−0.246; p<0.01), (3) BMI z-score (β=−0.198; p<0.05) and (4) retinol concentration (β=0.171; p<0.05) independently influenced 25(OH)D concentrations. In females, (1) winter season (β=−0.370; p<0.01), (2) sleep time (β=−0.231; p<0.01), (3) supplement intake (β=0.221; p<0.05), (4) flexibility (β=0.184; p<0.05), (5) body fat % (β=0.201; p<0.05) (6), BMI z-score (β=−0.272; p<0.05), (7) higher latitudes (β=−0.219; p<0.01) and (8) handgrip strength (β=0.206; p<0.05) independently influenced 25(OH)D concentrations. Season, latitude, fitness, adiposity, sleep time and micronutrient supplementation were highly related to 25(OH)D concentrations found in European adolescents.

著者

• Gomez-Martinez Sonia

  Immunonutrition research group. Dept. Metabolism and Nutrition. Instituto del Frio. Spanish National

• Manios Yannis

  Department Of Nutrition And Dietetics Harokopio University Of Athens

• A. MORENO

  Facultad de Ciencias de la Salud, Departamento de Fisiatría y Enfermería, Universidad de Zaragoza

• VALTUEÑA Jara

  ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid

• GONZÁLEZ-GROSS Marcela

  ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid

• HUYBRECHTS Inge

  Department of Public Health, Faculty of Medicine, Ghent University

• BREIDENASSEL Christina

  ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid

• FERRARI Marika

  National Research Institute on Food and Nutrition

• MOURATIDOU Theodora

  Facultad de Ciencias de la Salud, Departamento de Fisiatría y Enfermería, Universidad de Zaragoza

• GOTTRAND Frederic

  Inserm U995, IFR114, University of Lille 2

• DALLONGEVILLE Jean

  Institut Pasteur de Lille, INSERM U744

• AZZINI Elena

  National Research Institute on Food and Nutrition

• SIOEN Isabelle

  Department of Public Health, Faculty of Medicine, Ghent University

• CUENCA-GARCÍA Magdalena

  Department of Medical Physiology, School of Medicine, Granada University

• KERSTING Mathilde

  Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms Universität Bonn

• STEHLE Peter

  Institut für Ernährungs- und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms Universität Bonn

• KAFATOS Anthony

  Preventive Medicine and Nutrition Clinic, University of Crete School of Medicine

• WIDHALM Kurt

  Department of Pediatrics, Private Medical University

• MANIOS Yannis

  Department of Nutrition and Dietetics, Harokopio University

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