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Vitamin D status and cardiometabolic risk markers in young Swedish children : A double-blind randomized clinical trial comparing different doses of vitamin D supplements

Öhlund, Inger ; Lind, Torbjörn ; Hernell, Olle ; Silfverdal, Sven Arne ; Liv, Per and Karlsland Åkeson, Pia LU (2020) In American Journal of Clinical Nutrition 111(4). p.779-786
Abstract

Background: Observational studies have linked low vitamin D status to unfavorable cardiometabolic risk markers, but double-blinded vitamin D intervention studies in children are scarce. Objectives: The aim was to evaluate the effect of different doses of a vitamin D supplement on cardiometabolic risk markers in young healthy Swedish children with fair and dark skin. Methods: Cardiometabolic risk markers were analyzed as secondary outcomes of a double-blind, randomized, milk-based vitamin D intervention trial conducted during late fall and winter in 2 areas of Sweden (latitude 63°N and 55°N, respectively) in both fair- and dark-skinned 5- to 7-y-old children. During the 3-mo intervention, 206 children were randomly assigned to a daily... (More)

Background: Observational studies have linked low vitamin D status to unfavorable cardiometabolic risk markers, but double-blinded vitamin D intervention studies in children are scarce. Objectives: The aim was to evaluate the effect of different doses of a vitamin D supplement on cardiometabolic risk markers in young healthy Swedish children with fair and dark skin. Methods: Cardiometabolic risk markers were analyzed as secondary outcomes of a double-blind, randomized, milk-based vitamin D intervention trial conducted during late fall and winter in 2 areas of Sweden (latitude 63°N and 55°N, respectively) in both fair- and dark-skinned 5- to 7-y-old children. During the 3-mo intervention, 206 children were randomly assigned to a daily milk-based vitamin D3 supplement of either 10 or 25 μg or placebo (2 μg; only at 55°N). Anthropometric measures, blood pressure, serum 25-hydroxyvitamin D [25(OH)D], total cholesterol, HDL cholesterol, apoA-I, apoB, and C-reactive protein (CRP) were analyzed and non-HDL cholesterol calculated at baseline and after the intervention. Results: At baseline, serum 25(OH)D was negatively associated with systolic and diastolic blood pressure (β = -0.194; 95% CI: -0.153, -0.013; and β = -0.187; 95% CI: -0.150, -0.011, respectively). At follow-up, there was no statistically significant difference in any of the cardiometabolic markers between groups. Conclusions: We could not confirm any effect of vitamin D supplementation on serum lipids, blood pressure, or CRP in healthy 5- to 7-y-old children. 

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
blood pressure, latitude, serum lipids, skin color, vitamin D supplement
in
American Journal of Clinical Nutrition
volume
111
issue
4
pages
8 pages
publisher
Oxford University Press
external identifiers
  • pmid:32140704
  • scopus:85084205621
ISSN
0002-9165
DOI
10.1093/ajcn/nqaa031
language
English
LU publication?
yes
id
3ec86de4-61f5-4ffc-83b0-b7a677573cb5
date added to LUP
2020-06-09 17:13:09
date last changed
2024-04-17 09:30:12
@article{3ec86de4-61f5-4ffc-83b0-b7a677573cb5,
  abstract     = {{<p>Background: Observational studies have linked low vitamin D status to unfavorable cardiometabolic risk markers, but double-blinded vitamin D intervention studies in children are scarce. Objectives: The aim was to evaluate the effect of different doses of a vitamin D supplement on cardiometabolic risk markers in young healthy Swedish children with fair and dark skin. Methods: Cardiometabolic risk markers were analyzed as secondary outcomes of a double-blind, randomized, milk-based vitamin D intervention trial conducted during late fall and winter in 2 areas of Sweden (latitude 63°N and 55°N, respectively) in both fair- and dark-skinned 5- to 7-y-old children. During the 3-mo intervention, 206 children were randomly assigned to a daily milk-based vitamin D<sub>3</sub> supplement of either 10 or 25 μg or placebo (2 μg; only at 55°N). Anthropometric measures, blood pressure, serum 25-hydroxyvitamin D [25(OH)D], total cholesterol, HDL cholesterol, apoA-I, apoB, and C-reactive protein (CRP) were analyzed and non-HDL cholesterol calculated at baseline and after the intervention. Results: At baseline, serum 25(OH)D was negatively associated with systolic and diastolic blood pressure (β = -0.194; 95% CI: -0.153, -0.013; and β = -0.187; 95% CI: -0.150, -0.011, respectively). At follow-up, there was no statistically significant difference in any of the cardiometabolic markers between groups. Conclusions: We could not confirm any effect of vitamin D supplementation on serum lipids, blood pressure, or CRP in healthy 5- to 7-y-old children. </p>}},
  author       = {{Öhlund, Inger and Lind, Torbjörn and Hernell, Olle and Silfverdal, Sven Arne and Liv, Per and Karlsland Åkeson, Pia}},
  issn         = {{0002-9165}},
  keywords     = {{blood pressure; latitude; serum lipids; skin color; vitamin D supplement}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{779--786}},
  publisher    = {{Oxford University Press}},
  series       = {{American Journal of Clinical Nutrition}},
  title        = {{Vitamin D status and cardiometabolic risk markers in young Swedish children : A double-blind randomized clinical trial comparing different doses of vitamin D supplements}},
  url          = {{http://dx.doi.org/10.1093/ajcn/nqaa031}},
  doi          = {{10.1093/ajcn/nqaa031}},
  volume       = {{111}},
  year         = {{2020}},
}