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Serum vitamin D status in children and adolescence with diabetes according to season and age

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deficiency than healthy children. This study aimed to investigate serum vitamin Dstatus and analyze the relationships between serum vitamin D levels and clinicalparameters in children with diabetes. Methods: We checked serum vitamin D levels of children with diabetes aged below18 years who were treated at our Department of Pediatrics between December2011 and February 2012 (winter) as well as between June 2012 and August 2012(summer). We retrospectively analyzed relationships between their serum vitamin Dlevels and clinical parameters. Results: The serum 25-hydroxyvitamin D level in children with diabetes duringwinter was markedly lower than during summer (10.8±5.1 ng/mL vs. 17.6±5.6ng/mL); vitamin D deficiency was more prevalent during winter (95% vs. 62%). However, there was no difference between children with diabetes and healthychildren. In children with type I diabetes mellitus, among all the clinical parameters,age had the greatest negative correlation with serum vitamin D level. Conclusion: In children with diabetes, serum vitamin D levels showed markedseasonal variation. However, no clear relationship was identified between vitaminD deficiency and diabetes. This was because the control group had an equally highvitamin D deficiency rate. Additional studies including other clinical parametersafter vitamin D supplementation in children with diabetes should be considered.

Abstract

deficiency than healthy children. This study aimed to investigate serum vitamin Dstatus and analyze the relationships between serum vitamin D levels and clinicalparameters in children with diabetes. Methods: We checked serum vitamin D levels of children with diabetes aged below18 years who were treated at our Department of Pediatrics between December2011 and February 2012 (winter) as well as between June 2012 and August 2012(summer). We retrospectively analyzed relationships between their serum vitamin Dlevels and clinical parameters. Results: The serum 25-hydroxyvitamin D level in children with diabetes duringwinter was markedly lower than during summer (10.8±5.1 ng/mL vs. 17.6±5.6ng/mL); vitamin D deficiency was more prevalent during winter (95% vs. 62%). However, there was no difference between children with diabetes and healthychildren. In children with type I diabetes mellitus, among all the clinical parameters,age had the greatest negative correlation with serum vitamin D level. Conclusion: In children with diabetes, serum vitamin D levels showed markedseasonal variation. However, no clear relationship was identified between vitaminD deficiency and diabetes. This was because the control group had an equally highvitamin D deficiency rate. Additional studies including other clinical parametersafter vitamin D supplementation in children with diabetes should be considered.

참고문헌 (26)

  1. Holick MF, "Vitamin D deficiency", N Engl J Med, 357, pp.266~281 (2007)
  2. Misra M, "Vitamin D deficiency in children and its management: review of current knowledge and recommendations", Pediatrics, 122, pp.398~417 (2008)
  3. 김세영, "The pleiomorphic actions of vitamin D and its importance for children", Annals of Pediatirc Endocrinology & Metabolism, 18(2), pp.45~54 (2013), 대한소아내분비학회
  4. Pittas AG, "The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis", J Clin Endocrinol Metab, 92, pp.2017~2029 (2007)
  5. Zipitis CS, "Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis", Arch Dis Child, 93, pp.512~517 (2008)
  6. Holick MF, "Resurrection of vitamin D deficiency and rickets", J Clin Invest, 116, pp.2062~2072 (2006)
  7. Holick MF, "Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease", Am J Clin Nutr, 80(6Suppl), pp.1678S~1688S (2004)
  8. Rhee SY, "Vitamin D and diabetes in Koreans: analyses based on the Fourth Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2009", Diabet Med, 29, pp.1003~1010 (2012)
  9. Huh KB, "Effects of Insulin secretion on glucose and lipid metabolism in Korea", Korean J Med, 47, pp.295~304 (1994)
  10. Korean Diabetes Association, "Education guideline for diabetic patient", pp.598~ (2006), Gold Planning
  11. Webb AR, "Influence of season and latitude on the cutaneous synthesis of vitamin D3:exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin", J Clin Endocrinol Metab, 67, pp.373~378 (1988)
  12. Kimlin MG, "Location and vitamin D synthesis: is the hypothesis validated by geophysical data?", J Photochem Photobiol B, 86, pp.234~239 (2007)
  13. Karvonen M, "Comparison of the seasonal pattern in the clinical onset of IDDM in Finland and Sardinia", Diabetes Care, 21, pp.1101~1109 (1998)
  14. Mohr SB, "The association between ultraviolet B irradiance, vitamin D status and incidence rates of type 1 diabetes in 51 regions worldwide", Diabetologia, 51, pp.1391~1398 (2008)
  15. "Vitamin D supplement in early childhood and risk for Type I (insulin-dependent) diabetes mellitus. The EURODIAB Substudy 2 Study Group", Diabetologia, 42, pp.51~54 (1999)
  16. Reichel H, "1 alpha,25-Dihydroxyvitamin D3 inhibits gamma-interferon synthesis by normal human peripheral blood lymphocytes", Proc Natl Acad Sci U S A, 84, pp.3385~3389 (1987)
  17. Rigby WF, "Regulation of lymphokine production and human T lymphocyte activation by 1,25-dihydroxyvitamin D3. Specific inhibition at the level of messenger RNA", J Clin Invest, 79, pp.1659~1664 (1987)
  18. Riachy R, "1,25-dihydroxyvitamin D3protects RINm5F and human islet cells against cytokineinduced apoptosis: implication of the antiapoptotic protein A20", Endocrinology, 143, pp.4809~4819 (2002)
  19. Casteels K, "1,25-Dihydroxyvitamin D3 restores sensitivity to cyclophosphamide-induced apoptosis in nonobese diabetic (NOD) mice and protects against diabetes", Clin Exp Immunol, 112, pp.181~187 (1998)
  20. Mathieu C, "Prevention of autoimmune diabetes in NOD mice by 1,25dihydroxyvitamin D3", Diabetologia, 37, pp.552~558 (1994)
  21. Pittas AG, "Vitamin D and calcium intake in relation to type 2 diabetes in women", Diabetes Care, 29, pp.650~656 (2006)
  22. Milner RD, "The role of calcium and magnesium in insulin secretion from rabbit pancreas studied in vitro", Diabetologia, 3, pp.47~49 (1967)
  23. Shin YH, "High prevalence of vitamin D insufficiency or deficiency in young adolescents in Korea", Eur J Pediatr, 171, pp.1475~1480 (2012)
  24. Bischof MG, "Vitamin D status and its relation to age and body mass index", Horm Res, 66, pp.211~215 (2006)
  25. Reinehr T, "Vitamin D status and parathyroid hormone in obese children before and after weight loss", Eur J Endocrinol, 157, pp.225~232 (2007)
  26. Wortsman J, "Decreased bioavailability of vitamin D in obesity", Am J Clin Nutr, 72, pp.690~693 (2000)

관련 논문AI추천

Low levels of 25-hydroxyvitamin D in children and adolescents with type 1 diabetes mellitus: a single center experience남효경, 배기남, 송대진, 이기형, 이영준대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2018 · 제23권 제1호A lack of association between vitamin D-binding protein and 25-hydroxyvitamin D concentrations in pediatric type 1 diabetes without microalbuminuria구민정, 김지영, 김화영, 신충호, 양세원, 윤주영, 이경민, 이영아, 이지은, 정해운대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2017 · 제22권 제4호Vitamin D deficiency in children aged 6 to 12 years: single center’s experience in Busan곽민정, 김광훈, 김보령, 김수영, 김영미, 김혜영, 노영은, 박경희, 조민정, 최원복, Peter Chun대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2016 · 제21권 제3호Seasonal Changes in Vitamin D Levels of Healthy Children in Mid-Latitude, Asian Urban AreaIn Ah Jung, Jong Woo Won, Seong Kwan Jung, Yoon Lee대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2021 · 제24권 제2호Vitamin D deficiency in Korean children: prevalence, risk factors, and the relationship with parathyroid hormone levels김해중, 유은경, 정소정, 황인혁대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2014 · 제19권 제2호Response to vitamin D replacement in overweight and normal weight children with vitamin D deficiencyEun-Gyong Yoo, In Hyuk Chung, Yu Sun Kang대한소아내분비학회 · Annals of Pediatric Endocrinology & Metabolism2019 · 제24권 제1호

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