The impact of vitamin D status on lipid profiles and atherogenic dyslipidemia markers in children and adolescents with obesity

Adequate serum vitamin D levels correlate with a more favorable lipid profile compared to deficient levels. Despite the well-established prevalence of vitamin D deficiency in children with obesity, studies investigating its influence on lipid profiles in this population are scarce. We explored the i...

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Veröffentlicht in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2024-11, Vol.34 (11), p.2596-2605
Hauptverfasser: Calcaterra, Valeria, Fabiano, Valentina, De Silvestri, Annalisa, Colombo, Carla, Tranfaglia, Valeria, Loiodice, Martina, Ceruti, Daniele, Zuccotti, Gianvincenzo
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container_title Nutrition, metabolism, and cardiovascular diseases
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creator Calcaterra, Valeria
Fabiano, Valentina
De Silvestri, Annalisa
Colombo, Carla
Tranfaglia, Valeria
Loiodice, Martina
Ceruti, Daniele
Zuccotti, Gianvincenzo
description Adequate serum vitamin D levels correlate with a more favorable lipid profile compared to deficient levels. Despite the well-established prevalence of vitamin D deficiency in children with obesity, studies investigating its influence on lipid profiles in this population are scarce. We explored the impact of vitamin D status on lipid profiles and markers of atherogenic dyslipidemia in a cohort of children and adolescents with obesity. A total of 271 Caucasian children and adolescents with overweight/obesity and a control group of 54 pediatric patients with normal weight. All participants underwent outpatient visits for the assessment of clinical parameters and venous blood collection for biochemical analysis such as triglycerides (TG)/HDL-C ratio, LDL-C/HDL-C ratio, atherogenic index of plasma AIP), vitamin D level. Individuals with obesity displayed severe vitamin D deficiency (25-OH-D ≤10 ng/ml) at a higher frequency compared to those with normal weight (p = 0.03). In patients with overweight/obesity and low 25-OH-D levels show higher values of glycemia (p = 0.001), insulin resistance (HOMA-IR and TRYG p 
doi_str_mv 10.1016/j.numecd.2024.07.015
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Despite the well-established prevalence of vitamin D deficiency in children with obesity, studies investigating its influence on lipid profiles in this population are scarce. We explored the impact of vitamin D status on lipid profiles and markers of atherogenic dyslipidemia in a cohort of children and adolescents with obesity. A total of 271 Caucasian children and adolescents with overweight/obesity and a control group of 54 pediatric patients with normal weight. All participants underwent outpatient visits for the assessment of clinical parameters and venous blood collection for biochemical analysis such as triglycerides (TG)/HDL-C ratio, LDL-C/HDL-C ratio, atherogenic index of plasma AIP), vitamin D level. Individuals with obesity displayed severe vitamin D deficiency (25-OH-D ≤10 ng/ml) at a higher frequency compared to those with normal weight (p = 0.03). In patients with overweight/obesity and low 25-OH-D levels show higher values of glycemia (p = 0.001), insulin resistance (HOMA-IR and TRYG p &lt; 0.001), TG (p &lt; 0.001), TG/HDL-C (p = 0.001), AIP (p &lt; 0.001), SBP (p = 0.01), and DBP (p = 0.04). In normal-weight individuals with low 25-OH- D levels an increased values of glycemia (p = 0.01), insulin resistance (HOMA-IR p = 0.01 and TRYG p = 0.002), TG (p = 0.01), TG/HDL-C (p = 0.02), AIP (p = 0.01). A direct correlation between 25-OH-D levels and metabolic parameters is observed. A correlation between vitamin D levels and the lipid/atherosclerotic profile was recorded. Vitamin D deficiency may represent a preventable and easily treatable cardiometabolic risk factor, emphasizing the importance of early intervention and preventive measures. •Adequate serum vitamin D levels correlate with a favorable lipid profile.•We explored the impact of vitamin D status on atherogenic dyslipidemia in children with obesity.•A correlation between vitamin D levels and the lipid/atherosclerotic profile was recorded.•Vitamin D deficiency may represent a preventable and treatable cardiometabolic risk factor.</description><identifier>ISSN: 0939-4753</identifier><identifier>ISSN: 1590-3729</identifier><identifier>EISSN: 1590-3729</identifier><identifier>DOI: 10.1016/j.numecd.2024.07.015</identifier><identifier>PMID: 39168806</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Age Factors ; Atherogenic dyslipidemia ; Atherosclerosis - blood ; Atherosclerosis - diagnosis ; Atherosclerosis - epidemiology ; Biomarkers - blood ; Case-Control Studies ; Child ; Children ; Cross-Sectional Studies ; Dyslipidemias - blood ; Dyslipidemias - diagnosis ; Dyslipidemias - epidemiology ; Female ; Humans ; Lipid profile ; Lipids - blood ; Male ; Pediatric obesity ; Pediatric Obesity - blood ; Pediatric Obesity - diagnosis ; Pediatric Obesity - epidemiology ; Prevalence ; Risk Assessment ; Risk Factors ; Vitamin D ; Vitamin D - analogs &amp; derivatives ; Vitamin D - blood ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - diagnosis ; Vitamin D Deficiency - epidemiology</subject><ispartof>Nutrition, metabolism, and cardiovascular diseases, 2024-11, Vol.34 (11), p.2596-2605</ispartof><rights>2024 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University</rights><rights>Copyright © 2024 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. 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Despite the well-established prevalence of vitamin D deficiency in children with obesity, studies investigating its influence on lipid profiles in this population are scarce. We explored the impact of vitamin D status on lipid profiles and markers of atherogenic dyslipidemia in a cohort of children and adolescents with obesity. A total of 271 Caucasian children and adolescents with overweight/obesity and a control group of 54 pediatric patients with normal weight. All participants underwent outpatient visits for the assessment of clinical parameters and venous blood collection for biochemical analysis such as triglycerides (TG)/HDL-C ratio, LDL-C/HDL-C ratio, atherogenic index of plasma AIP), vitamin D level. Individuals with obesity displayed severe vitamin D deficiency (25-OH-D ≤10 ng/ml) at a higher frequency compared to those with normal weight (p = 0.03). In patients with overweight/obesity and low 25-OH-D levels show higher values of glycemia (p = 0.001), insulin resistance (HOMA-IR and TRYG p &lt; 0.001), TG (p &lt; 0.001), TG/HDL-C (p = 0.001), AIP (p &lt; 0.001), SBP (p = 0.01), and DBP (p = 0.04). In normal-weight individuals with low 25-OH- D levels an increased values of glycemia (p = 0.01), insulin resistance (HOMA-IR p = 0.01 and TRYG p = 0.002), TG (p = 0.01), TG/HDL-C (p = 0.02), AIP (p = 0.01). A direct correlation between 25-OH-D levels and metabolic parameters is observed. A correlation between vitamin D levels and the lipid/atherosclerotic profile was recorded. 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Despite the well-established prevalence of vitamin D deficiency in children with obesity, studies investigating its influence on lipid profiles in this population are scarce. We explored the impact of vitamin D status on lipid profiles and markers of atherogenic dyslipidemia in a cohort of children and adolescents with obesity. A total of 271 Caucasian children and adolescents with overweight/obesity and a control group of 54 pediatric patients with normal weight. All participants underwent outpatient visits for the assessment of clinical parameters and venous blood collection for biochemical analysis such as triglycerides (TG)/HDL-C ratio, LDL-C/HDL-C ratio, atherogenic index of plasma AIP), vitamin D level. Individuals with obesity displayed severe vitamin D deficiency (25-OH-D ≤10 ng/ml) at a higher frequency compared to those with normal weight (p = 0.03). In patients with overweight/obesity and low 25-OH-D levels show higher values of glycemia (p = 0.001), insulin resistance (HOMA-IR and TRYG p &lt; 0.001), TG (p &lt; 0.001), TG/HDL-C (p = 0.001), AIP (p &lt; 0.001), SBP (p = 0.01), and DBP (p = 0.04). In normal-weight individuals with low 25-OH- D levels an increased values of glycemia (p = 0.01), insulin resistance (HOMA-IR p = 0.01 and TRYG p = 0.002), TG (p = 0.01), TG/HDL-C (p = 0.02), AIP (p = 0.01). A direct correlation between 25-OH-D levels and metabolic parameters is observed. A correlation between vitamin D levels and the lipid/atherosclerotic profile was recorded. Vitamin D deficiency may represent a preventable and easily treatable cardiometabolic risk factor, emphasizing the importance of early intervention and preventive measures. •Adequate serum vitamin D levels correlate with a favorable lipid profile.•We explored the impact of vitamin D status on atherogenic dyslipidemia in children with obesity.•A correlation between vitamin D levels and the lipid/atherosclerotic profile was recorded.•Vitamin D deficiency may represent a preventable and treatable cardiometabolic risk factor.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>39168806</pmid><doi>10.1016/j.numecd.2024.07.015</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2137-5974</orcidid><orcidid>https://orcid.org/0000-0003-3128-8441</orcidid><orcidid>https://orcid.org/0009-0002-7025-3348</orcidid></addata></record>
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subjects Adolescent
Age Factors
Atherogenic dyslipidemia
Atherosclerosis - blood
Atherosclerosis - diagnosis
Atherosclerosis - epidemiology
Biomarkers - blood
Case-Control Studies
Child
Children
Cross-Sectional Studies
Dyslipidemias - blood
Dyslipidemias - diagnosis
Dyslipidemias - epidemiology
Female
Humans
Lipid profile
Lipids - blood
Male
Pediatric obesity
Pediatric Obesity - blood
Pediatric Obesity - diagnosis
Pediatric Obesity - epidemiology
Prevalence
Risk Assessment
Risk Factors
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D Deficiency - blood
Vitamin D Deficiency - diagnosis
Vitamin D Deficiency - epidemiology
title The impact of vitamin D status on lipid profiles and atherogenic dyslipidemia markers in children and adolescents with obesity
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