Serum 25-Hydroxyvitamin D Is a Predictor of Serum 1,25-Dihydroxyvitamin D in Overweight and Obese Patients

Recent research suggests that 1,25-dihydroxyvitamin D [1,25(OH)₂D], a steroid hormone that regulates calcium homeostasis, may also play a role in the development and progression of cancer, multiple sclerosis, cardiovascular, and other diseases. Decreased serum 1,25(OH)₂D concentrations are often obs...

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Veröffentlicht in:The Journal of nutrition 2011, Vol.141 (1), p.112-117
Hauptverfasser: Lagunova, Zoya, Porojnicu, Alina C, Vieth, Reinhold, Lindberg, Fedon A, Hexeberg, Sofie, Moan, Johan
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container_end_page 117
container_issue 1
container_start_page 112
container_title The Journal of nutrition
container_volume 141
creator Lagunova, Zoya
Porojnicu, Alina C
Vieth, Reinhold
Lindberg, Fedon A
Hexeberg, Sofie
Moan, Johan
description Recent research suggests that 1,25-dihydroxyvitamin D [1,25(OH)₂D], a steroid hormone that regulates calcium homeostasis, may also play a role in the development and progression of cancer, multiple sclerosis, cardiovascular, and other diseases. Decreased serum 1,25(OH)₂D concentrations are often observed in overweight and obese patients. However, little is known about the factors that may influence 1,25(OH)₂D renal synthesis, because it is generally accepted that serum 1,25(OH)₂D concentration is strictly regulated by parathyroid hormone and serum concentrations of calcium and phosphorus. In this study, the associations among serum 1,25(OH)₂D, serum 25-hydroxyvitamin D [25(OH)D], and body composition were analyzed in 1779 patients with excess body weight registered in a Metabolic and Medical Lifestyle Management Clinic in Oslo, Norway. According to our results, serum 25(OH)D, adiposity, age, season of blood sampling, and gender directly influence serum 1,25(OH)₂D (r = 0.33; P < 0.001), with serum 25(OH)D being the strongest predictor for serum 1,25(OH)₂D. The 1,25(OH)₂D concentrations were 25.4 pmol/L (95% Cl: 19.3-31.5; P < 0.001) lower in the lowest 25(OH)D quartile to compared with highest quartile. A seasonal variation was observed for both vitamin D metabolites. Thus, our results suggest that in patients with excess body weight, serum 1,25(OH)₂D concentrations were associated with 25(OH)D and varied during the year. Therefore, it may also be valuable to measure both serum 25(OH)D and 1,25(OH)₂D for the evaluation of vitamin D status in overweight and obese persons.
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A seasonal variation was observed for both vitamin D metabolites. Thus, our results suggest that in patients with excess body weight, serum 1,25(OH)₂D concentrations were associated with 25(OH)D and varied during the year. Therefore, it may also be valuable to measure both serum 25(OH)D and 1,25(OH)₂D for the evaluation of vitamin D status in overweight and obese persons.</abstract><cop>Bethesda, MD</cop><pub>American Society for Nutrition</pub><pmid>21084655</pmid><doi>10.3945/jn.109.119495</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects 1,25-dihydroxyvitamin D
25-hydroxycholecalciferol
25-hydroxyergocalciferol
Adult
Aged
biochemical pathways
Biological and medical sciences
blood chemistry
body composition
body fat
Body Mass Index
calcium
dietary minerals
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
gender differences
Humans
Male
Medical sciences
men
Metabolic diseases
metabolites
Middle Aged
nutritional status
Obesity
Obesity - blood
overweight
Overweight - blood
parathyroid hormone
patients
phosphorus
seasonal variation
Seasons
steroid hormones
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin D - analogs & derivatives
Vitamin D - blood
women
title Serum 25-Hydroxyvitamin D Is a Predictor of Serum 1,25-Dihydroxyvitamin D in Overweight and Obese Patients
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