Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Associations between abdominal fat and body mass index on vitamin D status in a group of Spanish schoolchildren

Abstract

Background/Objectives:

To analyze the association between different anthropometric variables and vitamin D status in a group of Spanish schoolchildren.

Subjects/Methods:

Study subjects were 102 children aged 9–13 years. Records were made of their height, body weight, body mass index (BMI), waist and hip measurements (to determine the quantity of visceral or abdominal fat), and the thickness of the tricipital and bicipital skinfold (to determine the quantity of subcutaneous fat). Diets were analyzed using a 3-day weighed food record and vitamin D intakes compared with those recommended. Serum 25-hydroxyvitamin D (25(OH)D) concentrations were measured using chemiluminescent assay.

Results:

The mean serum 25(OH)D concentration was 49.6±15.9 nmol/l. The mean serum 25(OH)D in the ID subjects (that is, those with insufficient vitamin D levels, 25(OH)D of <70 nmol/l) was 46.6±13.4 nmol/l and in the AD subjects (that is, those with adequate vitamin D levels, 25(OH)D of 70 nmol/l) was 77.5±8.4 nmol/l (P<0.001). No significant difference was observed between both groups in vitamin D intake. However, the ID subjects had higher body weight, BMI, waist measurement and waist/height ratio than the AD subjects. Using a multiple linear regression analysis, only weight and BMI were found to independently influence 25(OH)D values. Children with a body weight, BMI, bicipital skinfold thickness, waist measurement and waist/height ratio above the 50th percentile for each variable were at a greater risk of having a low serum 25(OH)D concentration (<70 nmol/l).

Conclusions:

BMI and abdominal obesity influence the appearance of vitamin D insufficiency in children.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  • Alemzadeh R, Kichler J, Babar G, Calhoun M (2008). Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism 57, 183–191.

    Article  CAS  PubMed  Google Scholar 

  • Alexander SM, Baur LA, Magnusson R, Tobin B (2009). When does severe childhood obesity become a child protection issue? Med J Aust 190, 136–139.

    PubMed  Google Scholar 

  • Ashwell M, Cole TJ, Dixon AK (1996a). Ratio of waist circumference to height is strong predictor of intra-abdominal fat. BMJ 313, 559–560.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ashwell M, Lejeune S, McPherson K (1996b). Ratio of waist circumference to height may be better indicator of need for weight management. BMJ 312, 377.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bener A, Al-Ali M, Hoffmann GF (2008b). Vitamin D deficiency in healthy children in a sunny country: associated factors. Int J Food Sci Nutr 22, 1–11.

    Google Scholar 

  • Bener A, Al-Ali M, Hoffmann GF (2009). High prevalence of vitamin D deficiency in young children in a highly sunny humid country: a global health problem. Minerva Pediatr 61, 15–22.

    CAS  PubMed  Google Scholar 

  • Bener A, Alsaied A, Al-Ali M, Hassan AS, Basha B, Al-Kubaisi A et al. (2008a). Impact of lifestyle and dietary habits on hypovitaminosis D in type 1 diabetes mellitus and healthy children from Qatar, a sun-rich country. Ann Nutr Metab 53, 215–222.

    Article  CAS  PubMed  Google Scholar 

  • Bischof MG, Heinze G, Vierhapper H (2006). Vitamin D status and its relation to age and body mass index. Horm Res 66, 211–215.

    CAS  PubMed  Google Scholar 

  • Cashman KD (2007). Calcium and vitamin D. Novartis Found Symp 282, 123–138.

    Article  CAS  PubMed  Google Scholar 

  • Department of Nutrition (2008a). Food Composition. A Basic Tool for Assessing Nutritional Status. Complutense: Madrid.

  • Department of Nutrition (2008b). Recommended daily intakes of energy and nutrients for the Spanish population. In: RM Ortega, AM López-Sobaler, AM Requejo, P Andrés (eds). Food Composition. A Basic Tool for Assessing Nutritional Status. Madrid: Complutense: Madrid. pp 82–85.

  • Epstein S, Bell NH, Shary J, Shaw S, Greene A, Oexmann MJ (1986). Evidence that obesity does not influence the vitamin D-endocrine system in blacks. J Bone Miner Res 1, 181–184.

    Article  CAS  PubMed  Google Scholar 

  • Freedman DS, Katzmarzyk PT, Dietz WH, Srinivasan SR, Berenson GS (2009). Relation of body mass index and skinfold thicknesses to cardiovascular disease risk factors in children: the Bogalusa Heart Study. Am J Clin Nutr 90, 210–216.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gannagé-Yared MH, Chemali R, Sfeir C, Maalouf G, Halaby G (2005). Dietary calcium and vitamin D intake in an adult Middle Eastern population: food sources and relation to lifestyle and PTH. Int J Vitam Nutr Res 75, 281–289.

    Article  PubMed  Google Scholar 

  • Gordon CM, Feldman HA, Sinclair L, Williams AL, Kleinman PK, Perez-Rossello J et al. (2008). Prevalence of vitamin D deficiency among healthy infants and toddlers. Arch Pediatr Adolesc Med 162, 505–512.

    Article  PubMed  PubMed Central  Google Scholar 

  • Heaney RP (2008). Vitamin D and calcium interactions: functional outcomes. Am J Clin Nutr 88, 541S–544S.

    Article  CAS  PubMed  Google Scholar 

  • Holick MF (2004). Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 79, 362–371.

    Article  CAS  PubMed  Google Scholar 

  • Holick MF (2005). The vitamin D epidemic and its health consequences. J Nutr 135, 2739S–2748S.

    Article  CAS  PubMed  Google Scholar 

  • Holick MF, Siris ES, Binkley N, Beard MK, Khan A, Katzer JT et al. (2005). Prevalence of vitamin D inadequacy among postmenopausal North American women receiving osteoporosis therapy. J Clin Endocrinol Metab 90, 3215–3224.

    Article  CAS  PubMed  Google Scholar 

  • Institute of Medicine, Food and Nutrition Board (ed) (2005). Dietary Reference Intakes: Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. National Academy Press: Washington, DC.

  • Konradsen S, Ag H, Lindberg F, Hexeberg S, Jorde R (2008). Serum 1,25-dihydroxy vitamin D is inversely associated with body mass index. Eur J Nutr 47, 87–91.

    Article  CAS  PubMed  Google Scholar 

  • Kremer R, Campbell PP, Reinhardt T, Gilsanz V (2009). Vitamin D status and its relationship to body fat, final height, and peak bone mass in young women. J Clin Endocrinol Metab 94, 67–73.

    Article  CAS  PubMed  Google Scholar 

  • Lamberg-Allardt C (2006). Vitamin D in foods and as supplements. Prog Biophys Mol Biol 92, 33–38.

    Article  CAS  PubMed  Google Scholar 

  • Lee JH, O’Keefe JH, Bell D, Hensrud DD, Holick MF (2008a). Vitamin D deficiency an important, common, and easily treatable cardiovascular risk factor? J Am Coll Cardiol 52, 1949–1956.

    Article  CAS  PubMed  Google Scholar 

  • Lee MS, Li HL, Hung TH, Chang HY, Yang FL, Wahlqvist ML (2008b). Vitamin D intake and its food sources in Taiwanese. Asia Pac J Clin Nutr 17, 397–407.

    CAS  PubMed  Google Scholar 

  • Liel Y, Ulmer E, Shary J, Hollis BW, Bell NH (1988). Low circulating vitamin D in obesity. Calcif Tissue Int 43, 199–201.

    Article  CAS  PubMed  Google Scholar 

  • Lu Z, Chen TC, Zhang A, Persons KS, Kohn N, Berkowitz R et al. (2007). An evaluation of the vitamin D3 content in fish: is the vitamin D content adequate to satisfy the dietary requirement for vitamin D? J Steroid Biochem Mol Biol 103, 642–644.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mark S, Gray-Donald K, Delvin EE, O’Loughlin J, Paradis G, Levy E et al. (2008). Low vitamin D status in a representative sample of youth from Québec, Canada. Clin Chem 54, 1283–1289.

    Article  CAS  PubMed  Google Scholar 

  • Matsuzawa Y (2008). The role of fat topology in the risk of disease. Int J Obes (Lond) 32 (Suppl 7), S83–S92.

    Article  CAS  Google Scholar 

  • McGill AT, Stewart JM, Lithander FE, Strik CM, Poppitt SD (2008). Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutr J 7, 4.

    Article  PubMed  PubMed Central  Google Scholar 

  • McKinney K, Breitkopf CR, Berenson AB (2008). Association of race, body fat, and season with vitamin D status among young women: a cross-sectional study. Clin Endocrinol 69, 535–541.

    Article  CAS  Google Scholar 

  • Millen AE, Bodnar LM (2008). Vitamin D assessment in population-based studies: a review of the issues. Am J Clin Nutr 87, 1102S–1105S.

    Article  CAS  PubMed  Google Scholar 

  • Need AG, O′Loughlin PD, Horowitz M, Nordin BE (2005). Relationship between fasting serum glucose, age, body mass index and serum 25 hydroxyvitamin D in postmenopausal women. Clin Endocrinol 62, 738–741.

    Article  CAS  Google Scholar 

  • Nesby-O’Dell S, Scanlon KS, Cogswell ME, Gillespie C, Hollis BW, Looker AC et al. (2002). Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: third National Health and Nutrition Examination Survey 1988–94. Am J Clin Nutr 76, 187–192.

    Article  PubMed  Google Scholar 

  • Ortega RM, López-Sobaler AM, Andrés P, Requejo AM, Molinero LM (2004). DIAL software for assessing diets and food calculations. http://www.alceingenieria.net/nutricion.htm (accessed January 2009).

  • Ortega RM, Requejo AM, Andrés P, López-Sobaler AM, Redondo R, González-Fernández M (1995). Relationship between diet composition and body mass index in a group of Spanish adolescents. Br J Nutr 74, 765–773.

    CAS  PubMed  Google Scholar 

  • Ortega RM, Requejo AM, López-Sobaler AM (2006a). Questionnaires for dietetic studies and the assessment of nutritional status. In: AM Requejo, RM Ortega (eds). Nutriguía. Manual of Clinical Nutrition in Primary Care. 2nd edn. Complutense:Madrid. pp 456–459.

    Google Scholar 

  • Ortega RM, Requejo AM, López-Sobaler AM (2006b). Activity questionnaire. In: AM Requejo, RM Ortega (eds). Nutriguía. Manual of Clinical Nutrition in Primary Care, 2nd edn. Complutense:Madrid. p 468.

    Google Scholar 

  • Pajuelo J, Canchari E, Carrera J, Leguóa D (2004). La circunferencia de la cintura en niños con sobrepeso y obesidad. An Fac Med Lima 65, 167–171.

    Article  Google Scholar 

  • Parikh SJ, Edelman M, Uwaifo GI, Freedman RJ, Semega-Janneh M, Reynolds J et al. (2004). The relationship between obesity and serum 1,25-dihydroxy vitamin D concentrations in healthy adults. J Clin Endocrinol Metab 89, 1196–1199.

    Article  CAS  PubMed  Google Scholar 

  • Parizková J, Roth Z (1972). The assessment of depot fat in children from skinfold thickness measurements by Holtain (Tanner-Whitehouse) caliper. Hum Biol 44, 613–620.

    PubMed  Google Scholar 

  • Poduje S, Sjerobabski-Masnec I, Ozaniæ-Buliæ S (2008). Vitamin D--the true and the false about vitamin D. Coll Antropol 32 (Suppl 2), 159–162.

    PubMed  Google Scholar 

  • Rajakumar K, Fernstrom JD, Holick MF, Janosky JE, Greenspan SL (2008). Vitamin D status and response to Vitamin D(3) in obese vs non-obese African American children. Obesity (Silver Spring) 16, 90–95.

    Article  CAS  Google Scholar 

  • Reinehr T, de Sousa G, Alexy U, Kersting M, Andler W (2007). Vitamin D status and parathyroid hormone in obese children before and after weight loss. Eur J Endocrinol 157, 225–232.

    Article  CAS  PubMed  Google Scholar 

  • Rodríguez-Rodríguez E, Navia B, López-Sobaler AM, Ortega RM (2009). Vitamin D in overweight/obese women and its relationship with dietetic and anthropometric variables. Obesity (Silver Spring) 17, 778–782.

    Article  Google Scholar 

  • Rovner AJ, O′Brien KO (2008). Hypovitaminosis D among healthy children in the United States: a review of the current evidence. Arch Pediatr Adolesc Med 162, 513–519.

    Article  PubMed  Google Scholar 

  • Rucker D, Allan JA, Fick GH, Hanley DA (2002). Vitamin D insufficiency in a population of healthy western Canadians. Can Med Assoc J 166, 1517–1524.

    Google Scholar 

  • Sackrison JL, Ersfield DL, Miller AB, Olson GT, MacFarlane GD (2002). Development of a sensitive automated non-extracted direct Liaison immunoassay for 25 OH Vitamin D. Clin Chem 48, A122.

    Google Scholar 

  • Serra L, Ribas L, Aranceta J, Pérez Rodrigo C, Saavedra P, Peña L (2003). Obesidad infantil y juvenil en España. Resultados del Estudio enKid (1998–2000). Med Clin (Barc) 121, 725–732.

    Article  Google Scholar 

  • Simon C, Durckel J, Vignon F, Schlienger JL, Walter J (1985). [Evaluation of subcutaneous tissue by measurement of skin fold thickness and by ultrasonics. Value of the tricipital fold]. Presse Med 14, 696.

    CAS  PubMed  Google Scholar 

  • Talwar SA, Aloia JF, Pollack S, Yeh JK (2007). Dose response to vitamin D supplementation among postmenopausal African American women. Am J Clin Nutr 86, 1657–1662.

    Article  CAS  PubMed  Google Scholar 

  • Tanner JM (ed) (1962). Growth at Adolescence. 2nd edn. Blackwell: Oxford, UK.

    Google Scholar 

  • Vieth R, Bischoff-Ferrari H, Boucher BJ, Dawson-Hughes B, Garland CF, Heaney RP et al. (2007). The urgent need to recommend an intake of vitamin D that is effective. Am J Clin Nutr 85, 649–650.

    Article  CAS  PubMed  Google Scholar 

  • Webb AR, Kline L, Holick MF (1988). 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, 373–378.

    Article  CAS  PubMed  Google Scholar 

  • Wootton AM (2005). Improving the measurement of 25-hydroxyvitamin D. Clin Biochem Rev 26, 33–36.

    PubMed  PubMed Central  Google Scholar 

  • World Health Organization (WHO) (ed) (1995). Report of the WHO Expert Committee WHO Technical Report Series, No 854. Physical Status: The Use and Interpretation of Anthropometry. WHO: Geneva.

  • Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF (2000). Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr 72, 690–693.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by the FISS project (PI060318).

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to E Rodríguez-Rodríguez.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rodríguez-Rodríguez, E., Navia-Lombán, B., López-Sobaler, A. et al. Associations between abdominal fat and body mass index on vitamin D status in a group of Spanish schoolchildren. Eur J Clin Nutr 64, 461–467 (2010). https://doi.org/10.1038/ejcn.2010.26

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2010.26

Keywords

This article is cited by

Search

Quick links