Results Among all subjects, serum 25(OH)D level was 34±14 ng/mL, and the Z value of BMD was -0.49±0.54. With increasing age, serum 25(OH)D level and BMD decreased gradually(P<0.01), and the detection rates for vitamin D deficiency and low BMD increased gradually(P<0.01). Compared with those with sufficient vitamin D, children with vitamin D deficiency had a significantly lower BMD(P<0.01) and a significantly higher detection rate for low BMD(P<0.01). 25-(OH)D level showed a positive linear correlation with BMD in children with vitamin D deficiency(P<0.01). Conclusion Preschool and school-age children have severer vitamin D deficiency than infants.Vitamin D level may be correlated with BMD within a certain range."/>
Abstract:Objective To evaluate the endogenous vitamin D level and its correlation with bone mineral density(BMD) in children under 7 years old. Methods Totally 6 838 children who visited the Growth and Development Clinic due to "growth retardation, night terrors, hyperhidrosis, and dysphoria" were enrolled in the study. Serum 25-hydroxyvitamin D [25(OH)D] level was measured by chemiluminescence, whereas individual BMD was measured by quantitative ultrasound. Results Among all subjects, serum 25(OH)D level was 34±14 ng/mL, and the Z value of BMD was -0.49±0.54. With increasing age, serum 25(OH)D level and BMD decreased gradually(PPPPPConclusion Preschool and school-age children have severer vitamin D deficiency than infants.Vitamin D level may be correlated with BMD within a certain range.
XIONG Fei,YANG Fan,YANG Su-Fei et al. Relationship between serum 25-hydroxyvitamin D and bone mineral density in children under 7 years old[J]. CJCP, 2014, 16(9): 883-886.
Holick MF.Resurrection of vitamin D deficiency and rickets[J].J Clin Invest, 2006, 116(8): 2062-2072.
[3]
Holick MF.Vitamin D deficiency[J].N Engl J Med, 2007,357(3): 266-281.
[4]
Bischoff-Ferrari HA, Giovannucci E, Willett WC,et al.Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes[J].Am J Clin Nutr, 2006, 84(1): 18-28.
Holick MF, Binkley NC, Bischoff-Ferrari HA, et al.Evaluation,treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline[J].J Clin Endocrinol Metab,2011, 96(7): 1911-1930.