Prevalence of hypovitaminosis D and its association with comorbidities of childhood obesity

Research output: Contribution to journalArticle

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Abstract

PURPOSE: Our study sought to further delineate the prevalence of hypovitaminosis D and its relationship to comorbidities of childhood obesity.

METHODS: We conducted a retrospective chart review from 155 obese children aged 5 to 19 years who attended the Penn State Children’s Hospital Pediatric Multidisciplinary Weight Loss Program from November 2009 through November 2010. We determined the incidence of hypovitaminosis D and examined its association with comorbidities including elevated blood pressure, diabetes, acanthosis nigricans, depression, hyperlipidemia, hyperinsulinemia, and abnormal liver function test results, as well as age, sex, and geographic location.

RESULTS: Under the latest Institute of Medicine definitions, vitamin D deficiency (< 20 ng/mL) and insufficiency (20-29 ng/mL) was present in 40% and 38% of children, respectively. The prevalence of vitamin D deficiency was 27.8% in children aged 5 to 9 years, 35.4% in children aged 10 to 14 years, and 50.9% of children aged 15 years or older. Older age, African-American race, winter/spring season, higher insulin level, total number of comorbidities, and polycystic ovary syndrome (in girls) were significantly associated with vitamin D deficiency. African-American race, winter/spring season, hyperinsulinemia, elevated systolic blood pressure, urban location, and total numbers of comorbidities were significantly associated with hypovitaminosis D (< 30 ng/mL).

CONCLUSIONS: Hypovitaminosis D is associated with several medical comorbidities in obese children. Given the large percentage of children, even in our youngest age group, who are vitamin D deficient, obese children should be considered for routine vitamin D screening.

Original languageEnglish (US)
Pages (from-to)32-39
Number of pages8
JournalThe Permanente journal
Volume18
Issue number4
DOIs
StatePublished - Sep 1 2014

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Pediatric Obesity
Comorbidity
Vitamin D Deficiency
Hyperinsulinism
Blood Pressure
Vitamin D
African Americans
Acanthosis Nigricans
Weight Reduction Programs
Geographic Locations
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
State Hospitals
Polycystic Ovary Syndrome
Liver Function Tests
Hyperlipidemias
Age Groups
Insulin
Pediatrics
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Prevalence of hypovitaminosis D and its association with comorbidities of childhood obesity",
abstract = "PURPOSE: Our study sought to further delineate the prevalence of hypovitaminosis D and its relationship to comorbidities of childhood obesity.METHODS: We conducted a retrospective chart review from 155 obese children aged 5 to 19 years who attended the Penn State Children’s Hospital Pediatric Multidisciplinary Weight Loss Program from November 2009 through November 2010. We determined the incidence of hypovitaminosis D and examined its association with comorbidities including elevated blood pressure, diabetes, acanthosis nigricans, depression, hyperlipidemia, hyperinsulinemia, and abnormal liver function test results, as well as age, sex, and geographic location.RESULTS: Under the latest Institute of Medicine definitions, vitamin D deficiency (< 20 ng/mL) and insufficiency (20-29 ng/mL) was present in 40{\%} and 38{\%} of children, respectively. The prevalence of vitamin D deficiency was 27.8{\%} in children aged 5 to 9 years, 35.4{\%} in children aged 10 to 14 years, and 50.9{\%} of children aged 15 years or older. Older age, African-American race, winter/spring season, higher insulin level, total number of comorbidities, and polycystic ovary syndrome (in girls) were significantly associated with vitamin D deficiency. African-American race, winter/spring season, hyperinsulinemia, elevated systolic blood pressure, urban location, and total numbers of comorbidities were significantly associated with hypovitaminosis D (< 30 ng/mL).CONCLUSIONS: Hypovitaminosis D is associated with several medical comorbidities in obese children. Given the large percentage of children, even in our youngest age group, who are vitamin D deficient, obese children should be considered for routine vitamin D screening.",
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Prevalence of hypovitaminosis D and its association with comorbidities of childhood obesity. / Williams, Ronald; Novick, Marsha; Lehman, Erik.

In: The Permanente journal, Vol. 18, No. 4, 01.09.2014, p. 32-39.

Research output: Contribution to journalArticle

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N2 - PURPOSE: Our study sought to further delineate the prevalence of hypovitaminosis D and its relationship to comorbidities of childhood obesity.METHODS: We conducted a retrospective chart review from 155 obese children aged 5 to 19 years who attended the Penn State Children’s Hospital Pediatric Multidisciplinary Weight Loss Program from November 2009 through November 2010. We determined the incidence of hypovitaminosis D and examined its association with comorbidities including elevated blood pressure, diabetes, acanthosis nigricans, depression, hyperlipidemia, hyperinsulinemia, and abnormal liver function test results, as well as age, sex, and geographic location.RESULTS: Under the latest Institute of Medicine definitions, vitamin D deficiency (< 20 ng/mL) and insufficiency (20-29 ng/mL) was present in 40% and 38% of children, respectively. The prevalence of vitamin D deficiency was 27.8% in children aged 5 to 9 years, 35.4% in children aged 10 to 14 years, and 50.9% of children aged 15 years or older. Older age, African-American race, winter/spring season, higher insulin level, total number of comorbidities, and polycystic ovary syndrome (in girls) were significantly associated with vitamin D deficiency. African-American race, winter/spring season, hyperinsulinemia, elevated systolic blood pressure, urban location, and total numbers of comorbidities were significantly associated with hypovitaminosis D (< 30 ng/mL).CONCLUSIONS: Hypovitaminosis D is associated with several medical comorbidities in obese children. Given the large percentage of children, even in our youngest age group, who are vitamin D deficient, obese children should be considered for routine vitamin D screening.

AB - PURPOSE: Our study sought to further delineate the prevalence of hypovitaminosis D and its relationship to comorbidities of childhood obesity.METHODS: We conducted a retrospective chart review from 155 obese children aged 5 to 19 years who attended the Penn State Children’s Hospital Pediatric Multidisciplinary Weight Loss Program from November 2009 through November 2010. We determined the incidence of hypovitaminosis D and examined its association with comorbidities including elevated blood pressure, diabetes, acanthosis nigricans, depression, hyperlipidemia, hyperinsulinemia, and abnormal liver function test results, as well as age, sex, and geographic location.RESULTS: Under the latest Institute of Medicine definitions, vitamin D deficiency (< 20 ng/mL) and insufficiency (20-29 ng/mL) was present in 40% and 38% of children, respectively. The prevalence of vitamin D deficiency was 27.8% in children aged 5 to 9 years, 35.4% in children aged 10 to 14 years, and 50.9% of children aged 15 years or older. Older age, African-American race, winter/spring season, higher insulin level, total number of comorbidities, and polycystic ovary syndrome (in girls) were significantly associated with vitamin D deficiency. African-American race, winter/spring season, hyperinsulinemia, elevated systolic blood pressure, urban location, and total numbers of comorbidities were significantly associated with hypovitaminosis D (< 30 ng/mL).CONCLUSIONS: Hypovitaminosis D is associated with several medical comorbidities in obese children. Given the large percentage of children, even in our youngest age group, who are vitamin D deficient, obese children should be considered for routine vitamin D screening.

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