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Erschienen in: Journal of Endocrinological Investigation 10/2016

01.10.2016 | Original Article

Serum 25-hydroxyvitamin D status among Saudi children with and without a history of fracture

verfasst von: N. M. Al-Daghri, N. Aljohani, S. Rahman, S. Sabico, O. S. Al-Attas, M. S. Alokail, A. Al-Ajlan, G. P. Chrousos

Erschienen in: Journal of Endocrinological Investigation | Ausgabe 10/2016

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Abstract

Background

The significance of vitamin D deficiency in the incidence of bone fractures in children has been under investigated. Here, we aimed to associate serum 25-hydroxyvitamin D levels and fractures in Saudi children.

Materials and methods

This cross-sectional study was conducted in 1022 Saudi children without fracture history [476 boys (age 14.56 ± 1.81, BMI 22.38 ± 5.81) and 546 girls (age 13.57 ± 1.67, BMI 22.24 ± 4.94)] and 234 Saudi children with a history of fracture [148 boys (age 14.25 ± 1.39, BMI 22.66 ± 6.08) and 86 girls (age 13.76 ± 1.35, BMI 21.33 ± 1.35)]. Anthropometric and fasting serum biochemical data were collected. Serum 25-hydroxyvitamin D level was assessed using electrochemiluminescence.

Results

Mean circulating 25-hydroxyvitamin (25OH) D level in subjects with a history of fracture was significantly lower in both boys (p < 0.01) and girls (p < 0.01) than those without, however both groups had low mean 25(OH)D levels. Furthermore, age was positively associated with 25-hydroxyvitamin D in boys (p < 0.05) and negatively in girls (p < 0.05) with a history of fracture.

Conclusion

In conclusion, vitamin D levels were significantly lower in children with a history of bone fractures in both boys and girls than those without such a history; even in the absence of fracture history, vitamin D status correction is warranted in the general Saudi pediatric population.
Literatur
1.
Zurück zum Zitat Lieben L, Carmeliet G, Masuyama R (2011) Calcemic actions of vitamin D: effects on the intestine, kidney and bone. Best Pract Res Clin Endocrinol Metab 25:561–572CrossRefPubMed Lieben L, Carmeliet G, Masuyama R (2011) Calcemic actions of vitamin D: effects on the intestine, kidney and bone. Best Pract Res Clin Endocrinol Metab 25:561–572CrossRefPubMed
2.
Zurück zum Zitat Marcelli C, Chavoix C, Dargent-Molina P (2015) Beneficial effects of vitamin D on falls and fractures: Is cognition rather than bone or muscle behind these benefits? Osteoporos Int 26:1–10CrossRefPubMed Marcelli C, Chavoix C, Dargent-Molina P (2015) Beneficial effects of vitamin D on falls and fractures: Is cognition rather than bone or muscle behind these benefits? Osteoporos Int 26:1–10CrossRefPubMed
4.
Zurück zum Zitat Wagner CL, Greer FR (2008) Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 122:1142–1152CrossRefPubMed Wagner CL, Greer FR (2008) Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 122:1142–1152CrossRefPubMed
5.
Zurück zum Zitat 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 57:183–191CrossRefPubMed 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 57:183–191CrossRefPubMed
6.
Zurück zum Zitat Ciresi A, Ciccio F, Giordano C (2014) High prevalence of hypovitaminosis D in Sicilian children affected by growth hormone deficiency and its improvement after 12 months of replacement therapy. J Endocrinol Invest 37:631–638CrossRefPubMed Ciresi A, Ciccio F, Giordano C (2014) High prevalence of hypovitaminosis D in Sicilian children affected by growth hormone deficiency and its improvement after 12 months of replacement therapy. J Endocrinol Invest 37:631–638CrossRefPubMed
8.
Zurück zum Zitat Harvey N, Dennison E, Cooper C (2008) Epidemiology of osteoporotic fractures. In: Rosen CJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism (7th edn). ASBMR, pp 198–202 Harvey N, Dennison E, Cooper C (2008) Epidemiology of osteoporotic fractures. In: Rosen CJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism (7th edn). ASBMR, pp 198–202
9.
Zurück zum Zitat Smith JT, Halim K, Palms DA, Okike K, Bluman EM, Chiodo CP (2014) Prevalence of vitamin D deficiency in patients with foot and ankle injuries. Foot Ankle Int 35:8–13CrossRefPubMed Smith JT, Halim K, Palms DA, Okike K, Bluman EM, Chiodo CP (2014) Prevalence of vitamin D deficiency in patients with foot and ankle injuries. Foot Ankle Int 35:8–13CrossRefPubMed
10.
Zurück zum Zitat Dhanwal DK, Sahoo S, Gautam VK, Saha R (2013) Hip fracture patients in India have vitamin D deficiency and secondary hyperparathyroidism. Osteoporos Int 24:553–557CrossRefPubMed Dhanwal DK, Sahoo S, Gautam VK, Saha R (2013) Hip fracture patients in India have vitamin D deficiency and secondary hyperparathyroidism. Osteoporos Int 24:553–557CrossRefPubMed
11.
Zurück zum Zitat Clark EM (2014) The epidemiology of fractures in otherwise healthy children. Curr Osteoporos Rep 12:272–278CrossRefPubMed Clark EM (2014) The epidemiology of fractures in otherwise healthy children. Curr Osteoporos Rep 12:272–278CrossRefPubMed
12.
Zurück zum Zitat Ryan LM, Teach SJ, Singer SA, Wood R, Freishtat R, Wright JL, McCarter R, Tosi L, Chamberlain JM (2012) Bone mineral density and vitamin D status among African American children with forearm fractures. Pediatrics 130:e553–e560CrossRefPubMedPubMedCentral Ryan LM, Teach SJ, Singer SA, Wood R, Freishtat R, Wright JL, McCarter R, Tosi L, Chamberlain JM (2012) Bone mineral density and vitamin D status among African American children with forearm fractures. Pediatrics 130:e553–e560CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Larrosa M, Gomez A, Casado E, Moreno M, Vazquez I, Orellana C, Berlanga E, Ramon J, Gratacos J (2012) Hypovitaminosis D as a risk factor of hip fracture severity. Osteoporos Int 23:607–614CrossRefPubMed Larrosa M, Gomez A, Casado E, Moreno M, Vazquez I, Orellana C, Berlanga E, Ramon J, Gratacos J (2012) Hypovitaminosis D as a risk factor of hip fracture severity. Osteoporos Int 23:607–614CrossRefPubMed
14.
Zurück zum Zitat Malavolta N, Pratelli L, Frigato M, Mule R, Mascia ML, Gnudi S (2005) The relationship of vitamin D status to bone mineral density in an Italian population of postmenopausal women. Osteoporos Int 16:1691–1697CrossRefPubMed Malavolta N, Pratelli L, Frigato M, Mule R, Mascia ML, Gnudi S (2005) The relationship of vitamin D status to bone mineral density in an Italian population of postmenopausal women. Osteoporos Int 16:1691–1697CrossRefPubMed
15.
Zurück zum Zitat Nurmi I, Kaukonen JP, Luthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M (2005) Half of the patients with an acute hip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int 16:2018–2024CrossRefPubMed Nurmi I, Kaukonen JP, Luthje P, Naboulsi H, Tanninen S, Kataja M, Kallio ML, Leppilampi M (2005) Half of the patients with an acute hip fracture suffer from hypovitaminosis D: a prospective study in southeastern Finland. Osteoporos Int 16:2018–2024CrossRefPubMed
16.
Zurück zum Zitat Al-Daghri NM, Al-Attas OS, Alokail MS, Alkharfy KM, El-Kholie E, Yousef M, Al-Othman A, Al-Saleh Y, Sabico S, Kumar S, Chrousos GP (2012) Increased vitamin D supplementation recommended during summer season in the gulf region: a counterintuitive seasonal effect in vitamin D levels in adult, overweight and obese Middle Eastern residents. Clin Endocrinol (Oxf) 76:346–350CrossRef Al-Daghri NM, Al-Attas OS, Alokail MS, Alkharfy KM, El-Kholie E, Yousef M, Al-Othman A, Al-Saleh Y, Sabico S, Kumar S, Chrousos GP (2012) Increased vitamin D supplementation recommended during summer season in the gulf region: a counterintuitive seasonal effect in vitamin D levels in adult, overweight and obese Middle Eastern residents. Clin Endocrinol (Oxf) 76:346–350CrossRef
17.
Zurück zum Zitat Al-Othman A, Al-Musharaf S, Al-Daghri NM, Krishnaswamy S, Yusuf DS, Alkharfy KM, Al-Saleh Y, Al-Attas OS, Alokail MS, Moharram O, Sabico S, Chrousos GP (2012) Effect of physical activity and sun exposure on vitamin D status of Saudi children and adolescents. BMC Pediatr 12:92CrossRefPubMedPubMedCentral Al-Othman A, Al-Musharaf S, Al-Daghri NM, Krishnaswamy S, Yusuf DS, Alkharfy KM, Al-Saleh Y, Al-Attas OS, Alokail MS, Moharram O, Sabico S, Chrousos GP (2012) Effect of physical activity and sun exposure on vitamin D status of Saudi children and adolescents. BMC Pediatr 12:92CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M (2008) Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics 122:398–417CrossRefPubMed Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M (2008) Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics 122:398–417CrossRefPubMed
19.
Zurück zum Zitat Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP (2004) Epidemiology of childhood fractures in Britain: a study using the general practice research database. J Bone Miner Res 19:1976–1981CrossRefPubMed Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP (2004) Epidemiology of childhood fractures in Britain: a study using the general practice research database. J Bone Miner Res 19:1976–1981CrossRefPubMed
20.
Zurück zum Zitat Moustaki M, Lariou M, Petridou E (2001) Cross country variation of fractures in the childhood population. Is the origin biological or “accidental”? Inj Prev 7:77CrossRefPubMedPubMedCentral Moustaki M, Lariou M, Petridou E (2001) Cross country variation of fractures in the childhood population. Is the origin biological or “accidental”? Inj Prev 7:77CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Ryan LM, Brandoli C, Freishtat RJ, Wright JL, Tosi L, Chamberlain JM (2010) Prevalence of vitamin D insufficiency in African American children with forearm fractures: a preliminary study. J Pediatr Orthop 30:106–109CrossRefPubMedPubMedCentral Ryan LM, Brandoli C, Freishtat RJ, Wright JL, Tosi L, Chamberlain JM (2010) Prevalence of vitamin D insufficiency in African American children with forearm fractures: a preliminary study. J Pediatr Orthop 30:106–109CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Chan GM, Hess M, Hollis J, Book LS (1984) Bone mineral status in childhood accidental fractures. Am J Dis Child 138:569–570PubMed Chan GM, Hess M, Hollis J, Book LS (1984) Bone mineral status in childhood accidental fractures. Am J Dis Child 138:569–570PubMed
23.
Zurück zum Zitat Farr JN, Amin S, Melton LJ III, Kirmani S, McCready LK, Atkinson EJ, Muller R, Khosla S (2014) Bone strength and structural deficits in children and adolescents with a distal forearm fracture resulting from mild trauma. J Bone Miner Res 29:590–599CrossRefPubMedPubMedCentral Farr JN, Amin S, Melton LJ III, Kirmani S, McCready LK, Atkinson EJ, Muller R, Khosla S (2014) Bone strength and structural deficits in children and adolescents with a distal forearm fracture resulting from mild trauma. J Bone Miner Res 29:590–599CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Steele B, Serota A, Helfet DL, Peterson M, Lyman S, Lane JM (2008) Vitamin D deficiency: a common occurrence in both high-and low-energy fractures. HSS J 4:143–148CrossRefPubMedPubMedCentral Steele B, Serota A, Helfet DL, Peterson M, Lyman S, Lane JM (2008) Vitamin D deficiency: a common occurrence in both high-and low-energy fractures. HSS J 4:143–148CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Trivedi DP, Doll R, Khaw KT (2003) Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. BMJ 326:469CrossRefPubMedPubMedCentral Trivedi DP, Doll R, Khaw KT (2003) Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. BMJ 326:469CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Parchi P, Andreani L, Piolanti N, Niccolai F, Cervi V, Lisanti M (2014) Effect of vitamin D in fracture healing in a child: case report. Arch Osteoporos 9:1–3CrossRef Parchi P, Andreani L, Piolanti N, Niccolai F, Cervi V, Lisanti M (2014) Effect of vitamin D in fracture healing in a child: case report. Arch Osteoporos 9:1–3CrossRef
27.
Zurück zum Zitat Atapattu N, Shaw N, Hogler W (2013) Relationship between serum 25-hydroxyvitamin D and parathyroid hormone in the search for a biochemical definition of vitamin D deficiency in children. Pediatr Res 74:552–556CrossRefPubMed Atapattu N, Shaw N, Hogler W (2013) Relationship between serum 25-hydroxyvitamin D and parathyroid hormone in the search for a biochemical definition of vitamin D deficiency in children. Pediatr Res 74:552–556CrossRefPubMed
28.
Zurück zum Zitat Chapman T, Sugar N, Done S, Marasigan J, Wambold N, Feldman K (2010) Fractures in infants and toddlers with rickets. Pediatr Radiol 40:1308CrossRef Chapman T, Sugar N, Done S, Marasigan J, Wambold N, Feldman K (2010) Fractures in infants and toddlers with rickets. Pediatr Radiol 40:1308CrossRef
30.
Zurück zum Zitat Hazzazi MA, Alzeer I, Tamimi W, Al Atawi M, Al Alwan I (2013) Clinical presentation and etiology of ostyeomalacia/rickets in adolescents. Saudi J Kidney Dis Transpl 24:938–941CrossRefPubMed Hazzazi MA, Alzeer I, Tamimi W, Al Atawi M, Al Alwan I (2013) Clinical presentation and etiology of ostyeomalacia/rickets in adolescents. Saudi J Kidney Dis Transpl 24:938–941CrossRefPubMed
31.
Zurück zum Zitat Need AG, Horowitz M, Morris HA, Moore R, Nordin C (2007) Seasonal change in osteoid thickness and mineralization lag time in ambulant patients. J Bone Miner Res 22:757–761CrossRefPubMed Need AG, Horowitz M, Morris HA, Moore R, Nordin C (2007) Seasonal change in osteoid thickness and mineralization lag time in ambulant patients. J Bone Miner Res 22:757–761CrossRefPubMed
32.
Zurück zum Zitat Andersson B, Swolin-Eide D, Kristrom B, Gelander L, Magnusson P, Albertsson-Wikland K (2015) Seasonal variations in vitamin D in relation to growth in short prepubertal children before and during first year growth hormone treatment. J Endocrinol Invest 38:1309–1317CrossRefPubMed Andersson B, Swolin-Eide D, Kristrom B, Gelander L, Magnusson P, Albertsson-Wikland K (2015) Seasonal variations in vitamin D in relation to growth in short prepubertal children before and during first year growth hormone treatment. J Endocrinol Invest 38:1309–1317CrossRefPubMed
Metadaten
Titel
Serum 25-hydroxyvitamin D status among Saudi children with and without a history of fracture
verfasst von
N. M. Al-Daghri
N. Aljohani
S. Rahman
S. Sabico
O. S. Al-Attas
M. S. Alokail
A. Al-Ajlan
G. P. Chrousos
Publikationsdatum
01.10.2016
Verlag
Springer International Publishing
Erschienen in
Journal of Endocrinological Investigation / Ausgabe 10/2016
Elektronische ISSN: 1720-8386
DOI
https://doi.org/10.1007/s40618-016-0496-7

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