Abstract
Background/objectives:
To determine seasonal variation in vitamin D status in healthy Caucasian adolescent girls and elderly community-dwelling women living in Denmark, and to quantify the impact of sun exposure and intake on the seasonal changes in vitamin D status.
Subjects/methods:
A 1-year longitudinal observational study of 54 girls (11–13 years) and 52 women (70–75 years). The participants were examined three times (winter–summer–winter). Serum 25-hydroxyvitamin D (S-25OHD) concentration and vitamin D intake were measured at each visit. Sun exposure was measured during summer.
Results:
S-25OHD concentrations (winter, summer, winter) were median (25, 75 percentiles) 23.4 (16.5, 36.4), 60.3 (42.7, 67.7), 29.5 (22.2, 40.4) and 47.2 (27.3, 61.1), 67.3 (35.1, 79.2), 50.5 (32.7, 65.5) nmol/l for girls and women, respectively. The usual sun habits were determinant (P=0.002) for change in vitamin D status from winter to summer. Vitamin D intake from supplements (P<0.0001) and diet (P=0.002) were determinants for change in vitamin D status from summer to winter. Winter vitamin D status of 50 nmol/l is achievable when vitamin D status the previous summer was ∼100 nmol/l. If summer vitamin D status is only ∼60 nmol/l, vitamin D status the following winter would be ∼28 nmol/l.
Conclusions:
Low vitamin D status among adolescent girls and elderly women during two consecutive winter seasons, improved vitamin D status during the summer and better vitamin D status in women than in girls was found. The estimations show that a summer S-25OHD concentration ∼100 nmol/l is needed to achieve a concentration of ∼50 nmol/l the following winter.
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References
Brot C, Vestergaard P, Kolthoff N, Gram J, Hermann AP, Sørensen OH . Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr 2001; 86: S97–S103.
McCarthy D, Collins A, O'Brien M, Lamberg-Allardt C, Jakobsen J, Charzewska J et al. Vitamin D intake and status in Irish elderly women and adolescent girls. Ir J Med Sci 2006; 175: 14–20.
Ovesen L, Andersen R, Jakobsen J . Geographical differences in vitamin D status, with particular reference to European countries. Proc Nutr Soc 2003; 62: 813–821.
Webb AR, Kline L, Holick MF . Influcence of seasonal 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 Endocrin Metab 1988; 67: 373–378.
Heaney RP . Lessons for nutritional science from vitamin D. Am J Clin Nutr 1999; 69: 825–826.
Hollis BW . Assesment of vitamin D nutritional and hormonal status: what to measure an how to do it. Calcif Tissue Int 1996; 58: 4–5.
Lips P, Chapuy M-C, Dawson-Hughes B, Pols HAP, Holick MF . An international comparison of serum 25-hydroxyvitamin D measurements. Osteoporos Int 1999; 9: 394–397.
Holick MF . Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 2004; 80S: 1678S–1688S.
Lips P . Which circulating level of 25-hydroxyvitamin D is appropriate? J Steroid Biochem Mol Biol 2004; 89-90: 611–614.
McKenna MJ, Freaney R . Secondary hyperparathyroidisme in the elderly: means to defining hypovitaminosis D. Osteoporos Int 1998; S8: S3–S6.
Andersen R, Mølgaard C, Skovgaard LT, Brot C, Cashman KD, Chabros E et al. Teenage girls and elderly women living in northern Europe have low winter vitamin D status. Eur J Clin Nutr 2005; 59: 533–541.
Jakobsen J, Bysted A, Andersen R, Bennett T, Brot C, Bugel S et al. Vitamin D status assessed by a validated HPLC method: within and between variation in subjects supplemented with vitamin D3. Scand J Clin Lab Invest 2009; 69: 190–197.
Quintern LE, Hornech G, Eschweiler U, Bücker H . A biofilm used as ultraviolet-dosimeter. Photochem Photobiol 1992; 55: 389–395.
Christensen T Outline of GIES: General Intake Estimation System. Fourth International Food Data Conference: New Trends in the Management and Uses of Food Databases. Bratislava: Slovakia, 2001, pp 24–26. (poster).
McKenna MJ . Differences in vitamin D status between countries in young adults and the elderly. Am J Med 1992; 93: 69–77.
Poskitt EME, Cole TJ, Lawson DEM . Diet, sunlight, and 25-hydroxy vitamin D in healthy children and adults. BMJ 1979; 1: 221–223.
Hill T, Collins A, O'Brien M, Kiely M, Flynn A, Cashman KD . Vitamin D intake and status in Irish postmenopausal women. Eur J Clin Nutr 2005; 59: 404–410.
Mark S . Vitamin D status and recommendations to improve vitamin D status in Canadian youth. Appl Physiol Nutr Metab 2010; 35: 718.
Rockell JEP, Skeaff CM, Williams SM, Green TJ . Serum 25-hydroxyvitamin D concentrations of New Zealanders aged 15 years and older. Osteoporos Int 2006; 17: 1382–1389.
Looker AC, Pfeiffer CM, Lacher DA, Schleicher RL, Picciano MF, Yetley EA . Serum 25-hydroxyvitamin D status of the US population: 1988–1994 compared with 2000–2004. Am J Clin Nutr 2008; 88: 1519–1527.
Weng FL, Shults J, Leonard MB, Stallings VA, Zemel BS . Risk factors for low serum 25-hydroxyvitamin D concentrations in otherwise healthy children and adolescents. Am J Clin Nutr 2007; 86: 150–158.
Hill TR, Cotter AA, Mitchell S, Boreham CA, Dubitzky W, Murray L et al. Vitamin D status and its determinants in adolescents from the Northern Ireland Young Hearts 2000 cohort. Br J Nutr 2008; 99: 1061–1067.
Hypponen E, Power C . Hypovitaminosis D in British adults at age 45 y: nationwide cohort study of dietary and lifestyle predictors. Am J Clin Nutr 2007; 85: 860–868.
Vieth R, Cole DE, Hawker GA, Trang HM, Rubin LA . Wintertime vitamin D insufficiency is common in young Canadian women, and their vitamin D intake does not prevent it. Eur J Clin Nutr 2001; 55: 1091–1097.
Looker AC, Dawson-Hughes B, Calvo MS, Gunter EW, Sahyoun NR . Serum 25-hydroxyvitamin D status of adolescents and adults in two seasonal subpopulations from NHANES III. Bone 2002; 30: 771–777.
Furusawa Y, Quintern LE, Holtschmidt H, Koepke P, Saito M . Determination of erythema-effective solar radiation in Japan and Germany with a spore monolayer film optimized for the detection of UVB and UVA—results of a field compaign. Appl Microbiol Biotechnol 1998; 50: 597–603.
Moehrle M, Korn M, Garbe C . Bacillus subtilis spore film dosimeters in personal dosimetry for occupational solar ultraviolet exposure. Int Arch Occup Environ Health 2000; 73: 575–580.
Quintern LE, Puskeppeleit M, Rainer P, Weber S, El Nagger S, Eschweiler U et al. Continuous dosimetry of the biologically harmful UV-radiation in Antarctica with the biofilm technique. J Photochem Photobiol B Biol 1994; 22: 59–66.
Godar DE, Pope SJ, Grant WB, Holick MF . Solar UV doses of young Americans and vitamin D3 production. Environ Health Perspect 2012; 120: 139–143.
Webb AR, Engelsen O . Calculated ultraviolet exposure levels for a healthy vitamin D status. Photochem Photobiol 2006; 82: 1697–1703.
Lawson DEM, Paul AA, Black AE, Cole TJ, Mandal AR, Davie M . Relative contributions of diet and sunlight to vitamin D state in the elderly. BMJ 1979; 2: 303–305.
Webb AR, Pilbeam C, Hanafin N, Holick MF . An evaluation of the relative contributions of exposure to sunlight and of diet to the circulating concentrations of 25-hydroxyvitamin D in an elderly nursing home population in Boston. Am J Clin Nutr 1990; 51: 1075–1081.
Acknowledgements
We thank Karin Hess Ygil for the sampling and the intake calculations, and Tue Christensen and Anders Møller for the intake calculations. The study is part of the OPTIFORD-project ‘Towards a strategy for optimal vitamin D fortification’, financed by EU, the 5th Framework Program (QLK1-CT-2000-00623) and by the National Food Institute, Technical University of Denmark. The material has not been submitted for publication elsewhere while under consideration for EJCN.
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Guarantor: R Andersen.
Contributors: RA collected the data, wrote the manuscript and undertook the statistical analyses. RA, CB, CM, LO and LTS designed the study. JJ analyzed S-25OHD. HM, ET and IT facilitated the completion of the study. All the authors contributed to the manuscript.
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Andersen, R., Brot, C., Jakobsen, J. et al. Seasonal changes in vitamin D status among Danish adolescent girls and elderly women: the influence of sun exposure and vitamin D intake. Eur J Clin Nutr 67, 270–274 (2013). https://doi.org/10.1038/ejcn.2013.3
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DOI: https://doi.org/10.1038/ejcn.2013.3
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