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Effect of vitamin D supplementation on vitamin D status and bone turnover markers in young adults

Abstract

Objective:

To assess the vitamin D status of healthy young people living in Northern Ireland and the effect of vitamin D supplementation on vitamin D status and bone turnover.

Design:

Double-blinded randomised controlled intervention study.

Setting:

University of Ulster, Coleraine, Northern Ireland.

Subjects:

In total, 30 apparently healthy students (15 male and 15 female subjects), aged 18–27 years, were recruited from the university, with 27 completing the intervention.

Interventions:

Subjects were randomly assigned, to receive either 15 μg (600 IU) vitamin D3 and 1500 mg calcium/day (vitamin D group), or 1500 mg calcium/day (control group) for 8 weeks between January and March. Vitamin D status, bone turnover markers, serum calcium and parathyroid hormone concentrations were measured at baseline and post intervention.

Results:

At baseline, vitamin D status was low in both the vitamin D group (47.9 (s.d. 16.0)) and the control group (55.5 (s.d. 18.6) nmol/l 25(OH)D). Post intervention vitamin D status was significantly higher in the vitamin D-treated group (86.5 (s.d. 24.5)) compared to the control group (48.3 (s.d. 16.8) nmol/l) (P<0.0001). There was no significant effect of supplementation on bone turnover markers or PTH concentrations.

Conclusions:

This study suggests that young adults in Northern Ireland do not consume an adequate daily dietary intake of vitamin D to maintain plasma vitamin D concentrations in the wintertime. A daily supplement of 15 μg vitamin D3 significantly increased vitamin D status in these individuals to levels of sufficiency. Achievement of an optimum vitamin D status among young adults may have future positive health implications.

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References

  • Aguado P, del Campo M, Garces M, Gonzalez-Casau M, Bernad M, Gijon-Banos J et al. (2000). Low vitamin D levels in outpatient postmenopausal women from a rheumatology clinic in Madrid, Spain: their relationship with bone mineral density. Osteoporos Int 11, 739–744.

    Article  CAS  Google Scholar 

  • Ala-Houhala M, Parviainen M, Pyykko K, Visakorpi J (1984). Serum 25-hydroxyvitamin D levels in Finnish children aged 2–17 years. Acta Peadiatr Scand 73, 232–236.

    Article  CAS  Google Scholar 

  • Bates C, Carter G, Mishra G, O'Shea D, Jones J, Prentice A (2003). In a population study, can parathyroid hormone aid the definition of adequate vitamin D status? A study of people aged 65 years and over from the British National Diet and Nutrition Survey. Osteoporos Int 4, 152–159.

    Article  Google Scholar 

  • Bonjour J, Theintz G, Law F, Slosman D, Rizzoli R (1994). Peak bone mass. Osteoporos Int 1, S7–S13.

    Article  Google Scholar 

  • Bostick R, Potter J, Sellers T, McKenzie D, Kushi L, Folsom A (1993). Relation of calcium, vitamin D and dairy food intake to incidence of colon cancer among older women. The Iowa Women's Health Study. Am J Epidemiol 137, 1302–1317.

    Article  CAS  Google Scholar 

  • Brot C, Vestergaard P, Kolthoff N, Gram J, Hermann A, Sorensen O (2001). Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr 86, S97–S103.

    Article  CAS  Google Scholar 

  • Chapuy M, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S (1997). Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int 7, 439–443.

    Article  CAS  Google Scholar 

  • Chapuy M, Schott A, Garnero P, Hans D, Delmas P, Meunier P (1996). Healthy elderly French women living at home have secondary hyperparathyroidism and high bone turnover in winter. EPIDOS Study Group. J Clin Endocrinol Metab 81, 1129–1133.

    CAS  PubMed  Google Scholar 

  • Chen T, Turner A, Holick M (1990). Methods for the determination of the circulating concentration of 25-hydroxyvitamin D. J Nutr Biochem 1, 315–319.

    Article  CAS  Google Scholar 

  • Cheng S, Tylavsky F, Kruger H, Kurkkainen M, Lvytikainen A, Koistinen A et al. (2003). Association of low 25-hydroxyvitamin D concentrations with elevated parathyroid hormone concentrations and low cortical bone density in early pubertal and prepubertal Finnish girls. Am J Clin Nutr 78, 485–492.

    Article  CAS  Google Scholar 

  • Dawson-Hughes B, Dallal G, Krall E, Harris S, Sokoll L, Falconer G (1991). Effect of vitamin D supplementation on wintertime and overall bone loss in healthy postmenopausal women. Ann Intern Med 115, 505–512.

    Article  CAS  Google Scholar 

  • Department of Health (1991). Dietary references values for food energy and nutrients for the United Kingdom. Report of the panel on dietary reference values of the Committee on Medical Aspects of Food Policy, no 41. HMSO: London. pp 123–127.

  • Department of Health (1998). COMA. Nutrition and bone health. Report of the subgroup on bone health, working group on the nutrient status of the population of the Committee on Medical Aspects of Food and Nutrition Policy. no 49. HMSO: London.

  • Fuleihan G, Nabulsi M, Choucair M, Salamoun M, Shahine C, Kizirian A et al. (2001). Hypovitaminosis D in healthy schoolchildren. Pediatrics 107, 53–60.

    Article  Google Scholar 

  • Ginty F, Cavadini C, Michaud P, Burchkhardt P, Baumgartner M, Mishra G et al. (2004). Effects of usual nutrient intake and vitamin D status on markers of bone turnover in Swiss adolescents. Eur J Clin Nutr 58, 1257–1265.

    Article  CAS  Google Scholar 

  • Glerup H, Mikkelsen K, Poulsen L, Hass E, Overbeck S, Thomsen J et al. (2000). Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med 247, 260–268.

    Article  CAS  Google Scholar 

  • Gordon C, DePeter C, Feldman H, Grace E, Eman S (2004). Prevalence of vitamin D deficiency among healthy adolescents. Arch Pediatr Adolesc Med 158, 531–537.

    Article  Google Scholar 

  • Guillemant J, Le H, Maria A, Allemandou A, Peres G, Guillemant S (2001). Wintertime vitamin D deficiency in male adolescents: effect on parathyroid function and response to vitamin D3 supplements. Osteoporos Int 12, 875–879.

    Article  CAS  Google Scholar 

  • Harris S, Dawson-Hughes B (2002). Plasma vitamin D and 25(OH)D responses of young and old men to supplementation with vitamin D3 . J Am Coll Nutr 21, 357–362.

    Article  CAS  Google Scholar 

  • Harris S, Soteriades E, Coolidge J, Mudgal S, Dawson-Hughes B (2000). Vitamin D insufficiency and hyperparathyroidism in a low income, multiracial, elderly population. J Clin Endocrinol Metab 85, 4125–4130.

    CAS  PubMed  Google Scholar 

  • Hill T, O'Brien M, Cashman K, Flynn A, Kiely M (2004). Vitamin D intakes in 18–64 year old Irish adults. Eur J Clin Nutr 5, 1–9.

    Google Scholar 

  • Holick M (1994). McCollum award lecture. Vitamin D: new horizons for the 21st century. Am J Clin Nutr 60, 619–630.

    Article  CAS  Google Scholar 

  • Hutchison F, Bell N (1992). Osteomalacia and rickets. Semin Nephrol 12, 127–145.

    CAS  PubMed  Google Scholar 

  • Hypponen E, Laara E, Reunanen A, Jarvelin M, Virtanen S (2001). Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet 358, 1500–1503.

    Article  CAS  Google Scholar 

  • Isaia G, Giorgino R, Rini G, Bevilacqua M, Maugeri D, Adami S (2003). Prevalence of hypovitaminosis D in elderly women in Italy: clinical consequences and risk factors. Osteoporos Int 14, 577–582.

    Article  CAS  Google Scholar 

  • Jesudason D, Need A, Horowitz M, O'Loughlin P, Morris H, Nordin B (2002). Relationship between serum 25 hydroxyvitamin D and bone resorption markers in vitamin D insufficiency. Bone 31, 626–630.

    Article  CAS  Google Scholar 

  • Krall E, Sahyoun N, Tannenbaum S, Dallal G, Dawson-Hughes B (1989). Effect of vitamin D intake on seasonal variations in parathyroid hormone secretion in postmenopausal women. N Engl J Med 321, 1777–1783.

    Article  CAS  Google Scholar 

  • Lamberg-Allardt C, Ala-Houhala M, Ahola M, Parviainen M, Rasanen L, Visakorpi J (1986). Vitamin D status of children and adolescents in Finland. Ann Nutr Metab 30, 267–272.

    Article  CAS  Google Scholar 

  • Lehtonen-Veromaa M, Mottonen T, Irjala K, Karkkainen M, Lamberg-Allardt C, Hakola P et al. (1999). Vitamin D intake is low and hypovitaminosis D common in healthy 9 to 15 year old Finnish girls. Eur J Clin Nutr 53, 746–751.

    Article  CAS  Google Scholar 

  • Lehtonen-Veromaa M, Mottonen T, Nuotiio I, Irjala K, Viikari J (2002a). The effect of conventional vitamin D2 supplementation on serum 25(OH)D concentration is weak among peripubertal Finnish girls: a 3 year prospective study. Eur J Clin Nutr 56, 431–437.

    Article  CAS  Google Scholar 

  • Lehtonen-Veromaa M, Mottonen T, Nuotio I, Irjala K, Leino A, Viikari J (2002b). Vitamin D and attainment of peak bone mass among peripubertal Finnish girls: a 3 year prospective study. Am J Clin Nutr 76, 1446–1453.

    Article  CAS  Google Scholar 

  • Lips P (2001). Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications. Endocr Rev 22, 477–501.

    Article  CAS  Google Scholar 

  • Lips P (2004). Which circulating level of 25-hydroxyvitamin D is appropriate? J Ster Biochem Mol Biol 89, 611–614.

    Article  Google Scholar 

  • Lips P, Wiersinga A, van G (1988). The effect of vitamin D supplementation on vitamin D status and parathyroid function in elderly subjects. J Clin Endocrinol Metab 67, 644–650.

    Article  CAS  Google Scholar 

  • Liu B, Gordon M, Labranche J, Murray TM, Vieth R, Shear N (1997). Seasonal prevalence of vitamin D deficiency in institutionalized older adults. J Am Geriatric Soc 45, 598–603.

    Article  CAS  Google Scholar 

  • Martinez M, del Campo M, Sanchez Cabezudo M, Garcia J, Sanchez Calvin M, Torrijos A et al. (1994). Relations between calcidiol serum levels and bone mineral density in postmenopausal women with low bone density. Calcif Tissue Inter 55, 253–256.

    Article  CAS  Google Scholar 

  • McKenna M (1992). Differences in vitamin D status between countries in young adults and elderly. Am J Med 93, 69–77.

    Article  CAS  Google Scholar 

  • McLaughlin M, Raggatt P, Fairney A, Brown D, Lester E, Wills M (1974). Seasonal variations in serum 25-hydroxycholecalciferol in healthy people. Lancet 303, 536–538.

    Article  Google Scholar 

  • Merlino L, Curtis J, Mikuls T, Cerhan J, Criswell L, Saag K (2004). Vitamin D intake is inversely associated with rheumatoid arthritis. Arthritis Rheum 50, 72–77.

    Article  CAS  Google Scholar 

  • Mezquita-Raya P, Munoz-Torres M, Luna J, Luna V, Lopez-Rodriguez F, Torres-Vela E et al. (2001). Relation between vitamin D insufficiency, bone density and bone metabolism in healthy postmenopausal women. J Bone Miner Res 16, 1408–1414.

    Article  CAS  Google Scholar 

  • Moore C, Murphy M, Keast D, Holick M (2004). Vitamin D intake in the United States. J Am Diet Assoc 104, 980–983.

    Article  CAS  Google Scholar 

  • Munger K, Zhang S, O'Reilly E, Hernan M, Olek M, Willett W et al. (2004). Vitamin D intake and incidence of multiple sclerosis. Neurology 62, 60–65.

    Article  CAS  Google Scholar 

  • Neville C, Robson P, Murray L, Strain J, Twisk J, Gallagher A et al. (2002). The effect of nutrient intake on bone mineral status in young adults: The Northern Ireland Young Hearts Project. Calcif Tissue Int 70, 89–98.

    Article  CAS  Google Scholar 

  • Ovesen L, Andersen R, Jakobsen J (2003). Geographical differences in vitamin D status, with particular reference to European countries. Proc Nutr Soc 62, 813–821.

    Article  CAS  Google Scholar 

  • Parfitt A (1998). Osteomalacia and related disorders. In: Avioli L, Krane S (eds.). Metabolic Bone Disease and clinically related disorders. Academic Press: San Diego, California. pp 327–386.

    Chapter  Google Scholar 

  • Parfitt A, Gallagher J, Heaney R, Johnston C, Neer R, Whedon G (1982). Vitamin D and bone health in the elderly. Am J Clin Nutr 36, 1014–1031.

    Article  CAS  Google Scholar 

  • Pepe J, Romagnoli E, Nofroni I, Pacitti M, De Geronimo S, Letizia C et al. (2005). Vitamin D status as the major factor determining the circulating levels of parathyroid hormone: a study in normal subjects. Osteoporos Int 16, 805–812.

    Article  CAS  Google Scholar 

  • SACN (2003). Scientific Advisory Committee on Nutrition. Report of the subgroup on maternal and child nutrition (SMCN). Paper: Vitamin D deficiency in children. Agenda item 2. SMCN/03/02.

  • Siebel M, Roeller M, Vander Velden B, Diel L (2002). Long term variability of bone turnover markers in patients with non-metastatic breast cancer. Clin Lab 48, 11–12.

    Google Scholar 

  • Suda T, Ueno Y, Fujii K, Shinki T (2003). Vitamin D and bone. J Cell Biochem 88, 259–266.

    Article  CAS  Google Scholar 

  • Tangpricha V, Pearce E, Chen T, Holick M (2002). Vitamin D insufficiency among free-living healthy young adults. Am J Med 112, 659–662.

    Article  CAS  Google Scholar 

  • Vieth R (2004). Why the optimal requirement for vitamin D3 is probably much higher than what is officially recommended for adults. J Steroid Biochem Mol Biol 89–90, 575–579.

    Article  Google Scholar 

  • Vieth R, Chan P, MacFarlane G (2001). Efficacy and safety of vitamin D3 intake exceeding the lowest observed adverse effect level (LOAEL). Am J Clin Nutr 73, 288–294.

    Article  CAS  Google Scholar 

  • Villareal D, Civitelli R, Chines A, Avioli L (1991). Subclinical vitamin D deficiency in postmenopausal women with low vertebral bone mass. J Clin Endocrinol Metab 72, 628–634.

    Article  CAS  Google Scholar 

  • Webb A, Kline L, Holick M (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  Google Scholar 

  • Woitge H, Scheidt-Nave C, Kissling C, Leidig-Druckner G, Meyer K, Grauer A et al. (1998). Seasonal variation of biochemical indexes of bone turnover: results of a population based study. J Clin Endocrinol Metab 83, 68–75.

    CAS  PubMed  Google Scholar 

  • Zittermann A (2003). Vitamin D in preventive medicine: are we ignoring the evidence? Br J Nutr 89, 552–572.

    Article  CAS  Google Scholar 

  • Zittermann A, Scheld K, Stehle P (1998). Seasonal variations in vitamin D status and calcium absorption do not influence bone turnover in young women. Eur J Clin Nutr 52, 501–506.

    Article  CAS  Google Scholar 

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Acknowledgements

We wish to thank the technical staff, especially Mr Jimmy Coulter, in the School of Biomedical Sciences at the University of Ulster, for technical assistance and to Mr David Wright, Antrim Area Hospital, Clinical Chemistry Laboratory, for analysis of PTH. Also many thanks to Anne-Marie Doohan for her assistance with the analysis of dietary intakes.

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Correspondence to J M W Wallace.

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Guarantor: JMW Wallace.

Contributors: MSB was responsible for study design, execution, data analysis and preparation of the paper. PR, MPB and JW assisted with study design, data analysis and commented on the paper. JS edited and commented on the paper.

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Barnes, M., Robson, P., Bonham, M. et al. Effect of vitamin D supplementation on vitamin D status and bone turnover markers in young adults. Eur J Clin Nutr 60, 727–733 (2006). https://doi.org/10.1038/sj.ejcn.1602374

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