High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes

Background: Vitamin D is important for bone health. An inadequate supply of vitamin D to the body is associated with a higher fracture risk in the elderly. Young adults with type 1 diabetes are reported to have a lower peak bone mass than healthy individuals, which could possibly lead to an incre...

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Main Authors: M Janner, P Ballinari, PE Mullis, CE Flück
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2010-08-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1176
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author M Janner
P Ballinari
PE Mullis
CE Flück
author_facet M Janner
P Ballinari
PE Mullis
CE Flück
author_sort M Janner
collection DOAJ
description Background: Vitamin D is important for bone health. An inadequate supply of vitamin D to the body is associated with a higher fracture risk in the elderly. Young adults with type 1 diabetes are reported to have a lower peak bone mass than healthy individuals, which could possibly lead to an increased fracture risk in the future. The prevalence of vitamin D deficiency in healthy young people is high. Thus, optimal supply of vitamin D may be of particular importance for bone health in children with type 1 diabetes. Methods: In this prospective cross-sectional study we measured serum 25-hydroxy-vitamin D, iPTH, total and ionised calcium, phosphate, and alkaline phosphatase in 129 Swiss children and adolescents with type 1 diabetes. Results: Of the 129 subjects 78 (60.5%) were vitamin D deficient, defined as a 25-hydroxy-vitamin-D level below 50 nmol/L. During the winter this number rose to 84.1%. 25-hydroxy-vitamin-D levels showed marked seasonal fluctuations, whereas there was no correlation with diabetes control. Despite the high prevalence of vitamin D deficiency, we found a low prevalence of secondary hyperparathyroidism in vitamin D deficient diabetic children and adolescents. Conclusions:Prevalence of vitamin D deficiency in diabetic children and adolescents is high. Therefore, screening for vitamin D deficiency and supplementation in children with low vitamin D levels may be considered.
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spelling doaj.art-068b856c329b4b1bae4b20678ba72f232022-12-22T04:42:31ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972010-08-01140353610.4414/smw.2010.13091High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetesM JannerP BallinariPE MullisCE Flück Background: Vitamin D is important for bone health. An inadequate supply of vitamin D to the body is associated with a higher fracture risk in the elderly. Young adults with type 1 diabetes are reported to have a lower peak bone mass than healthy individuals, which could possibly lead to an increased fracture risk in the future. The prevalence of vitamin D deficiency in healthy young people is high. Thus, optimal supply of vitamin D may be of particular importance for bone health in children with type 1 diabetes. Methods: In this prospective cross-sectional study we measured serum 25-hydroxy-vitamin D, iPTH, total and ionised calcium, phosphate, and alkaline phosphatase in 129 Swiss children and adolescents with type 1 diabetes. Results: Of the 129 subjects 78 (60.5%) were vitamin D deficient, defined as a 25-hydroxy-vitamin-D level below 50 nmol/L. During the winter this number rose to 84.1%. 25-hydroxy-vitamin-D levels showed marked seasonal fluctuations, whereas there was no correlation with diabetes control. Despite the high prevalence of vitamin D deficiency, we found a low prevalence of secondary hyperparathyroidism in vitamin D deficient diabetic children and adolescents. Conclusions:Prevalence of vitamin D deficiency in diabetic children and adolescents is high. Therefore, screening for vitamin D deficiency and supplementation in children with low vitamin D levels may be considered. https://www.smw.ch/index.php/smw/article/view/117625-OH-cholecalciferolparathyroid hormonetype 1 diabetesvitamin D deficiency
spellingShingle M Janner
P Ballinari
PE Mullis
CE Flück
High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
Swiss Medical Weekly
25-OH-cholecalciferol
parathyroid hormone
type 1 diabetes
vitamin D deficiency
title High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
title_full High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
title_fullStr High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
title_full_unstemmed High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
title_short High prevalence of vitamin D deficiency in children and adolescents with type 1 diabetes
title_sort high prevalence of vitamin d deficiency in children and adolescents with type 1 diabetes
topic 25-OH-cholecalciferol
parathyroid hormone
type 1 diabetes
vitamin D deficiency
url https://www.smw.ch/index.php/smw/article/view/1176
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