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Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia
Studies on vitamin D status and its determinants in growing children in countries with ample sunshine such as Malaysia have been limited. The aim of our study was to determine factors associated with serum 25(OH)D concentrations such as lifestyle, dietary intake, anthropometry, and body composition...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308301/ https://www.ncbi.nlm.nih.gov/pubmed/34202743 http://dx.doi.org/10.3390/nu13072175 |
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author | Chee, Winnie Siew Swee Chang, Chung Yuan Arasu, Kanimolli Wong, Soon Yee Ong, Shu Hwa Yang, Wai Yew Chong, Megan Hueh Zan Mavinkurve, Meenal Khoo, Erwin Jiayuan Chinna, Karuthan Weaver, Connie M. |
author_facet | Chee, Winnie Siew Swee Chang, Chung Yuan Arasu, Kanimolli Wong, Soon Yee Ong, Shu Hwa Yang, Wai Yew Chong, Megan Hueh Zan Mavinkurve, Meenal Khoo, Erwin Jiayuan Chinna, Karuthan Weaver, Connie M. |
author_sort | Chee, Winnie Siew Swee |
collection | PubMed |
description | Studies on vitamin D status and its determinants in growing children in countries with ample sunshine such as Malaysia have been limited. The aim of our study was to determine factors associated with serum 25(OH)D concentrations such as lifestyle, dietary intake, anthropometry, and body composition in 243 pre-adolescent Malaysian children from low-income families living in Kuala Lumpur. This cross-sectional study measured bone density and body composition using dual-energy X-ray absorptiometry (DXA), while serum 25(OH)D was measured using LC–MS/MS. Time spent outdoors, body surface area exposed to sunlight, dietary intake, and physical activity level were assessed using questionnaires. Multiple linear regression and stepwise analysis were performed to identify significant predictors for serum 25(OH)D. About 69.4% had 25(OH)D < 50 nmol/L, and 18.9% were vitamin-D-deficient with 25(OH)D < 30 nmol/L. Girls had a nine-fold higher prevalence of vitamin D deficiency than boys. Body surface area exposed to sunlight, Sun Index, and fat mass were significant predictors of 25(OH)D concentrations in this population. Modifiable lifestyle factors such as sun exposure and reducing obesity are important public health guidance to ensure optimal vitamin D status in these children. |
format | Online Article Text |
id | pubmed-8308301 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83083012021-07-25 Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia Chee, Winnie Siew Swee Chang, Chung Yuan Arasu, Kanimolli Wong, Soon Yee Ong, Shu Hwa Yang, Wai Yew Chong, Megan Hueh Zan Mavinkurve, Meenal Khoo, Erwin Jiayuan Chinna, Karuthan Weaver, Connie M. Nutrients Article Studies on vitamin D status and its determinants in growing children in countries with ample sunshine such as Malaysia have been limited. The aim of our study was to determine factors associated with serum 25(OH)D concentrations such as lifestyle, dietary intake, anthropometry, and body composition in 243 pre-adolescent Malaysian children from low-income families living in Kuala Lumpur. This cross-sectional study measured bone density and body composition using dual-energy X-ray absorptiometry (DXA), while serum 25(OH)D was measured using LC–MS/MS. Time spent outdoors, body surface area exposed to sunlight, dietary intake, and physical activity level were assessed using questionnaires. Multiple linear regression and stepwise analysis were performed to identify significant predictors for serum 25(OH)D. About 69.4% had 25(OH)D < 50 nmol/L, and 18.9% were vitamin-D-deficient with 25(OH)D < 30 nmol/L. Girls had a nine-fold higher prevalence of vitamin D deficiency than boys. Body surface area exposed to sunlight, Sun Index, and fat mass were significant predictors of 25(OH)D concentrations in this population. Modifiable lifestyle factors such as sun exposure and reducing obesity are important public health guidance to ensure optimal vitamin D status in these children. MDPI 2021-06-24 /pmc/articles/PMC8308301/ /pubmed/34202743 http://dx.doi.org/10.3390/nu13072175 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chee, Winnie Siew Swee Chang, Chung Yuan Arasu, Kanimolli Wong, Soon Yee Ong, Shu Hwa Yang, Wai Yew Chong, Megan Hueh Zan Mavinkurve, Meenal Khoo, Erwin Jiayuan Chinna, Karuthan Weaver, Connie M. Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title | Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title_full | Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title_fullStr | Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title_full_unstemmed | Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title_short | Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia |
title_sort | vitamin d status is associated with modifiable lifestyle factors in pre-adolescent children living in urban kuala lumpur, malaysia |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308301/ https://www.ncbi.nlm.nih.gov/pubmed/34202743 http://dx.doi.org/10.3390/nu13072175 |
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