Associations of childhood 25-hydroxyvitamin D2 and D3 and cardiovascular risk factors in adolescence: Prospective findings from the Avon Longitudinal Study of Parents and Children

Dylan M. Williams, Abigail Fraser, Adrian Sayers, William D. Fraser, Elina Hyppönen, George Davey Smith, Naveed Sattar, Debbie A. Lawlor

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    19 Citations (Scopus)

    Abstract

    Background: Studies of the associations of circulating total 25-hydroxyvitamin D (25(OH)D) with cardiovascular disease risk factors in adults have reported inconsistent findings. We aimed to compare prospective associations of two analogues of childhood 25(OH)D (25(OH)D2 and 25(OH)D3) with cardiovascular risk factors measured in adolescence. Methods and results: We examined associations of childhood (ages 7-12 years) 25(OH)D2 and 25-25(OH)D3 with a range of cardiovascular risk factors (blood pressure, fasting lipids, glucose, insulin and C-reactive protein (CRP)) determined in adolescence (mean age 15.4 years). Data were from 2470 participants of the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective population-based cohort. After adjustments for age, gender, socioeconomic position and BMI, there were no associations of 25(OH)D2 with cardiovascular risk factors. There was a positive association of season-adjusted (and unadjusted) 25(OH)D3 with high-density lipoprotein cholesterol (HDL-C) (mean change per doubling of 25(OH)D3: 0.03 mmol/l; 95% confidence interval (CI): 0.001 to 0.05, p=0.02) and an inverse association with fasting insulin (relative difference of -4.59% per doubling; 95% CI: -8.37 to -0.59, p=0.03). Participants with total 25(OH)D concentration ≤50 nmol/l had 0.04 mmol/l lower HDL-C (95% CI: -0.07 to -0.01) and 5.54% higher fasting insulin (95% CI: 0.82 to 10.47) compared with participants with total 25(OH)D -72 nmol/l. Conclusions: In the first prospective study of children/adolescents, we have shown that higher 25(OH)D3 concentrations in childhood are associated with higher levels of HDL-C and lower fasting insulin in adolescence.

    Original languageEnglish
    Pages (from-to)281-290
    Number of pages10
    JournalEuropean Journal of Preventive Cardiology
    Volume21
    Issue number3
    DOIs
    Publication statusPublished or Issued - Mar 2014

    Keywords

    • ALSPAC
    • Vitamin D
    • cardiovascular diseases
    • paediatrics

    ASJC Scopus subject areas

    • Epidemiology
    • Cardiology and Cardiovascular Medicine

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