Lower vitamin D intake is associated with low HDL cholesterol and vitamin D insufficiency/deficiency in Brazilian children

Filgueiras, Mariana De Santis; Suhett, Lara Gomes; Silva, Mariane Alves; Rocha, Naruna Pereira; Novaes, Juliana Farias de

doi:10.1017/s1368980018000204

Cited by 28 publications

(15 citation statements)

References 55 publications

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“…In Brazil, low vitamin D intake is commonly observed. Filgueiras et al ( 49 ) found an elevated prevalence of inadequate vitamin D intake (91.3 %) among 378 children. Peters et al ( 50 ), studying 136 adolescents, and Cembranel et al ( 51 ), assessing 1051 patients between 22 and 63 years, described that 85.1% and 100% of subjects did not meet the daily adequate intake recommendation of vitamin D. In 2013, a National Dietary Survey with Brazilian elderly stated that our region had more adequate levels of vitamin D intake when compared to other regions of Brazil, even though inadequacy was still very present ( 52 ).…”

Section: Discussionmentioning

confidence: 99%

Vitamin D and PTH: data from a cross-sectional study in an equatorial population

Queiroz¹,

Melo²,

Resende³

et al. 2020

Endocrine Connections

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Objective: Investigate the prevalence of vitamin D deficiency in an equatorial population through a large-sample study. Methods: Cross-sectional study with 30,224 healthy individuals from the North Region, in Brazil (Amazônia, state of Pará), who had 25-hydroxy-vitamin D (25(OH)D) and intact parathyroid hormone (PTH) serum levels measured by immunoassay method. Those with history of acute or chronic diseases were excluded. Abnormal levels of calcium, creatinine, glycemia and albumin were also exclusion criteria. Results: 25(OH)D levels were 29.1 ± 8.2ng/mL and values <12.7 ng/mL were equal to < -2 SD below average. Hypovitaminosis D was present in 10% of subjects according to the Institute of Medicine (values <20ng/mL) and in 59%, in consonance with Endocrine Society criteria (values 20-30 ng/mL as insufficiency and <20 ng/mL as deficiency). Individuals were divided according to four age brackets: children, adolescents, adults and elderly, and their 25(OH)D levels were: 33±9; 28,5±7,4; 28.3±7,7; 29.3±8,5ng/mL, respectively. All groups differed in 25(OH)D, except adolescents vs adults. Regression model showed BMI, sex, living zone (urban or rural) and age as independent variables to 25(OH)D levels. Comparing subjects with vitamin D deficiency (<20 ng/mL) to those with vitamin D insufficiency (20-30 ng/mL), a difference between PTH levels in these two groups was observed (95.9 ± 24.7pg/mL vs 44.2 ± 64.5pg/mL; p<0.01). Additionally, the most accurate predictive vitamin D level for subclinical hyperparathyroidism in ROC curve was 26ng/mL. Conclusion: Our equatorial population showed low prevalence of vitamin D hypovitaminosis ranging with age bracket. The insufficient category by Endocrine Society was corroborated by our PTH data.

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Section: Discussionmentioning

confidence: 99%

Vitamin D and PTH: data from a cross-sectional study in an equatorial population

Queiroz¹,

Melo²,

Resende³

et al. 2020

Endocrine Connections

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“…As limitations, we used a 24-hour recall, which does not reflect a habitual intake. However, this method has been used thoroughly with success in other epidemiologic studies [60,61], including DII analyses [1,45,46,54,58,62,63]. Although we were able to compute the DII from only 19 of the 45 potential items of food and nutrients that could be used to calculate this index, other published studies also derive DII scores from a sub-optimal number of items, and the ability to still detect significant associations suggests that this has only caused to a potential underestimated of the associations [1,52,58,64,65].…”

Section: Discussionmentioning

confidence: 99%

Dietary Inflammatory Index is Associated with Excessive Body Weight and Dietary Patterns in Subjects with Cardiometabolic Risk

Meneguelli¹,

Hinkelmann²,

Novaes³

et al. 2019

JFNR

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Unhealthy eating habits can trigger chronic inflammation in organs and tissues, and subsequent cardiovascular risk. Thus, this study aimed to evaluate the potential association of Dietary Inflammatory Index (DII™) score with cardiometabolic risk factors and a priori and a posteriori dietary patterns in adults and elderly Brazilians (42 ± 16 years) from a health care program. This cross-sectional study was carried out with 248 individuals (138 women and 110 men) from a Cardiovascular Health Care Program of the Universidade Federal de Viçosa (PROCARDIO-UFV, ReBEC ID number: RBR-5n4y2g). Sociodemographic and clinical characteristics, lifestyle and anthropometric data were assessed by standardized protocols. DII scores were calculated from a 24 h-recall, and dietary patterns were determined by a posteriori method, as Principal Component Analysis (PAC), and a priori method, as Healthy Eating Index (HEI). The mean DII was 0.15 ± 0.84. The subjects included in the most pro-inflammatory category(3rd tertile) were more likely to be individuals with excessive body weight, increased waist-to-hip ratio and lower quality diet assessed by PAC and HEI. The most pro-inflammatory diet was associated with excessive body weight as well as other worse dietary patterns.

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“…The results of the receiver-operating characteristic curve analysis showed that BAIp and BAI had the ability to predict excess body adiposity in children and adolescents, especially BAIp, with a better performance in the 18-19 years age group compared with BAI. However, the Bland-Altman test showed no good agreement of these indices with the values Table 4 Probabilities of correct decisions and misclassification errors, validity coefficients, and expected utility, disutility and maximal utility for cut-offs points of the body adiposity index (BAI) and the paediatric body adiposity index (BAIp) for the classification of high adiposity, by age and sex, in children and adolescents aged [8][9][10][11][12][13][14][15][16][17][18][19] El Aarbaoui et al (9) assessed individuals aged 5-12 years to verify the effectiveness of the BAI equation and a possible need for another equation more efficient for the paediatric population. Their results showed that BAI overestimated body fat values in this age group and a paediatric equation was necessary for this evaluation, namely the BAIp.…”

Section: Discussionmentioning

confidence: 99%

Agreement of body adiposity index (BAI) and paediatric body adiposity index (BAIp) in determining body fat in Brazilian children and adolescents

Filgueiras

Cecon

Faria

et al. 2018

Public Health Nutr.

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ObjectiveTo evaluate agreement of the body adiposity index (BAI) and paediatric body adiposity index (BAIp) in estimating body fat compared with dual-energy X-ray absorptiometry (DXA) and to propose cut-off points for these indices to classify excess adiposity in Brazilian children and adolescents.DesignCross-sectional study. Measures of weight, height, hip circumference, BMI and body fat percentage (%BF) assessed by DXA were taken, and BAI and BAIp were calculated. The Bland–Altman plot was used to estimate agreement between the methods, and the receiver-operating characteristic curve to determine the cut-off points for BAI and BAIp per age and sex in comparison with DXA.SettingViçosa, Minas Gerais, Brazil.SubjectsChildren and adolescents aged 8–19 years (n 1049).ResultsOf the children and adolescents, 52·4 % were girls. BAI and BAIp had satisfactory performance by the receiver-operating characteristic curve, except for the 18–19 years age group, whose BAIp had better predictive capacity than BAI. The agreement analysis showed that BAI overestimated %BF by 2·64 %, on average, using DXA; while BAIp underestimated %BF by 3·37 %.ConclusionsBAI and BAIp showed low agreement with the body fat obtained by DXA, requiring caution when interpreting body composition data in children and adolescents.

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Lower vitamin D intake is associated with low HDL cholesterol and vitamin D insufficiency/deficiency in Brazilian children

Cited by 28 publications

References 55 publications

Vitamin D and PTH: data from a cross-sectional study in an equatorial population

Vitamin D and PTH: data from a cross-sectional study in an equatorial population

Dietary Inflammatory Index is Associated with Excessive Body Weight and Dietary Patterns in Subjects with Cardiometabolic Risk

Agreement of body adiposity index (BAI) and paediatric body adiposity index (BAIp) in determining body fat in Brazilian children and adolescents

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