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Vitamin D levels in Saudi children with type 1 diabetes
Bassam S Bin-Abbas1, Moslah A Jabari, Sharifah D Issa
1Department of Pediatrics, Section of Pediatric Endocrinology, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. binabbas@yahoo.com
Insights
Vitamin D deficiency is common in children with type 1 diabetes (T1DM). Screening and supplementation are recommended for T1DM children with low vitamin D levels.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Metabolic Disorders
Background:
- Vitamin D deficiency is a growing concern globally.
- Type 1 diabetes (T1DM) is an autoimmune disease affecting children.
- The relationship between vitamin D status and T1DM in pediatric populations requires further investigation.
Purpose of the Study:
- To determine the prevalence of vitamin D deficiency in Saudi children diagnosed with type 1 diabetes.
- To compare vitamin D levels between children with T1DM and healthy controls.
Main Methods:
- A prospective cross-sectional study involving 100 Saudi children with T1DM and 100 healthy controls.
- Serum levels of 25-hydroxy vitamin D (25OHD), parathyroid hormone, calcium, phosphate, and alkaline phosphatase were measured.
- Comparison of biochemical markers between T1DM patients and age, gender, and ethnicity-matched controls.
Main Results:
- Children with T1DM exhibited significantly lower mean serum 25OHD levels compared to controls (36.7 nmol/l vs. 44.8 nmol/l).
- Vitamin D deficiency was highly prevalent in T1DM children (84%) versus healthy children (59%).
- No significant correlation was observed between glycemic control and 25OHD levels in T1DM patients.
Conclusions:
- The prevalence of vitamin D deficiency is notably high among children with type 1 diabetes.
- Routine screening for vitamin D deficiency in pediatric T1DM patients is advisable.
- Supplementation should be considered for T1DM children identified with low vitamin D levels.
Objective:
To assess the prevalence of vitamin D deficiency in type 1 diabetic (T1DM) children.
Methods:
In this prospective cross-sectional study, we included 100 Saudi children with T1DM attending the Pediatric Endocrinology and Diabetes Clinics, and 100 healthy controls from the Department of Pediatrics, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia from June to September 2010. We measured serum 25-hydroxy vitamin D (25OHD), parathyroid hormone, calcium, phosphate, and alkaline phosphatase in these patients, and compared the results with age, gender, and ethnicity-matched control subjects.
Results:
The mean levels of 25OHD were significantly lower in the T1DM children compared to the controls (36.7 +/- 14.3 nmol/l versus 44.8 +/- 14.1 nmol/l). In the T1DM children, 64% were mildly, 16% were moderately, and 4% were severely vitamin D deficient as compared with 52% (mildly), 6% (moderately), and 1% (severely) in the control group. Overall, 84% of the T1DM children, and 59% of the healthy children were vitamin D deficient. There was no correlation between glycemic control and 25OHD level.
Conclusion:
Prevalence of vitamin D deficiency in diabetic children is relatively high. Therefore, screening for vitamin D deficiency and supplementation of children with low vitamin D levels should be warranted.
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