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Ethnic-specific differences in vitamin D status is associated with adiposity
Dian C Sulistyoningrum1, Timothy J Green, Scott A Lear
1Department of Pathology and Laboratory Medicine, University of British Columbia, Child and Family Research Institute, Vancouver, Canada.
Low vitamin D levels are linked to higher visceral fat, particularly in South Asians. Visceral adipose tissue (VAT) may uniquely impact vitamin D levels, explaining ethnic differences.
Area of Science:
- Endocrinology
- Nutritional Science
- Human Physiology
Background:
- Low circulating 25-hydroxyvitamin D [25(OH)D] is common in obesity.
- Ethnic differences in body fat distribution, with South Asians having higher visceral adipose tissue (VAT), may influence 25(OH)D levels.
Purpose of the Study:
- To investigate the relationship between plasma 25(OH)D, adiposity, and body fat distribution in Europeans and South Asians.
Main Methods:
- Assessed demographics, anthropometrics, and plasma 25(OH)D in 187 Europeans and 192 South Asians.
- Quantified subcutaneous adipose tissue (SAT) and VAT by CT scan; percent body fat by DEXA.
- Analyzed data using general linear models.
Main Results:
- South Asians had lower plasma 25(OH)D and higher VAT than Europeans.
- Plasma 25(OH)D was negatively associated with BMI, waist circumference, percent body fat, total adipose tissue, VAT, and SAT.
- After adjusting for covariates, VAT, SAT, and percent body fat remained negatively associated with plasma 25(OH)D. When all fat compartments were modeled, only VAT remained significant.
- Ethnicity was a significant factor in all models.
Conclusions:
- Visceral adipose tissue (VAT) may play a distinct role in determining plasma 25(OH)D concentrations.
- VAT's role could explain lower vitamin D levels observed in South Asians.
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