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Racial variation in vitamin D cord blood concentration in white and black male neonates
Monika Eichholzer1, Elizabeth A Platz, Jessica L Bienstock
1Division of Cancer Epidemiology and Prevention, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, Zürich, Switzerland. monika.eichholzer@ifspm.uzh.ch
Insights
Black neonates have significantly lower vitamin D levels than white neonates, with suboptimal vitamin D being more common in Black infants. These racial disparities in vitamin D warrant further investigation into adult chronic disease etiology.
Area of Science:
- Neonatal research
- Endocrinology
- Nutritional science
Background:
- Vitamin D is crucial for infant health and development.
- Racial disparities in health outcomes are a significant public health concern.
- Understanding factors influencing neonatal vitamin D levels is essential for early intervention.
Purpose of the Study:
- To evaluate racial variations in umbilical cord blood vitamin D concentrations.
- To explore correlations between vitamin D and the insulin-like growth factor (IGF) axis and sex steroid hormones.
- To compare these markers between White and Black male neonates.
Main Methods:
- Collection of umbilical cord blood samples from White and Black male neonates.
- Measurement of 25-hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)(2)D] via radioimmunoassay.
- Assay of testosterone, estradiol, sex hormone-binding globulin (SHBG), IGF-1, IGF-2, and IGF-binding protein-3.
Main Results:
- Significantly lower mean 25(OH)D levels were observed in Black neonates compared to White neonates.
- Black neonates exhibited a higher prevalence of suboptimal vitamin D levels ([25(OH)D] < 20 ng/mL).
- Vitamin D concentrations did not correlate with IGFs or sex steroid hormones in either racial group.
Conclusions:
- Suboptimal vitamin D levels are prevalent, particularly in Black neonates, influenced by maternal parity and season.
- Observed racial differences in vitamin D warrant further research into the etiology of adult chronic diseases.
- The study highlights a critical need to address vitamin D disparities in newborns.
Aim:
The aim of this study is to evaluate racial variation in umbilical cord blood concentration of vitamin D and to explore its correlation with markers of the insulin-like growth factor axis (IGFs) and sex steroid hormones in white and black male neonates.
Methods:
In 2004-2005, venous umbilical cord blood samples were collected from 75 black and 38 white male neonates, along with maternal and birth characteristics from two hospitals in Maryland, United States. 25-Hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)(2)D] were measured by radioimmunoassay and testosterone, estradiol, and sex hormone-binding globulin (SHBG) by immunoassay and IGF-1, IGF-2, and IGF-binding protein-3 by ELISA. Crude and multivariable-adjusted geometric mean concentrations were computed.
Results:
Mean 25(OH)D levels were lower in black than in white neonates (11.44; 95 % CI 10.10-12.95 ng/mL vs. 18.24; 95 % CI 15.32-21.72 ng/mL; p < 0.0001). Black neonates were at higher risk of suboptimal vitamin D levels [25(OH)D < 20 ng/mL] than whites (84 vs. 63 %). 25(OH)D concentrations varied by season in whites but not in blacks and were significantly inversely correlated with mother's parity (number of live births) in blacks but not in whites. Mean concentration of 1,25(OH)(2)D did not differ by race. 25(OH)D and 1,25(OH)(2)D did not correlate with IGFs, sex steroid hormones, and SHBG.
Conclusions:
Suboptimal vitamin D levels were prevalent especially in blacks and influenced by mother's parity and by season. The observed vitamin D differences between black and white neonates warrant further evaluation of the etiology of the disparity in chronic diseases in adulthood.
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