25-Hydroxyvitamin D3 Levels, BsmI Polymorphism and Insulin Resistance in Brazilian Amazonian Children

Fernanda Cobayashi1, Bárbara Hatzlhoffer Lourenço2, Marly Augusto Cardoso3

  • 1Department of Nutrition, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, CEP 01246-904 São Paulo, Brazil. fernanda.cobayashi@gmail.com.

Insights

Vitamin D levels in children are influenced by socioeconomic factors, maternal education, and nutrient intake. The BsmI polymorphism in the vitamin D receptor gene is linked to metabolic health, including insulin resistance and glucose levels.

Area of Science:

  • Pediatrics
  • Genetics
  • Nutritional Science
  • Endocrinology

Background:

  • Vitamin D plays a crucial role beyond bone health, impacting various physiological functions.
  • Understanding factors affecting vitamin D status in children is essential for public health.
  • The vitamin D receptor (VDR) gene, particularly BsmI polymorphism, may influence metabolic health.

Purpose of the Study:

  • To identify factors associated with serum 25-hydroxyvitamin D levels in children aged 10 years and younger.
  • To investigate the impact of BsmI polymorphism (rs1544410) on metabolic parameters in children.
  • To examine the longitudinal effects of VDR gene polymorphism on metabolic health over two years.

Main Methods:

  • A population-based cross-sectional study involving 974 children (≤10 years).
  • Analysis of serum 25-hydroxyvitamin D concentrations and metabolic parameters.
  • Multiple linear regression models were employed to analyze associations.
  • A subsample (n=430) was followed for two years to assess longitudinal impacts.

Main Results:

  • Prevalence of vitamin D deficiency, insufficiency, and sufficiency was 11.1%, 21.8%, and 67.2%, respectively.
  • BsmI polymorphism, maternal schooling, serum vitamin E, total cholesterol, and serum folate explained 23% of the variation in 25-hydroxyvitamin D.
  • BsmI polymorphism was positively associated with HOMA-IR and fasting glucose concentration.

Conclusions:

  • Socioeconomic status, maternal education, BsmI VDR gene risk allele, and nutrient status are associated with vitamin D levels in children.
  • BsmI polymorphism shows a correlation with metabolic outcomes, suggesting a genetic influence on metabolic health.
  • Further research is warranted to elucidate the complex interplay between vitamin D, genetics, and metabolic health in pediatric populations.