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Vitamin D and its correlation with blood lipids and intima-media thickness in term infants
Ana Daniela Ortega-Ramírez1, Alejandro Cabrera-Macedo1, Mario Del Toro-Equihua1
1Nutrition Laboratory. Facultad de Medicina. Universidad de Colima.
Insights
In infants aged 3-9 months, vitamin D (25(OH)D) levels correlated positively with total and non-HDL cholesterol in those receiving breastmilk substitutes. Low vitamin D deficiency was observed, with no link to artery thickness.
Area of Science:
- Pediatric endocrinology
- Nutritional science
- Cardiovascular health
Background:
- Existing research links low vitamin D (25(OH)D) to blood lipids in older populations.
- The relationship between vitamin D, blood lipids, and arterial thickness in infants is not well-established.
- Carotid and aortic intima-media thickness associations with vitamin D are controversial.
Purpose of the Study:
- To investigate the correlation between 25(OH)D levels and blood lipids (total cholesterol, HDL, non-HDL) in infants aged 3-9 months.
- To examine the relationship between 25(OH)D levels and carotid and aortic intima-media thickness in this age group.
- To assess the prevalence of vitamin D deficiency and insufficiency in healthy term infants.
Main Methods:
- Cross-sectional study of 109 healthy term infants (3-9 months old).
- Measured serum 25(OH)D, total cholesterol, HDL-cholesterol, non-HDL-cholesterol.
- Assessed aortic and carotid intima-media thickness; recorded feeding method, vitamin D supplementation, and sun exposure.
Main Results:
- Vitamin D deficiency (2.8%) and insufficiency (10.1%) were low.
- Inadequate vitamin D levels were associated with younger age (<6 months) and less sun exposure.
- Positive correlation between 25(OH)D and non-HDL-cholesterol in breastmilk substitute consumers and partially breastfed infants.
- Positive correlation between 25(OH)D and total cholesterol in breastmilk substitute consumers.
- No significant correlation found between vitamin D and aortic or carotid intima-media thickness.
Conclusions:
- A positive correlation exists between 25(OH)D levels and total and non-HDL-cholesterol in infants consuming breastmilk substitutes.
- The prevalence of vitamin D deficiency and insufficiency is low in the studied infant population.
- Vitamin D levels were not correlated with aortic or carotid intima-media thickness in 3-9 month old infants.
Introduction:
Background: an association between low 25(OH)D levels and blood lipids has been identified in children, adolescents, and adults but not in the early stages of life, and a relation to carotid and aortic intima-media thickness has not been well studied and is controversial. Objective: to identify whether 25(OH)D levels are correlated with blood lipids and aortic and carotid intima-media thickness in infants aged 3 to 9 months. Methods: a cross-sectional study was conducted in 109 healthy term infants between the ages of 3 and 9 months. Serum vitamin D [25(OH)D], total cholesterol, HDL-cholesterol, non-HDL-cholesterol, and aortic and carotid intima-media thickness were measured. Feeding method, vitamin D supplementation, and sun exposure habits were recorded. Results: only 2.8 % (n = 3) and 10.1 % (n = 14) had vitamin D deficiency and insufficiency, respectively. Infants with inadequate levels of vitamin D were younger (< 6 months) (p = 0.004), and a lower percentage of their body surface area was exposed to the sun (p = 0.006). A significant positive correlation was found between 25(OH)D levels and non-HDL-cholesterol in the infants that consumed breastmilk substitutes (rho = 0.600, p < 0.001) or were partially breastfed (rho = 0.371, p = 0.026), whereas a positive correlation was found with total cholesterol in the infants receiving breastmilk substitutes (rho = 0.618, p < 0.001). No significant correlation was found between vitamin D and aortic or carotid intima-media thickness. Conclusions: there was a positive correlation between 25(OH)D levels and both total and non-HDL-cholesterol only in infants receiving breastmilk substitutes. The frequency of vitamin D deficiency and insufficiency was low.
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