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Vitamin D deficiency associated with neurodevelopmental problems in 2-year-old Japanese boys
Kahoko Yasumitsu-Lovell1,2,3, Lucy Thompson1,2,4, Elisabeth Fernell1,2
1Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Insights
Vitamin D deficiency is linked to neurodevelopmental problems in young boys, but not girls. This study highlights potential sex differences in how vitamin D affects child development.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Nutritional Science
Background:
- Associations between vitamin D deficiency and neurodevelopmental disorders (NDPs) are suggested, but large-scale studies in general populations are limited.
- Investigating sex differences in these associations is crucial for understanding child development.
Purpose of the Study:
- To examine the association between serum 25-hydroxyvitamin D (25(OH)D) levels and neurodevelopmental problems (NDPs) in children.
- To explore potential sex differences in the relationship between vitamin D status and NDPs.
Main Methods:
- Serum 25(OH)D and NDPs were assessed at age two in a subcohort of the Japan Environment and Children's Study.
- NDPs were evaluated using the Kyoto Scale of Psychological Development 2001, with adjusted odds ratios calculated for developmental quotient scores below 70.
Main Results:
- Boys exhibited higher 25(OH)D levels but lower Kyoto Scale scores compared to girls.
- Vitamin D deficiency in boys was significantly associated with lower overall developmental quotients (aOR=2.33), cognitive-adaptive scores (aOR=1.91), and language-social scores (aOR=1.69).
- Results for girls were inconclusive, showing no clear association.
Conclusions:
- A significant association between vitamin D deficiency and neurodevelopmental problems was observed exclusively in boys.
- Findings suggest potential sex-specific effects of vitamin D on neurodevelopment in early childhood.
Aim:
While associations between vitamin D deficiency and neurodevelopmental disorders have been found, large studies on child vitamin D, neurodevelopment, and sex differences among the general population are lacking. This study aimed to investigate the association between child serum 25-hydroxyvitamin D (25(OH)D)) levels and neurodevelopmental problems (NDPs).
Methods:
Serum 25(OH)D and NDPs were measured at age two among the subcohort study of the Japan Environment and Children's Study. NDPs were assessed with the Kyoto Scale of Psychological Development 2001 (Kyoto scale). Adjusted odds ratios (aORs) for the Kyoto-scale developmental quotient scores <70 were calculated, for postural-motor, cognitive-adaptive, and language-social domains and overall scores, adjusted for test month, latitude, small for gestational age, maternal age, and daycare attendance.
Results:
Among 2363 boys and 2290 girls, boys had higher 25(OH)D levels, but scored lower in the Kyoto scale. For boys in the vitamin D deficiency (<20 ng/mL) group, aORs of scoring the Kyoto-scale DQs <70 were 2.33 (p = 0.006) for overall DQs, 1.91 (p = 0.037) for cognitive-adaptive, and 1.69 (p = 0.024) for language-social domains. For girls, results were inconclusive.
Conclusion:
Only boys showed a clear and cross-modal association between vitamin D deficiency and NDPs.
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