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Cambridge University Press, British Journal of Nutrition, 6(115), p. 1080-1091, 2016

DOI: 10.1017/s0007114515005292

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Determinants of serum 25-hydroxyvitamin D concentration in Finnish children: the Physical Activity and Nutrition in Children (PANIC) study

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

We studied vitamin D intake, serum 25-hydroxyvitamin D (S-25(OH)D) concentration, determinants of S-25(OH)D and risk factors for S-25(OH)D <50 nmol/l in a population sample of Finnish children. We studied 184 girls and 190 boys aged 6���8 years, analysed S-25(OH)D by chemiluminescence immunoassay and assessed diet quality using 4-d food records and other lifestyle factors by questionnaires. We analysed the determinants of S-25(OH)D using linear regression and risk factors for S-25(OH)D <50 nmol/l using logistic regression. Mean dietary intake of vitamin D was 5��9 (sd 2��1) ��g/d. Altogether, 40��8 % of children used no vitamin D supplements. Of all children, 82��4 % did not meet the recommended total vitamin D intake of 10 ��g/d. Milk fortified with vitamin D was the main dietary source of vitamin D, providing 48��7 % of daily intake. S-25(OH)D was <50 nmol/l in 19��5 % of children. Consumption of milk products was the main determinant of S-25(OH)D in all children (standardised regression coefficient ��=0��262; P<0��001), girls (��=0��214; P=0��009) and boys (��=0��257; P=0��003) in multivariable models. Vitamin D intake from supplements (��=0��171; P=0��035) and age (��=���0��198; P=0��015) were associated with S-25(OH)D in girls. Children who drank ���450 g/d of milk, spent ���2��2 h/d in physical activity, had ���13��1 h/d of daylight time or were examined in autumn had reduced risk for S-25(OH)D <50 nmol/l. Insufficient vitamin D intake was common among Finnish children, one-fifth of whom had S-25(OH)D <50 nmol/l. More attention should be paid to the sufficient intake of vitamin D from food and supplements, especially among children who do not use fortified milk products.