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Both youth and long-term vitamin D status is associated with risk of type 2 diabetes mellitus in adulthood: a cohort study

journal contribution
posted on 2023-05-19, 17:39 authored by Feitong WuFeitong Wu, Juonala, M, Pitkanen, N, Jula, A, Lehtimaki, T, Sabin, MA, Pahkala, K, Hutri-Kahonen, N, Kahonen, M, Laitinen, T, Viikari, JSA, Costan Magnussen, Raitakari, OT
Objectives: To determine whether vitamin D status in childhood and adolescence (herein collectively referred to as youth) and the long-term status from youth to adulthood is associated with risk of developing type 2 diabetes mellitus (T2DM) and impaired fasting glucose (IFG) in adulthood.

Materials and Methods: This was a 31-year follow-up study of 2300 participants aged 3-18 years. Multinomial logistic regression was used to assess the association of both (a) baseline 25-hydroxyvitamin D (25OHD) levels and (b) the mean of baseline and the latest follow-up 25OHD levels (continuous variable and quartiles) with incident T2DM and IFG (cut-off = 5.6 mmol/L) in adult life.

Results: High serum 25OHD levels in youth and also mean values from youth to adulthood were associated with reduced risk of developing T2DM in adulthood (odds ratio, 95% confidence interval= 0.73, 0.57-0.95 and 0.65, 0.51-0.84, respectively, for each SD increment in 25OHD). Compared to Q1, a dose-dependent negative association was observed across other quartiles of youth 25OHD, while the strongest association was found in the Q3 for the mean 25OHD levels. Neither youth nor the mean 25OHD was associated with IFG.

Conclusions: High serum 25OHD levels in youth, and from child to adult life, were associated with a reduced risk of developing T2DM in adulthood.

History

Publication title

Annals of Medicine

Volume

50

Pagination

74-82

ISSN

0785-3890

Department/School

Menzies Institute for Medical Research

Publisher

Royal Soc Medicine Press Ltd

Place of publication

1 Wimpole Street, London, England, W1G 0Ae

Rights statement

Copyright 2017 Informa UK Limited

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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