Resumen
A number of studies have demonstrated that patients with autoimmune disease have lower levels of vitamin D prompting speculation that vitamin D might suppress inflammation and immune responses in children with juvenile idiopathic arthritis (JIA). The objective of this study was to compare vitamin D levels in children with JIA at disease onset with healthy children. We hypothesized that children and adolescents with JIA have lower vitamin D levels than healthy children and adolescents. Data from a Canadian cohort of children with new-onset JIA (n= 164, data collection 2007-2012) were compared to Canadian Health Measures Survey (CHMS) data (n=4027, data collection 2007-2011). We compared 25-hydroxy vitamin D (25(OH)D) concentrations with measures of inflammation, vitamin D supplement use, milk intake, and season of birth. Mean 25(OH)D level was significantly higher in patients with JIA (79 ± 3.1 nmol/L) than in healthy controls (68 ± 1.8 nmol/L P <.05). Patients with JIA more often used vitamin D containing supplements (50% vs. 7%; P <.05). The prevalence of 25(OH)D deficiency (<30 nmol/L) was 6% for both groups. Children with JIA with 25(OH)D deficiency or insufficiency (<50 nmol/L) had higher C-reactive protein levels. Children with JIA were more often born in the fall and winter compared to healthy children. In contrast to earlier studies, we found vitamin D levels in Canadian children with JIA were higher compared to healthy children and associated with more frequent use of vitamin D supplements. Among children with JIA, low vitamin D levels were associated with indicators of greater inflammation.
Idioma original | English |
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Páginas (desde-hasta) | 139-149 |
Número de páginas | 11 |
Publicación | Nutrition Research |
Volumen | 92 |
DOI | |
Estado | Published - ago. 2021 |
Publicado de forma externa | Sí |
Nota bibliográfica
Funding Information:This research was supported by funding from the Canadian Institutes for Health Research (Institute of Musculoskeletal Health and Arthritis and Institute of Infection and Immunity FRN # 82517); The Arthritis Society ; The Canadian Arthritis Network 2006-SRI-IJD-01; The University of Saskatchewan ; The Manitoba Institute of Child Health; McGill University (Division of Pediatric Rheumatology); Memorial University ; The University of British Columbia (Division of Pediatric Rheumatology); The Clinical Research Centre of the Centre Hospitalier Universitaire de Sherbrooke (CHUS); and the Jim Pattison Children's Hospital Foundation . Funder's had no role in the design, analysis or writing of this article.
Publisher Copyright:
© 2021
ASJC Scopus Subject Areas
- Endocrinology, Diabetes and Metabolism
- Endocrinology
- Nutrition and Dietetics
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't