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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Prevalence of Vitamin D Deficiency Among Overweight and Obese US Children

Christy B. Turer, Hua Lin and Glenn Flores
Pediatrics January 2013, 131 (1) e152-e161; DOI: https://doi.org/10.1542/peds.2012-1711
Christy B. Turer
aDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; and
bChildren’s Medical Center, Dallas, Texas
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Hua Lin
aDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; and
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Glenn Flores
aDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; and
bChildren’s Medical Center, Dallas, Texas
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Abstract

OBJECTIVE: Adequate vitamin D is essential for skeletal health in developing children. Although excess body weight is associated with risk of vitamin D deficiency, the national prevalence of and risk factors associated with vitamin D deficiency in overweight and obese children are unknown.

METHODS: The prevalence of vitamin D deficiency (defined as 25-hydroxyvitamin-D <20 ng/mL) was determined in a sample of 6- to 18-year-old children who were enrolled in a cross-sectional study (the 2003–2006 National Health and Nutrition Examination Survey) in which body weight and height were measured directly. Children were classified as healthy-weight, overweight, obese, or severely obese by using recommended age- and gender-specificBMI-percentile cut points. Associations between BMI-percentile classification and vitamin D deficiency were examined after adjustment for relevant confounders. Sample weights were used to generate nationally representative estimates.

RESULTS: The prevalence of vitamin D deficiency in healthy-weight, overweight, obese, and severely obese children was 21% (20%–22%), 29% (27%–31%), 34% (32%–36%), and 49% (45%–53%), respectively. The prevalence of vitamin D deficiency in severely obese white, Latino, and African-American children was 27% (3%–51%), 52% (36%–68%), and 87% (81%–93%), respectively. Compared with healthy-weight children, overweight, obese, and severely obese children had significantly greater adjusted odds of vitamin D deficiency. Modifiable factors associated with vitamin D deficiency in overweight/obese children were identified.

CONCLUSIONS: Vitamin D deficiency is highly prevalent in overweight and obese children. The particularly high prevalence in severely obese and minority children suggests that targeted screening and treatment guidance is needed.

KEY WORDS
  • vitamin D
  • obesity
  • disparities
  • screening
  • prevalence
  • Abbreviations:
    CDC —
    Centers for Disease Control and Prevention
    NHANES —
    National Health and Nutrition Examination Survey
    • Accepted September 6, 2012.
    • Copyright © 2013 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 131, Issue 1
    1 Jan 2013
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    Prevalence of Vitamin D Deficiency Among Overweight and Obese US Children
    Christy B. Turer, Hua Lin, Glenn Flores
    Pediatrics Jan 2013, 131 (1) e152-e161; DOI: 10.1542/peds.2012-1711

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    Prevalence of Vitamin D Deficiency Among Overweight and Obese US Children
    Christy B. Turer, Hua Lin, Glenn Flores
    Pediatrics Jan 2013, 131 (1) e152-e161; DOI: 10.1542/peds.2012-1711
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    • Obesity
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