Correlation Study Between Body Composition and Vitamin D Levels in School-Age Children
LI Songting, ZHAO Sha, JIANG Yaohui, et al
Children's Health Center,the Affiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hunan Children's Hospital),Changsha Hunan 410007
Abstract:【Objective】 To investigate the correlation between body composition indices and vitamin D levels in school-age children. 【Methods】 A total of 440 school-age children aged 7-12 years who visited the outpatient department of Child Health Care in Hunan Children's Hospital from March to September 2020 were enrolled. According to their vitamin D levels, the children with vitamin D deficiency or insufficiency were assigned to the abnormal vitamin D group (n=171), and those with sufficient vitamin D were assigned to the normal vitamin D group (n=269). Bioelectrical impedance analysis was used to measure body composition indices including body fat mass (BF), protein, mineral salts, total body water, skeletal muscle mass (SMM), visceral fat area (VFA), waist-to-hip ratio (WHR), and body fat percentage (BFP). Pearson correlation coefficient was used to analyze the correlation between body composition indices and serum 25-hydroxyvitamin D [25-(OH)D] levels, and logistic regression analysis was performed to evaluate the effects of different body composition indices on vitamin D nutritional status. 【Results】 The levels of BF, protein, mineral salts, total body water, SMM and VFA in the normal vitamin D group were significantly lower than those in the abnormal vitamin D group (P<0.05). Pearson correlation analysis showed that BF, protein, mineral salts, total body water, SMM, VFA, WHR and BFP were all negatively correlated with vitamin D levels, with statistically significant differences (P<0.05). Multivariate logistic regression analysis revealed that the regression coefficient of BF was 0.172, with an odds ratio (OR) of 1.187 [95% confidence interval(CI):1.004, 1.404] (P<0.05); the regression coefficient of WHR was 6.365, with an OR of 581.434 (95%CI: 12.150, 27 824.271) (P<0.05). 【Conclusion】 Body composition indices are correlated with vitamin D levels in school-age children. Among these indices, body fat mass and waist-to-hip ratio are predictive variables for abnormal vitamin D status.
李颂婷, 赵莎, 蒋耀辉, 刘康香, 钟燕. 体成分指标与学龄儿童维生素D水平的相关性研究[J]. 医学临床研究, 2025, 42(12): 2025-2027.
LI Songting, ZHAO Sha, JIANG Yaohui, et al. Correlation Study Between Body Composition and Vitamin D Levels in School-Age Children. JOURNAL OF CLINICAL RESEARCH, 2025, 42(12): 2025-2027.
[1] 张慧云,李燕,刘长云,徐月勤.济南市4~6岁儿童体成分分析[J].中国儿童保健杂志,2019,27(5): 554-557. [2] KANGAS S T, KAESTEL P, SALPÉTEUR C, et al. Body composition during outpatient treatment of severe acute malnutrition: results from a randomised trial testing different doses of ready-to-use therapeutic foods[J].Clin Nutr,2020,39(11):3426-3433.[3] 李颂婷,钟燕.体成分分析在学龄儿童超重肥胖筛查中的应用价值[J].中国儿童保健杂志,2022,30(5):540-543. [4] CASTANO L, MADARIAGA L, GRAU G, et al. 25(OH)vitamin D deficiency and calcifediol treatment in pediatrics[J].Nutrients,2022,14(9):1854. [5] 中国营养学会.中国居民膳食营养素参考摄入量(2023版)[M].北京:人民卫生出版社,2023. [6] 王美辰,潘长鹭,杨文利,等.肥胖儿童青少年维生素D营养状况与身体成分的相关性研究[J].中国食物与营养,2024,30(9):82-86. [7] 荫士安,杨振宇.我国儿童维生素A和维生素D营养现状及缺乏共病问题[J].中国儿童保健杂志,2024,32(3):301-306. [8] KHADILKAR A, KAJALE N, OZA C, et al. Vitamin D status and determinants in Indian children and adolescents: a multicentre study[J].Sci Rep,2022,12(1):16790. [9] LARSEN S C, ANGQUIST L, MOLDOVAN M, et al. Serum 25-hydroxyvitamin D status and longitudinal changes in weight and waist circumference: influence of genetic predisposition to adiposity[J].PLoS One,2016,11(4):e0153611. [10] HU Y C, JIANG S, LU J X, et al. Vitamin D status for Chinese children and adolescents in CNNHS 2016—2017[J].Nutrients,2022,14(22):4928. [11] 程红,肖培,侯冬青,等.儿童青少年身体脂肪分布与维生素D营养状况的关联研究[J].中华流行病学杂志,2021,42(3):469-474. [12] HELLER J E, THOMAS J J, HOLLIS B W, et al. Relation between vitamin D status and body composition in collegiate athletes[J].Int J Sport Nutr Exerc Metab,2015,25(2):128-135. [13] LERCHBAUM E, TRUMMER C, THEILER-SCHWETZ V, et al. Effects of vitamin D supplementation on body composition and metabolic risk factors in men: a randomized controlled trial[J].Nutrients,2019,11(8):1894. [14] 朱莎,钟燕,康如彤,等. 维生素D干预对单纯性肥胖合并维生素D缺乏儿童糖脂代谢的影响[J].中国医药,2021,16(1)123-125.