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Associations between Serum 25-hydroxyvitamin D and Consumption Frequencies of Vitamin D Rich Foods in Korean Adults and Older Adults

한국 성인과 노인의 계절별 혈중 25-hydroxyvitamin D 농도와 비타민 D 급원식품 섭취빈도와의 관계

  • Yu, Areum (Department of Clinical Nutrition, Dongduk Women's University) ;
  • Kim, Jihye (Department of Clinical Nutrition, Dongduk Women's University) ;
  • Kwon, Oran (Department of Food and Nutrition, Ewha Womans University) ;
  • Oh, Se-Young (Department of Food and Nutrition, Kyung Hee University) ;
  • Kim, Junghyun (Department of Home Economics Education, Pai Chai University) ;
  • Yang, Yoon Jung (Department of Food and Nutrition, Dongduk Women's University)
  • 유아름 (동덕여자대학교 임상영양학과) ;
  • 김지혜 (동덕여자대학교 임상영양학과) ;
  • 권오란 (이화여자대학교 식품영양학과) ;
  • 오세영 (경희대학교 식품영양학과) ;
  • 김정현 (배재대학교 가정교육과) ;
  • 양윤정 (동덕여자대학교 식품영양학과)
  • Received : 2013.11.25
  • Accepted : 2014.03.30
  • Published : 2014.04.30

Abstract

Objectives: This study was conducted to investigate the vitamin D status and to determine the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and consumption frequencies of vitamin D rich foods in Korean adults and older adults. Methods: Subjects were 10,374 adults and 2,792 older adults participating in the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Consumption frequencies of vitamin D rich foods were estimated by using a qualitative food frequency questionnaire (FFQ). Eleven food items such as beef, egg, mackerel, tuna, yellow corvina, pollack, anchovy, mushroom, milk, yogurt, and ice cream were selected as vitamin D rich foods based on previous research. Results: The proportions of deficiency (< 12 ng/mL), inadequacy (12-20 ng/mL) and sufficiency (${\geq}20ng/mL$) of serum 25(OH)D concentrations from June to November and December to May in adults were 8.8%, 42.3%, 48.8%, and 28.2%, 52.8%, 19.1%, respectively. The proportions of deficiency, inadequacy and sufficiency of serum 25(OH)D concentrations from June to November and December to May in older adults were 10.1%, 32.4%, 57.5%, and 24.1%, 45.4%, 30.5%, respectively. The mean serum 25(OH)D concentrations in adults were positively related to the consumption frequencies of mackerel, anchovy, all fish, milk and milk dairy products. The mean serum 25(OH)D concentrations in older adults were positively related to the consumption frequencies of yellow corvina and negatively related to the consumption frequencies of ice cream. Conclusions: Our results suggest that Korean adults were more deficient in serum 25(OH)D concentrations than older adults. The consumption of vitamin D rich foods may affect vitamin D status in Korean adults. Further studies are required to confirm these findings.

Keywords

References

  1. Bertone-Johnson ER, Powers SI, Spangler L, Brunner RL, Michael YL, Larson JC, Millen AE, Bueche MN, Salmoirago-Blotcher E, Liu S, Wassertheil-Smoller S, Ockene JK, Ockene I, Manson JE (2011): Vitamin D intake from foods and supplements and depressive symptoms in a diverse population of older women. Am J Clin Nutr 94(4): 1104-1112 https://doi.org/10.3945/ajcn.111.017384
  2. Calvo MS, Whiting SJ, Barton CN (2004): Vitamin D fortification in the United States and Canada: current status and data needs. Am J Clin Nutr 80(suppl): 1710S-1716S https://doi.org/10.1093/ajcn/80.6.1710S
  3. Chacko SA, Song Y, Manson JE, Van Horn L, Eaton C, Martin LW, McTiernan A, Curb JD, Wylie-Rosett J, Phillips LS, Plodkowski RA, Liu S (2011): Serum 25-hydroxyvitamin D concentrations in relation to cardiometabolic risk factors and metabolic syndrome in postmenopausal women. Am J Clin Nutr 94(1): 209-217 https://doi.org/10.3945/ajcn.110.010272
  4. Choi HS, Kim KA, Lim CY, Rhee SY, Hwang YC, Kim KM, Kim KJ, Rhee Y, Lim SK (2011): Low serum vitamin D is associated with high risk of diabetes in Korean adults. J Nutr 141(8): 1524- 1528 https://doi.org/10.3945/jn.111.139121
  5. Delmas PD (2002): Treatment of postmenopausal osteoporosis. Lancet 359(9322): 2018-2026 https://doi.org/10.1016/S0140-6736(02)08827-X
  6. Gallagher JC, Riggs BL, Deluca H (1980): Effect of estrogen on calcium absorption and serum vitamin D metabolites in postmenopausal osteoporosis. J Clin Endocrinol Metab 51(6): 1359-1364 https://doi.org/10.1210/jcem-51-6-1359
  7. Gonzalez-Rodriguez LG, Estaire P, Penas-Ruiz C, Ortega RM (2013): Vitamin D intake and dietary sources in a representative sample of Spanish adults. J Hum Nutr Diet 26(suppl. 1): 64-72 https://doi.org/10.1111/jhn.12061
  8. Greenfield JA, Park PS, Farahani E, Malik S, Vieth R, McFarlane NA, Shepherd TG, Knight JA (2012): Solar ultraviolet-B radiation and vitamin D: a cross-sectional population-based study using data from the 2007 to 2009 Canadian Health Measures Survey. BMC Public Health 12(660): 1471-2458
  9. Gropper SS, Smith JL, Groff JL (2009): Advanced nutrition and human metabolism, 5th ed, Wadsworth/Cengage Learning, Canada, pp.392-401
  10. Hintzpeter B, Mensink GBM, Thierfelder W, Muller MJ, Scheidt- Nave C (2008): Vitamin D status and health correlates among German adults. Eur J Clin Nutr 62(9): 1079-1089 https://doi.org/10.1038/sj.ejcn.1602825
  11. Holick MF (2004a): Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 80(suppl): 1678S-1688S https://doi.org/10.1093/ajcn/80.6.1678S
  12. Holick MF (2004b): Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 79(3): 362-371 https://doi.org/10.1093/ajcn/79.3.362
  13. Hwang YC, Ahn HY, Jeong IK, Ahn KJ, Chung HY (2013): Optimal serum concentration of 25-hydroxyvitamin D for bone health in older Korean adults. Calcif Tissue Int 92(1): 68-74 https://doi.org/10.1007/s00223-012-9669-3
  14. Ireland P, Fordtran JS (1973): Effect of dietary calcium and age on jejunal calcium absorption in humans studied by intestinal perfusion. J Clin Invest 52(11): 2672-2681 https://doi.org/10.1172/JCI107461
  15. Jacques PF, Felson DT, Tucker KL, Mahnken B, Wilson PWF, Rosenberg IH, Rush D (1997): Plasma 25-hydroxyvitamin D and its determinants in an elderly population sample. Am J Clin Nutr 66(4): 929-936 https://doi.org/10.1093/ajcn/66.4.929
  16. Jasinghe VJ, Perera CO (2006): Ultraviolet irradiation: the generator of vitamin D2 in edible mushrooms. Food Chem 95(4): 638-643 https://doi.org/10.1016/j.foodchem.2005.01.046
  17. Kalaras MD, Beelman RB, Elias RJ (2012): Effects of postharvest pulsed UV light treatment of white button mushrooms (Agaricus bisporus) on vitamin D2 content and quality attributes. J Agric Food Chem 60(1): 220-225 https://doi.org/10.1021/jf203825e
  18. Kim S, Lim J, Kye S, Joung H (2012): Association between vitamin D status and metabolic syndrome risk among Korean population: based on the Korean National Health and Nutrition Examination Survey IV-2, 2008. Diabetes Res Clin Pract 96(2): 230-236 https://doi.org/10.1016/j.diabres.2012.01.001
  19. Ko JA, Lee BH, Lee JS, Park HJ (2008): Effect of UV-B exposure on the concentration of vitamin D2 in sliced shiitake mushroom (Lentinus edodes) and white button mushroom (Agaricus bisporus). J Agric Food Chem 56(10): 3671-3674 https://doi.org/10.1021/jf073398s
  20. Koyyalamudi SR, Jeong SC, Song CH, Cho KY, Pang G (2009): Vitamin D2 formation and bioavailability from Agaricus bisporus button mushrooms treated with ultraviolet irradiation. J Agric Food Chem 57(8): 3351-3355 https://doi.org/10.1021/jf803908q
  21. Kuhn T, Kaaks R, Teucher B, Hirche F, Dierkes J, Weikert C, Katzke V, Boeing H, Stangl GI, Buijsse B (2014): Dietary, lifestyle, and genetic determinants of vitamin D status: a crosssectional analysis from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Germany study. Eur J Nutr 53(3): 731-741 https://doi.org/10.1007/s00394-013-0577-8
  22. Lee MK, Yoon BK, Chung HY, Park HM (2011): The serum vitamin D nutritional status and its relationship with skeletal status in Korean postmenopausal women. Korean J Obstet Gynecol 54(5): 241-246 https://doi.org/10.5468/KJOG.2011.54.5.241
  23. Lee MS, Li HL, Hung TH, Chang HY, Yang FL, Wahlqvist ML (2008): Vitamin D intake and its food sources in Taiwanese. Asia Pac J Clin Nutr 17(3): 397-407
  24. Lim S, Shin H, Kim MJ, Ahn HY, Kang SM, Yoon JW, Choi SH, Kim KW, Song JH, Choi SI, Chun EJ, Shin CS, Park KS, Jang HC (2012): Vitamin D inadequacy is associated with significant coronary artery stenosis in a community-based elderly cohort: The Korean Longitudinal Study on Health and Aging. J Clin Endocrinol Metab 97(1): 169-178 https://doi.org/10.1210/jc.2011-1580
  25. Looker AC, Dawson-Hughes B, Calvo MS, Gunter EW, Sahyoun NR (2002): Serum 25-hydroxyvitamin D status of adolescents and adults in two seasonal subpopulations from NHANES III. Bone 30(5): 771-777 https://doi.org/10.1016/S8756-3282(02)00692-0
  26. Lucas RM, Ponsonby AL, Dear K, Valery PC, Taylor B, van der Mei I, McMichael AJ, Pender MP, Chapman C, Coulthard A, Kilpatrick TJ, Stankovich J, Williams D, Dwyer T (2013): Vitamin D status: multifactorial contribution of environment, genes and other factors in healthy Australian adults across a latitude gradient. J Steroid Biochem Mol Biol 136: 300-308 https://doi.org/10.1016/j.jsbmb.2013.01.011
  27. MacLaughlin J, Holick MF (1985): Aging decreses the capacity of human skin to produce vitamin D3. J Clin Invest 76(4): 1536- 1538 https://doi.org/10.1172/JCI112134
  28. Mattila P, Lampi AM, Ronkainen RR, Toivo J, Piironen V (2002): Sterol and vitamin D2 contents in some wild and cultivated mushrooms. Food Chem 76(3): 293-298 https://doi.org/10.1016/S0308-8146(01)00275-8
  29. Mau JL, Chen PR, Yang JH (1998): Ultraviolet irradiation increased vitamin D2 content in edible mushrooms. J Agric Food Chem 46(12): 5269-5272 https://doi.org/10.1021/jf980602q
  30. Nam GE, Kim DH, Cho KH, Park, YG, Han KD, Kim SM, Lee SH, Ko BJ, Kim MJ (2014): 25-hydroxyvitamin D insufficiency is associated with cardiometabolic risk in Korean adolescents: the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Public Health Nutr 17(1): 186-194 https://doi.org/10.1017/S1368980012004855
  31. Nanri A, Foo LH, Nakamura K, Hori A, Poudel-Tandukar K, Matsushita Y, Mizoue T (2011): Serum 25-hydroxyvitamin D concentrations and season-specific correlates in Japanese adults. J Epidemiol 21(5): 346-353 https://doi.org/10.2188/jea.JE20100161
  32. O'Neil CE, Keast DR, Fulgoni III VL, Nicklas TA (2012): Food sources of energy and nutrients among adults in the US: NHANES 2003-2006. Nutrients 4(12): 2097-2120 https://doi.org/10.3390/nu4122097
  33. Park S, Lee BK (2012): Vitamin D deficiency is an independent risk factor for cardiovascular disease in Koreans aged ${\geq}$ 50 years: result from the Korean National Health and Nutrition Examination Survey. Nutr Res Pract 6(2): 162-168 https://doi.org/10.4162/nrp.2012.6.2.162
  34. Phillips KM, Ruggio DM, Horst RL, Minor B, Simon RR, Feeney MJ, Byrdwell WC, Haytowitz DB (2011): Vitamin D and sterol composition of 10 types of mushrooms from retail suppliers in the United States. J Agric Food Chem 59(14): 7841-7853 https://doi.org/10.1021/jf104246z
  35. Rhee SY, Hwang YC, Chung HY, Woo JT (2012): Vitamin D and diabetes in Koreans: analyses based on the Fourth Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2009. Diabet Med 29(8): 1003-1010 https://doi.org/10.1111/j.1464-5491.2012.03575.x
  36. Riggs BL (2000): The mechanisms of estrogen regulation of bone resorption. J Clin Invest 106(10): 1203-1204 https://doi.org/10.1172/JCI11468
  37. Ross AC, Taylor CL, Yaktine AL, Del Valle HB (eds.) (2011): Dietary reference intakes for Calcium and vitamin D, National Academies Press, Washington D.C, pp.486-488
  38. Scragg R, Sowers MF, Bell C (2004): Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care 27(12): 2813-2818 https://doi.org/10.2337/diacare.27.12.2813
  39. Seo JA, Cho H, Eun CR, Yoo HJ, Kim SG, Choi KM, Baik SH, Choi DS, Park MH, Han C, Kim NH (2012): Association between visceral obesity and sarcopenia and vitamin D deficiency in older Koreans: The Ansan Geriatric Study. J Am Geriatr Soc 60(4): 700-706 https://doi.org/10.1111/j.1532-5415.2012.03887.x
  40. Webb AR (2006): Who, what, where and when-influences on cutaneous vitamin D synthesis. Prog Biophys Mol Biol 92(1): 17-25 https://doi.org/10.1016/j.pbiomolbio.2006.02.004
  41. Yu A, Kim J, Kwon O, Oh SY, Kim J, Yang YJ (2013): The association between serum 25-hydroxyvitamin D concentration and consumption frequencies of vitamin D food sources in Korean adolescents. Clin Nutr Res 2(2): 107-114 https://doi.org/10.7762/cnr.2013.2.2.107

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