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INDICE DE MASA CORPORAL Y 25-HIDROXIVITAMINA D EN SUERO SEGUN RAZA Y ORIGEN ETNICO

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La relación entre el índice de masa corporal y los niveles séricos de 25-hidroxivitamina D [25(OH)D] es más fuerte en las mujeres de raza blanca que en las raza negra o las estadounidenses de origen mexicano.
looker9.jpg Autor:
Anne Looker
Columnista Experto de SIIC
Artículos publicados por Anne Looker
Recepción del artículo
30 de Enero, 2007 		Aprobación
1 de Marzo, 2007
Primera edición
14 de Agosto, 2007 		Segunda edición, ampliada y corregida
7 de Junio, 2021

INDICE DE MASA CORPORAL Y 25-HIDROXIVITAMINA D EN SUERO SEGUN RAZA Y ORIGEN ETNICO

Resumen
La obesidad se relaciona con valores más bajos de 25-hidroxivitamina D [25(OH)] en suero, pero no está claro si esta relación difiere según la raza o el origen étnico. Este estudio examina la relación entre la 25(OH)D en suero y el índice de masa corporal (IMC) según la raza y el origen étnico en 3 461 mujeres (1 291 de raza blanca, 1 189 de raza negra y 981 mujeres estadounidenses de origen mexicano) de 20 a 49 años de edad provenientes de la encuesta National Health and Nutrition Examination Survey (NHANES III, 1988-94). Se midieron los valores de 25(OH)D en suero con un equipo de RIA (DiaSorin, Stillwater OK), mientras que el IMC se calculó a partir de la altura y el peso medidos. El IMC se relacionó negativamente con la 25(OH)D en suero en los tres grupos, pero la relación fue notablemente más fuerte en las mujeres de raza blanca que en las afroamericanas o en las de origen mexicano. El ajuste para las variables de confusión redujo estas diferencias en la fuerza de la relación pero no las eliminó. En conclusión, la relación entre 25(OH)D en suero e IMC en mujeres adultas jóvenes varía según raza y origen étnico, y es más fuerte en las de raza blanca que en las de raza negra o estadounidenses de origen mexicano. Es necesario investigar mejor la base de esta variación.

Palabras clave
cantidad de vitamina D, obesidad, raza, 25 hidroxivitamina D sérica


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Relationship Between Body Mass Index and Vitamin D Status Differs by Race and Ethnicity

Abstract
Obesity has been linked to lower serum 25 hydroxyvitamin D [25(OH)D] values, but whether this relationship differs by race/ethnicity is not clear. This study examines the relationship between serum 25(OH)D and body mass index (BMI) by race and ethnicity in 3 461 women (1 291 non-Hispanic whites, 1 189 non-Hispanic blacks, 981 Mexican Americans) ages 20-49 years from the third National Health and Nutrition Examination Survey (NHANES III, 1988-94). Serum 25(OH)D values were measured with an RIA kit (DiaSorin, Stillwater OK), while BMI was calculated from measured height and weight. BMI was negatively related to serum 25(OH)D in all three groups, but the relationship was noticeably stronger in whites than in blacks or Mexican Americans. Adjusting for confounders reduced, but did not remove, these differences in relationship strength. In conclusion, the serum 25(OH)D-BMI relationship in young adult women varies by race and ethnicity, being stronger in whites than in blacks or Mexican Americans. The basis for this variation requires further investigation.

Key words
serum 25-hydroxyvitamin D, vitamin D status, obesity, race


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Especialidades
Principal: Endocrinología y Metabolismo
Relacionadas: Epidemiología, Farmacología, Medicina Interna, Nutrición



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Enviar correspondencia a:
Anne Looker, National Center for Health Statistics, Centers for Disease Control and Prevention, MD 20782, Rm 4310, 3311 Toledo Road, Hyattsville, EE.UU.
Bibliografía del artículo
1. Bell NH, Epstein S, Greene A, Shary J, Oexmann MJ, Shaw S Evidence for alteration of the vitamin D-endocrine system in obese subjects. J Clin Invest 76:370-373, 1985.
2. Liel Y, Ulmer E, Shary J, Hollis BW, Bell NH Low circulating vitamin D in obesity. Calcif Tissue Int 43:199-201, 1988.
3. Compston JE, Vedi S, Ledger JE, Webb A, Gazet JC, Pilkington TRE Vitamin D status and bone histomorphometry in gross obesity. Am J Clin Nutr 34:2359-2363, 1981.
4. Hey H, Stockholm KH, Lund BJ, Sorenson OH Vitamin D deficiency in obese patients and changes in circulating vitamin D metabolites following jejunoileal bypass. Int J Obes 6:473-479, 1982.
5. Hyldstrup L, Andersen T, McNair P, Breum L, Transbol I Bone metabolism in obesity: changes related to severe overweight and dietary weight reduction. Acta Endocrinol 129:393-398, 1993.
6. Buffington C, Walker B, Cowan GS, Scruggs D Vitamin D deficiency in morbidly obese. Obes Surg 3:421-424, 1993.
7. Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr 72:690-693, 2000.
8. Arunabh S, Pollack S, Yeh J, Aloia JF Body fat content and 25-hydroxyvitamin D levels in healthy women. J Clin Endocrinol Metab 88:157-161, 2003.
9. Parikh SJ, Edelman M, Uwaifo GI, et al. The relationship between obesity and serum 1,25-dihydroxy vitamin D concentrations in healthy adults. J Clin Endocrinol Metab 89:1196-1199, 2004.
10. Snijder MB, Van Dam RM, Visser M, et al. Adiposity in relation to vitamin D status and parathyroid hormone levels: a population-based study in older men and women. J Clin Endocrinol Metab 90:4119-4123, 2005.
11. Epstein S, Bell NH, Shary J, Shaw S, Greene A, Oexmann MJ Evidence that obesity does not influence the vitamin D-endocrine system in blacks. J Bone Miner Res 1:181-184, 1986.
12. Nesby-O'Dell S, Scanlon KS, Cogswell ME, et al Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: third National Health and Nutrition Examination Survey 1988-94. Am J Clin Nutr 76:187-192, 2002.
13. Looker AC Body fat and vitamin D status in black versus white women. J Clin Endocrinol Metab 90:635-40, 2005.
14. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM Prevalence of overweight and obesity in the United States, 1999-2004 JAMA 295:1549-1555, 2006.
15. Looker AC, Dawson-Hughes B, Calvo MS, Gunter EW, Sahyoun NR Serum 25-hydroxyvitamin D status of adolescents and adults in two seasonal subpopulations from NHANES III. Bone 30:771-777, 2002.
16. National Center for Health Statistics 1994. Plan and Operation of the third National Health and Nutrition Examination Survey, 1988-94. Vital Health Stat 1(32). 1994. DHHS Publ No. (PHS) 94-1308. NCHS, Hyattsville, MD. Available at www.cdc.gov/nchs/about/major/nhanes/NHANESIII_Reference_Manuals.htm. Accessed 11/5/2006.
17. Gunter EW, Lewis BL, Koncikowski SM Laboratory methods used for the third National Health and Nutrition Examination Survey (NHANES III), 1988-1994. Hyattsville, MD.:Centers for Disease Control and Prevention. 1996. Available at www.cdc.gov/nchs/about/major/nhanes/NHANESIII_Reference_Manuals.htm. Accessed 11/5/2006.
18. Sun SS, Chumlea WC, Heymsfield SB, Lukaski HC, Schoeller D, Friedl K, Kuczmarski RJ, Flegal KM, Johnson CL, Hubbard VS Development of bioelectrical impedance analysis prediction equations for body composition with the use of a multicomponent model for use in epidemiologic surveys. Am J Clin Nutr 2003;77:331-340, .
19. University of Minnesota, Nutrition Coordinating Center Nutrient database versions 15-27. Minneapolis, MN, 1996.
20. Buzzard IM, Feskanich D Maintaining a food composition data base for multiple research studies: The NCC Food Table: Rand WM (ed.). Food Composition Data: A User's Perspective. The United Nations University; 115-122, 1987.
21. Shah BV, Barnwell BG, Hunt PN, LaVange LM SUDAAN User's Manual, Release 5.50. Research Triangle Park, NC: Research Triangle Institute, 1991.
22. Fernandez JR, Heo M, Heymsfeld SB et al Is percentage body fat differentially related to body mass index in Hispanic Americans, African Americans and European Americans? Am J Clin Nutr 77:71-5, 2003.
23. U.S. Department of Commerce, Economics and Statistics Administration, Bureau of the Census We the Americans: Blacks. WE-1, 1993. U.S. Government Printing Office: Washington, DC. Available at: www.census.gov/apsd/www/wepeople.html. Accessed 11/3/2006.
24. U.S. Department of Commerce, Economics and Statistics Administration, Bureau of the Census We the Americans: Hispanics, WE-2R, U.S. 1993. Government Printing Office: Washington, DC. Available at: www.census.gov/apsd/www/wepeople.html. Accessed 11/3/2006.
25. Holick MF McCollum Award Lecture. Vitamin D: new horizons for the 21st century. Am J Clin Nutr 60:619-630, 1994.
26. Matsuoka LY, Wortsman J, Haddad JG, Kolm P, Hollis BW Racial pigmentation and the cutaneous synthesis of vitamin D. Arch Dermatol 127:536-538, 1991.
27. Taylor SC. Skin of color: biology, structure, function, and implications for dermatologic disease. J Am Acad Dermatol 46:S41-62, 2002.
28. Montalvo FF, Codina E. Skin color and Latinos in the United States. Ethnicities 1:321-341, 2001.
29. Burchard EG, Borrell LN, Choudhry S, et al Latino populations: a unique opportunity for the study of race, genetics and social environment in epidemiological research. Am J Public Health 95:2161-8, 2005.
30. Fuller NJ, Jebb SA, Laskey MA, Coward WA, Elia M. Four-component model for the assessment of body composition in humans: comparison with alternative methods, and evaluation of the density and hydration of fat-free mass. Clin Sci (Colch) 82:687-93, 1992.
31. Pierson RN, Want J, Colt EW, Neumann P. Body composition measurements in normal man: the potassium, sodium, sulfate and tritium spaces in 58 adults. J Chronic Dis 35:419-28, 1982.
32. Russell-Aulet M, Wang J, Thornton J, Pierson RN. Comparison of dual-photon absorptiometry systems for total-body bone and soft tissue measurements: dual energy x-rays versus gadolinium 153. J Bone Miner Res 6:411-5, 1991.
33. Deurenberg P, Yap M, Van Staveren WA. Body mass index and percent body fat: a meta-analysis among different ethnic groups. Int J Obes Relat Metab Disord 22:1164-71, 1998.
34. Gallagher, D, Heymsfeld SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr 72:694-701, 2000.
35. Ezzati T, Khare M Nonresponse adjustments in a national health survey. Proceedings of the American Statistical Association, Section on Survey Research Methods Alexandria VA, Am Stat Assoc 339-344, 1992.
 
 
 
 
 
 
 
 
 
 
 
 
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