A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

An Increase in Serum 25-Hydroxyvitamin D Concentrations Preceded a Plateau in Type 1 Diabetes Incidence in Finnish Children.




TekijätMarjaana Mäkinen, Ville Simell, Juha Mykkänen, Jorma Ilonen, Riitta Veijola, Heikki Hyöty, Mikael Knip, Olli Simell, Jorma Toppari, and Robert Hermann

KustantajaEndocrine Society

Julkaisuvuosi2014

JournalJournal of Clinical Endocrinology and Metabolism

Tietokannassa oleva lehden nimiThe Journal of clinical endocrinology and metabolism

Lehden akronyymiJ Clin Endocrinol Metab

Vuosikerta99

Numero11

AloitussivuE2353

LopetussivuE2356

Sivujen määrä4

ISSN1945-7197

eISSN1945-7197

DOIhttps://doi.org/10.1210/jc.2014-1455


Tiivistelmä

Context: In Finland the world-record high incidence of type 1 diabetes has risen steeply over past decades; however, after 2006 the incidence rate has plateaued. We showed earlier, that despite the strong genetic disease component, environmental factors are driving the increasing disease incidence. Objective: Since vitamin D intake has increased considerably in the country since 2003, we analyzed how serum 25-hydroxyvitamin D (25[OH]D) concentration changed over time in healthy children, and the timely relation of these changes to disease incidence. Design, Setting and Participants: The birth cohort of the Finnish Type 1 Diabetes Prediction and Prevention project was used to explore longitudinal changes in serum 25-hydroxyvitamin concentrations. The sampling period was limited to children born during 1994-2004 with serum samples collected during 1998-2006 in Turku area - Southwest Finland (60 °N). Main Outcome Measure: 25(OH)D concentrations were measured every 3-6 months from birth - age range 0.3-12.2 years (387 subjects; 5334 measurements). Results: Serum 25(OH)D concentrations were markedly lower before 2003 than thereafter (69.3±1.0 nmol/L vs. 84.9±1.3 nmol/L, respectively, P < .001) in both genders. The mean difference between the periods was 15.7±1.3 nmol/L (P< .001). Importantly, the frequency of children with low serum 25(OH)D levels (< 50 nmol/L) was reduced to almost half from 2003 (37.3 % versus 69.9 %; P< .001). Similarly, severe vitamin D deficiency (<25 nmol/L) has also decreased (2.7% vs. 7.7%; P = .005). In addition, we detected higher 25(OH)D concentrations in young children (<2 years) as compared to older children, which is explained by higher vitamin D intake in this group. Conclusions: We provide evidence that an increase in circulating concentrations of 25(OH)D shows a delayed temporal association with leveling off of type 1 diabetes incidence in Finland after 2006.




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