Volume 45 Issue 10
Oct.  2024
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LI Tingting, LUO Xiaoyan, TIAN Meina, LIU Changqing. Interaction between vitamin D deficiency and dyslipidemia with overweight and obesity in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1378-1382. doi: 10.16835/j.cnki.1000-9817.2024311
Citation: LI Tingting, LUO Xiaoyan, TIAN Meina, LIU Changqing. Interaction between vitamin D deficiency and dyslipidemia with overweight and obesity in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1378-1382. doi: 10.16835/j.cnki.1000-9817.2024311

Interaction between vitamin D deficiency and dyslipidemia with overweight and obesity in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2024311
  • Received Date: 2024-05-06
  • Rev Recd Date: 2024-06-24
  • Available Online: 2024-11-02
  • Publish Date: 2024-10-25
  •   Objective  To explore the association of the interaction between vitamin D deficiency and dyslipidemia with the comorbidity risk of overweight and obesity in children and adolescents, so as to provide the theoretical basis for prevention and control of overweight and obesity in children and adolescents.  Methods  The data for the study was obtained from the population aged 6-17 in Hebei Province during the 2022-2023 monitoring of nutrition and health status of Chinese residents. A stratified cluster random sampling method was used to conduct questionnaire surveys, physical measurements, and laboratory tests on 2 118 children and adolescents. Logistic regression was used to analyze the association of vitamin D deficiency and dyslipidemia with overweight and obesity, and multiplication and addition models were used to analyze the interaction of vitamin D deficiency and dyslipidemia with overweight and obesit.  Results  The prevalence of vitamin D deficiency in the surveyed children and adolescents was 67.80%, the incidence of dyslipidemia was 24.46%, and the prevalence of overweight and obesity was 41.97%. After adjusting for confounding factors, the results of multivariate Logistic regression analysis showed that there was no multiplicative interaction of vitamin D deficiency and dyslipidemia with overweight and obesit (OR=0.90, 95%CI=0.57-1.43, P>0.05). However, the risk of overweight and obesity among children and adolescents with vitamin D deficiency and dyslipidemia was 3.99 times higher than that of those with sufficient vitamin D and normal blood lipids (OR=3.99, 95%CI=2.93-5.45, P < 0.01). There was a positive additive interaction between vitamin D deficiency and dyslipidemia, with relative excess risk of interaction, attributable proportion of interaction and synergy index of 14.40, 81.50% and 7.35, respectively.  Conclusions   For children and adolescents, there is a synergistic effect between vitamin D deficiency and dyslipidemia, and the coexistence of both increases the risk of overweight and obesity. Comprehensive prevention and control measures should be taken to timely supplement vitamin D and maintain normal blood lipid levels, to reduce the occurrence of overweight and obesity in children and adolescents.
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  • [1]
    JEBEILE H, KELLY A S, O'MALLEY G, et al.Obesity in children and adolescents:epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5):351-365. doi: 10.1016/S2213-8587(22)00047-X
    [2]
    BOYER B P, NELSON J A, HOLUB S C.Childhood body mass index trajectories predicting cardiovascular risk in adolescence[J]. J Adolesc Health, 2015, 56(6):599-605. doi: 10.1016/j.jadohealth.2015.01.006
    [3]
    OGDEN C L, CARROLL M D, KIT B K, et al.Prevalence of childhood and adult obesity in the United States, 2011-2012[J]. JAMA, 2014, 311(8):806-814. doi: 10.1001/jama.2014.732
    [4]
    FRANKS P W, HANSON R L, KNOWLER W C, et al.Childhood obesity, other cardiovascular risk factors, and premature death[J]. N Engl J Med, 2010, 362(6):485-493. doi: 10.1056/NEJMoa0904130
    [5]
    王洋, 阿力木江·依米提·塔尔肯.2000—2019年中国汉族7~18岁儿童青少年超重与肥胖变化趋势[J]. 卫生研究, 2023, 52(4):519-527.

    WANG Y, ALIMUJIANG Y T.Secular trend in overweight and obesity among Chinese children and adolescents of 7-18 years old during 2000-2019[J]. J Hyg Res, 2023, 52(4):519-527.(in Chinese)
    [6]
    SHAIKH A A, FARAHAT F, ABAALKHAIL B, et al.Prevalence of obesity and overweight among school-aged children in Saudi Arabia and its association with vitamin D status[J]. Acta Biomed, 2020, 91(4):e2020133.
    [7]
    刘瑞萍, 熊凤梅, 武海滨.西安地区3 607例儿童青少年维生素D营养状况分析[J]. 中国妇幼健康研究, 2020, 31(12):1677-1681.

    LIU R P, XIONG F M, WU H B.Analysis of vitamin D nutritional status of 3 607 children and adolescents in Xi'an[J]. Chin J Women Child Health Res, 2020, 31(12):1677-1681.(in Chinese)
    [8]
    DUAN L, HAN L, LIU Q, et al.Effects of vitamin D supplementation on general and central obesity:results from 20 randomized controlled trials involving apparently healthy populations[J]. Ann Nutr Metab, 2020, 76(3):153-164. doi: 10.1159/000507418
    [9]
    江南, 余焕玲, 王双.通州区超重肥胖中小学生血脂异常调查[J]. 预防医学, 2022, 34(1):87-90.

    JIANG N, YU H L, WANG S.Prevalence of dyslipidemia among overweight and obese primary and middle school students in Tongzhou District[J]. Chin Prev Med J, 2022, 34(1):87-90.(in Chinese)
    [10]
    杨赜骁, 冷俊宏, 杨西林.天津市学龄前儿童超重和肥胖与血压、血糖、血脂异常的关系[J]. 中国慢性病预防与控制, 2023, 31(7):518-522.

    YANG Z X, LENG J H, YANG X L.Relationship between overweight/obesity and blood pressures, fasting plasma glucose or serum lipids in preschool children of Tianjin City[J]. Chin J Chron Dis Prev Control, 2023, 31(7):518-522.(in Chinese)
    [11]
    杨月欣, 王光亚, 潘兴昌.中国食物成分表[M]. 北京:北京大学出版社, 2009.

    YANG Y X, WANG G Y, PAN X C.China food composition tables[M]. Beijing:Peking University Press, 2009.(in Chinese)
    [12]
    中华人民共和国国家卫生健康委员会.人群维生素D缺乏筛查方法:WS/T 677—2020[S]. 北京:中国标准出版社, 2020.

    National Health Commission of the PRC.Method for vitamin D deficiency screening:WS/T 677-2020[S]. Beijing:Standards Press of China, 2020.(in Chinese)
    [13]
    王增武, 刘静, 李建军, 等.中国血脂管理指南(2023年)[J]. 中国循环杂志, 2023, 38(3):237-271.

    WANG Z W, LIU J, LI J J, et al.Chinese guidelines for lipid management (2023)[J]. Chin Circul J, 2023, 38(3):237-271.(in Chinese)
    [14]
    中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S]. 北京:中国标准出版社, 2018.

    National Health and Family Planning Commission of the PRC.Screening for overweight and obesity among school age children and adolescents:WS/T 586-2018[S]. Beijing:Standards Press of China, 2018.(in Chinese)
    [15]
    田美娜, 刘长青, 罗晓燕.河北省儿童青少年超重肥胖现状与影响因素分析[J]. 首都公共卫生, 2017, 11(4):167-169, 172.

    TIAN M N, LIU C Q, LUO X Y.Epidemiologic status and influencing factors of obesity in children and adolescents[J]. Cap J Public Health, 2017, 11(4):167-169, 172.(in Chinese)
    [16]
    田美娜, 李红, 牛蓓, 等.河北省儿童青少年在外就餐相关因素及与超重肥胖的关系[J]. 中国学校卫生, 2021, 42(8):1257-1260.

    TIAN M N, LI H, NIU B, et al.Prevalence of eating out and its association with overweight and obesity among children and adolescents in Hebei Province[J]. Chin J Sch Health, 2021, 42(8):1257-1260.(in Chinese)
    [17]
    中华人民共和国国家卫生健康委员会食品安全标准与监测评估司, 中国疾病预防控制中心营养与健康所, 儿童青少年肥胖食养指南编写专家组.儿童青少年肥胖食养指南(2024年版)[J]. 卫生研究, 2024, 53(3):363-367.

    Food Safety Standards and Monitoring Evaluation Department of National Health Commission of the PRC, Institute of Nutrition and Health of the Chinese Center for Disease Control and Prevention, Expert Group for the Compilation of Dietary Guidelines for Children and Adolescents with Obesity.Dietary guidelines for obesity in children and adolescents(2024)[J]. J Hyg Res, 2024, 53(3):363-367.(in Chinese)
    [18]
    DENG X, ZHANG M, ZHANG X, et al.The status of blood lipids among children and adolescents-China, 2016-2017[J]. China CDC Weekly, 2023, 5(2):31-34.
    [19]
    鞠香丽, 裴冬梅.25羟维生素D缺乏与血脂异常及超重/肥胖的关系[J]. 实用临床医药杂志, 2020, 24(6):101-104.

    JU X L, PEI D M.Relationship between 25 hydroxyvitamin D deficiency and abnormal blood lipid, overweight or obesity[J]. J Clin Med Pract, 2020, 24(6):101-104.(in Chinese)
    [20]
    KARAMPELA I, SAKELLIOU A, VALLIANOU N, et al.Vitamin D and obesity:current evidence and controversies[J]. Curr Obes Rep, 2021, 10(2):162-180.
    [21]
    LI M, CHI X, WANG Y, et al.Trends in insulin resistance:insights into mechanisms and therapeutic strategy[J]. Signal Transduct Target Ther, 2022, 7(1):216.
    [22]
    CHANG T I, STREJA E, MORADI H.Could high-density lipoprotein cholesterol predict increased cardiovascular risk?[J]. Curr Opin Endocrinol Diabetes Obes, 2017, 24(2):140-147.
    [23]
    SACHECK J M, HUANG Q, VAN ROMPAY M I, et al.Vitamin D supplementation and cardiometabolic risk factors among diverse schoolchildren:a randomized clinical trial[J]. Am J Clin Nutr, 2022, 115(1):73-82.
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