Increase in Vitamin D deficiency with weight and skin darkness – chart

Probability of Vitamin D Deficiency by Body Weight and Race/Ethnicity.

J Am Board Fam Med. 2016 Mar-Apr;29(2):226-32. doi: 10.3122/jabfm.2016.02.150251.

Weishaar T1, Rajan S2, Keller B2.

1From the Department of Health and Behavior Studies (TW, SR) and the Department of Human Development (BK), Teachers College, Columbia University, New York, NY. [email protected].

2From the Department of Health and Behavior Studies (TW, SR) and the Department of Human Development (BK), Teachers College, Columbia University, New York, NY.

Overview Obesity and Vitamin D contains the following summary{include}Obese need 2.5X more vitamin D - click on chart for detailsimageOverview Dark Skin and Vitamin DHalf of the US will be people of color – wonder how many will be vitamin D deficientSkin - Dark category listing has items along with related searchesNote: Skin-Dark was the 2nd of 150+ categories in Vitamin D Life

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INTRODUCTION:

While most physicians recognize that vitamin D status varies by skin color because darker skin requires more light to synthesize vitamin D than lighter skin, the importance of body weight to vitamin D status is a newer, less recognized, finding. The purpose of this study was to use nationally representative US data to determine the probability of vitamin D deficiency by body weight and skin color.

METHODS:

Using data for individuals age ≥6 years from the 2001 to 2010 cycles of the US National Health and Nutrition Examination Survey, we calculated the effect of skin color, body weight, and age on vitamin D status. We determined the probability of deficiency within the normal range of body weight for 3 race/ethnicity groups at 3 target levels of 25-hydroxyvitamin D.

RESULTS:

Darker skin colors and heavier body weights are independently and significantly associated with poorer vitamin D status. We report graphically the probability of vitamin D deficiency by body weight and skin color at vitamin D targets of 20 and 30 ng/mL.

CONCLUSION:

The effects of skin color and body weight on vitamin D status are large both statistically and clinically. Knowledge of these effects may facilitate diagnosis of vitamin D deficiency.

© Copyright 2016 by the American Board of Family Medicine.

PMID: 26957379