European Journal of Nutrition

, Volume 49, Issue 7, pp 401–407

Cross-sectional and longitudinal relation between serum 25-hydroxyvitamin D and body mass index: the Tromsø study

  • Rolf Jorde
  • Monica Sneve
  • Nina Emaus
  • Yngve Figenschau
  • Guri Grimnes
Original Contribution

DOI: 10.1007/s00394-010-0098-7

Cite this article as:
Jorde, R., Sneve, M., Emaus, N. et al. Eur J Nutr (2010) 49: 401. doi:10.1007/s00394-010-0098-7



The serum 25-hydroxyvitamin D (25(OH)D) levels are lower in obese than lean subjects. The present study examines the cross-sectional and longitudinal relations between body mass index (BMI) and serum 25(OH)D, and the serum 25(OH)D response to vitamin D supplementation in relation to BMI.


The Tromsø study is a longitudinal population-based multipurpose study. The fourth survey was conducted in 1994 and the sixth in 2008. The intervention study was a 1-year placebo-controlled randomized intervention trial, where the results from the 93 subjects given 40,000 IU per week are presented.


A total of 10,229 subjects were included in the 2008 cross-sectional study. There was a significant negative association between serum 25(OH)D levels and BMI which was also present during the winter months. Serum 25(OH)D levels varied through seasons, but not BMI. In the longitudinal study from 1994 to 2008 which included 2,656 subjects, change in BMI was a significant negative predictor of change in 25(OH)D. In the intervention study, there was a significant and negative correlation between BMI and serum 25(OH)D both at baseline and at the end of the study. The increase in serum 25(OH)D after 1 year was significantly and inversely related to baseline BMI.


We have confirmed the strong association between serum 25(OH)D and BMI. The very obese need higher vitamin D doses than lean subjects to achieve the same serum 25(OH)D levels.


Body mass index Vitamin D Obesity Longitudinal study Intervention study 

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Rolf Jorde
    • 1
    • 2
  • Monica Sneve
    • 3
  • Nina Emaus
    • 4
  • Yngve Figenschau
    • 5
    • 6
  • Guri Grimnes
    • 2
  1. 1.Institute of Clinical MedicineUniversity of TromsøTromsøNorway
  2. 2.Medical ClinicUniversity Hospital of North NorwayTromsøNorway
  3. 3.Department of Ophthalmology and Neurosurgery, Division of OphthalmologyUniversity Hospital of North NorwayTromsøNorway
  4. 4.Institute of Community MedicineUniversity of TromsøTromsøNorway
  5. 5.Department of Medical BiochemistryUniversity Hospital of North NorwayTromsøNorway
  6. 6.Institute of Medical BiologyUniversity of TromsøTromsøNorway

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