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Racial variation in vitamin D cord blood concentration in white and black male neonates

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Abstract

Aim

The aim of this study is to evaluate racial variation in umbilical cord blood concentration of vitamin D and to explore its correlation with markers of the insulin-like growth factor axis (IGFs) and sex steroid hormones in white and black male neonates.

Methods

In 2004–2005, venous umbilical cord blood samples were collected from 75 black and 38 white male neonates, along with maternal and birth characteristics from two hospitals in Maryland, United States. 25-Hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)2D] were measured by radioimmunoassay and testosterone, estradiol, and sex hormone-binding globulin (SHBG) by immunoassay and IGF-1, IGF-2, and IGF-binding protein-3 by ELISA. Crude and multivariable-adjusted geometric mean concentrations were computed.

Results

Mean 25(OH)D levels were lower in black than in white neonates (11.44; 95 % CI 10.10–12.95 ng/mL vs. 18.24; 95 % CI 15.32–21.72 ng/mL; p < 0.0001). Black neonates were at higher risk of suboptimal vitamin D levels [25(OH)D < 20 ng/mL] than whites (84 vs. 63 %). 25(OH)D concentrations varied by season in whites but not in blacks and were significantly inversely correlated with mother’s parity (number of live births) in blacks but not in whites. Mean concentration of 1,25(OH)2D did not differ by race. 25(OH)D and 1,25(OH)2D did not correlate with IGFs, sex steroid hormones, and SHBG.

Conclusions

Suboptimal vitamin D levels were prevalent especially in blacks and influenced by mother’s parity and by season. The observed vitamin D differences between black and white neonates warrant further evaluation of the etiology of the disparity in chronic diseases in adulthood.

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References

  1. Kheirandish P, Chinegwundoh F (2011) Ethnic differences in prostate cancer. Br J Cancer 105(4):481–485. doi:10.1038/bjc.2011.273

    Article  PubMed  CAS  Google Scholar 

  2. Fiscella K, Winters P, Tancredi D, Hendren S, Franks P (2011) Racial disparity in death from colorectal cancer does vitamin D deficiency contribute? Cancer 117(5):1061–1069. doi:10.1002/Cncr.25647

    Article  PubMed  Google Scholar 

  3. Kaufman JS, Harper S, King NB (2011) A more complete picture of higher cardiovascular disease prevalence among blacks compared to whites. Am J Med 124(5):E5–E6. doi:10.1016/j.amjmed.2010.11.016

    Article  PubMed  Google Scholar 

  4. Grant WB, Peiris AN (2010) Possible role of serum 25-hydroxyvitamin D in black-white health disparities in the United States. J Am Med Dir Assoc 11(9):617–628. doi:10.1016/j.jamda.2010.03.013

    Article  PubMed  Google Scholar 

  5. Peiris AN, Bailey BA, Peiris P, Copeland RJ, Manning T (2011) Race and vitamin D status and monitoring in male veterans. J Natl Med Assoc 103(6):492–497

    PubMed  Google Scholar 

  6. Loomis WF (1967) Skin-pigment regulation of vitamin-D biosynthesis in man. Science 157(3788):501–506

    Article  PubMed  CAS  Google Scholar 

  7. Barker DJ (2001) A new model for the origins of chronic disease. Med Health Care Philos 4(1):31–35

    Article  PubMed  CAS  Google Scholar 

  8. Lucas RM, Ponsonby AL, Pasco JA, Morley R (2008) Future health implications of prenatal and early-life vitamin D status. Nutr Rev 66(12):710–720. doi:10.1111/j.1753-4887.2008.00126.x

    Article  PubMed  Google Scholar 

  9. DeLuca HF (2004) Overview of general physiologic features and functions of vitamin D. Am J Clin Nutr 80(6 Suppl):1689S–1696S

    PubMed  CAS  Google Scholar 

  10. Bodnar LM, Catov JM, Zmuda JM, Cooper ME, Parrott MS, Roberts JM, Marazita ML, Simhan HN (2010) Maternal serum 25-hydroxyvitamin D concentrations are associated with small-for-gestational age births in white women. J Nutr 140(5):999–1006. doi:10.3945/jn.109.119636

    Article  PubMed  CAS  Google Scholar 

  11. Levy-Marchal C, Czernichow P (2006) Small for gestational age and the metabolic syndrome: which mechanism is suggested by epidemiological and clinical studies? Horm Res 65(Suppl 3):123–130. doi:10.1159/000091517

    Article  PubMed  CAS  Google Scholar 

  12. Merewood A, Mehta SD, Grossman X, Chen TC, Mathieu JS, Holick MF, Bauchner H (2010) Widespread vitamin D deficiency in urban Massachusetts newborns and their mothers. Pediatrics 125(4):640–647. doi:10.1542/peds.2009-2158

    Article  PubMed  Google Scholar 

  13. Prentice A (2008) Vitamin D deficiency: a global perspective. Nutr Rev 66(10 Suppl 2):S153–S164. doi:10.1111/j.1753-4887.2008.00100.x

    Article  PubMed  Google Scholar 

  14. Holick MF (2006) Resurrection of vitamin D deficiency and rickets. J Clin Invest 116(8):2062–2072. doi:10.1172/JCI29449

    Article  PubMed  CAS  Google Scholar 

  15. Hollis BW, Pittard WB 3rd (1984) Evaluation of the total fetomaternal vitamin D relationships at term: evidence for racial differences. J Clin Endocrinol Metab 59(4):652–657

    Article  PubMed  CAS  Google Scholar 

  16. Bodnar LM, Simhan HN, Powers RW, Frank MP, Cooperstein E, Roberts JM (2007) High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern United States and their neonates. J Nutr 137(2):447–452

    PubMed  CAS  Google Scholar 

  17. Lee JM, Smith JR, Philipp BL, Chen TC, Mathieu J, Holick MF (2007) Vitamin D deficiency in a healthy group of mothers and newborn infants. Clin Pediatr (Phila) 46(1):42–44. doi:10.1177/0009922806289311

    Article  Google Scholar 

  18. Cannell JJ, Hollis BW, Zasloff M, Heaney RP (2008) Diagnosis and treatment of vitamin D deficiency. Expert Opin Pharmacother 9(1):107–118. doi:10.1517/14656566.9.1.107

    Article  PubMed  CAS  Google Scholar 

  19. Halhali A, Diaz L, Sanchez I, Garabedian M, Bourges H, Larrea F (1999) Effects of IGF-I on 1,25-dihydroxyvitamin D(3) synthesis by human placenta in culture. Mol Hum Reprod 5(8):771–776

    Article  PubMed  CAS  Google Scholar 

  20. Halhali A, Tovar AR, Torres N, Bourges H, Garabedian M, Larrea F (2000) Preeclampsia is associated with low circulating levels of insulin-like growth factor I and 1,25-dihydroxyvitamin D in maternal and umbilical cord compartments. J Clin Endocrinol Metab 85(5):1828–1833

    Article  PubMed  CAS  Google Scholar 

  21. Barrera D, Avila E, Hernandez G, Halhali A, Biruete B, Larrea F, Diaz L (2007) Estradiol and progesterone synthesis in human placenta is stimulated by calcitriol. J Steroid Biochem Mol Biol 103(3–5):529–532. doi:10.1016/j.jsbmb.2006.12.097

    Article  PubMed  CAS  Google Scholar 

  22. Rohrmann S, Sutcliffe CG, Bienstock JL, Monsegue D, Akereyeni F, Bradwin G, Rifai N, Pollak MN, Agurs-Collins T, Platz EA (2009) Racial variation in sex steroid hormones and the insulin-like growth factor axis in umbilical cord blood of male neonates. Cancer Epidemiol Biomarkers Prev 18(5):1484–1491. doi:10.1158/1055-9965.EPI-08-0817

    Article  PubMed  CAS  Google Scholar 

  23. Hollis BW, Kamerud JQ, Selvaag SR, Lorenz JD, Napoli JL (1993) Determination of vitamin D status by radioimmunoassay with an 125I-labeled tracer. Clin Chem 39(3):529–533

    PubMed  CAS  Google Scholar 

  24. Hollis BW, Kamerud JQ, Kurkowski A, Beaulieu J, Napoli JL (1996) Quantification of circulating 1,25-dihydroxyvitamin D by radioimmunoassay with 125I-labeled tracer. Clin Chem 42(4):586–592

    PubMed  CAS  Google Scholar 

  25. IOM (2011) Dietary reference intakes for calcium and vitamin D. The National Academies Press, Washington DC

    Google Scholar 

  26. Dror DK, King JC, Durand DJ, Allen LH (2011) Association of modifiable and nonmodifiable factors with vitamin D status in pregnant women and neonates in Oakland, CA. J Am Diet Assoc 111(1):111–116. doi:10.1016/j.jada.2010.10.002

    Article  PubMed  CAS  Google Scholar 

  27. Brock KE, Huang WY, Fraser DR, Ke L, Tseng M, Mason RS, Stolzenberg-Solomon RZ, Freedman DM, Ahn J, Peters U, McCarty C, Hollis BW, Ziegler RG, Purdue MP, Graubard BI (2011) Diabetes prevalence is associated with serum 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D in US middle-aged Caucasian men and women: a cross-sectional analysis within the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. Br J Nutr 106(3):339–344. doi:10.1017/S0007114511001590

    Article  PubMed  CAS  Google Scholar 

  28. Basile LA, Taylor SN, Wagner CL, Quinones L, Hollis BW (2007) Neonatal vitamin D status at birth at latitude 32 degrees 72′: evidence of deficiency. J Perinatol 27(9):568–571. doi:10.1038/sj.jp.7211796

    Article  PubMed  CAS  Google Scholar 

  29. Greer FR (2008) 25-Hydroxyvitamin D: functional outcomes in infants and young children. Am J Clin Nutr 88(2):529S–533S

    PubMed  CAS  Google Scholar 

  30. Ginde AA, Sullivan AF, Mansbach JM, Camargo CA, Jr. (2010) Vitamin D insufficiency in pregnant and nonpregnant women of childbearing age in the United States. Am J Obstet Gynecol 202(5):436 e431-436 e438. doi:10.1016/j.ajog.2009.11.036

    Google Scholar 

  31. Johnson DD, Wagner CL, Hulsey TC, McNeil RB, Ebeling M, Hollis BW (2011) Vitamin D deficiency and insufficiency is common during pregnancy. Am J Perinatol 28(1):7–12. doi:10.1055/s-0030-1262505

    Article  PubMed  Google Scholar 

  32. Gannage-Yared MH, Chemali R, Yaacoub N, Halaby G (2000) Hypovitaminosis D in a sunny country: relation to lifestyle and bone markers. J Bone Miner Res 15(9):1856–1862. doi:10.1359/jbmr.2000.15.9.1856

    Article  PubMed  CAS  Google Scholar 

  33. van der Meer IM, Karamali NS, Boeke AJ, Lips P, Middelkoop BJ, Verhoeven I, Wuister JD (2006) High prevalence of vitamin D deficiency in pregnant non-Western women in The Hague, Netherlands. Am J Clin Nutr 84(2):350–353; quiz 468–359

    Google Scholar 

  34. Moghraby SA, Al Shawaf T, Akiel A, Sedrani SH, el Idrissy AT, Al-Meshari AA (1987) Parity and vitamin D metabolites. Ann Trop Paediatr 7(3):210–213

    PubMed  CAS  Google Scholar 

  35. Toriola AT, Surcel HM, Husing A, Grankvist K, Lakso HA, Schock H, Lundin E, Lehtinen M, Lukanova A (2011) Association of serum 25-hydroxyvitamin D (25-OHD) concentrations with maternal sex steroids and IGF-1 hormones during pregnancy. Cancer Causes Control 22(6):925–928. doi:10.1007/s10552-011-9752-5

    Article  PubMed  Google Scholar 

  36. Zittermann A, Schleithoff SS, Frisch S, Gotting C, Kuhn J, Koertke H, Kleesiek K, Tenderich G, Koerfer R (2009) Circulating calcitriol concentrations and total mortality. Clin Chem 55(6):1163–1170. doi:10.1373/clinchem.2008.120006

    Article  PubMed  CAS  Google Scholar 

  37. Reichel H, Koeffler HP, Norman AW (1989) The role of the vitamin D endocrine system in health and disease. N Engl J Med 320(15):980–991. doi:10.1056/NEJM198904133201506

    Article  PubMed  CAS  Google Scholar 

  38. Nomura AM, Stemmermann GN, Lee J, Kolonel LN, Chen TC, Turner A, Holick MF (1998) Serum vitamin D metabolite levels and the subsequent development of prostate cancer (Hawaii, United States). Cancer Causes Control 9(4):425–432

    Article  PubMed  CAS  Google Scholar 

  39. Reis JP, von Muhlen D, Michos ED, Miller ER 3rd, Appel LJ, Araneta MR, Barrett-Connor E (2009) Serum vitamin D, parathyroid hormone levels, and carotid atherosclerosis. Atherosclerosis 207(2):585–590. doi:10.1016/j.atherosclerosis.2009.05.030

    Article  PubMed  CAS  Google Scholar 

  40. Pilz S, Tomaschitz A, Ritz E, Pieber TR (2009) Vitamin D status and arterial hypertension: a systematic review. Nat Rev Cardiol 6(10):621–630. doi:10.1038/nrcardio.2009.135

    Article  PubMed  CAS  Google Scholar 

  41. Konradsen S, Ag H, Lindberg F, Hexeberg S, Jorde R (2008) Serum 1,25-dihydroxy vitamin D is inversely associated with body mass index. Eur J Nutr 47(2):87–91. doi:10.1007/s00394-008-0700-4

    Article  PubMed  CAS  Google Scholar 

  42. Okonofua F, Menon RK, Houlder S, Thomas M, Robinson D, O’Brien S, Dandona P (1987) Calcium, vitamin D and parathyroid hormone relationships in pregnant Caucasian and Asian women and their neonates. Ann Clin Biochem 24:22–28

    PubMed  CAS  Google Scholar 

  43. Markestad T, Elzouki A, Legnain M, Ulstein M, Aksnes L (1984) Serum concentrations of vitamin D metabolites in maternal and umbilical cord blood of Libyan and Norwegian women. Hum Nutr Clin Nutr 38(1):55–62

    PubMed  CAS  Google Scholar 

  44. Khandwala HM, McCutcheon IE, Flyvbjerg A, Friend KE (2000) The effects of insulin-like growth factors on tumorigenesis and neoplastic growth. Endocr Rev 21(3):215–244

    Article  PubMed  CAS  Google Scholar 

  45. Knight JA, Wong J, Blackmore KM, Raboud JM, Vieth R (2010) Vitamin D association with estradiol and progesterone in young women. Cancer Causes Control 21(3):479–483. doi:10.1007/s10552-009-9466-0

    Article  PubMed  Google Scholar 

  46. Zerwekh JE (2004) The measurement of vitamin D: analytical aspects. Ann Clin Biochem 41(Pt 4):272–281. doi:10.1258/0004563041201464

    Article  PubMed  CAS  Google Scholar 

  47. Stamp TC, Round JM (1974) Seasonal changes in human plasma levels of 25-hydroxyvitamin D. Nature 247(442):563–565

    Article  PubMed  CAS  Google Scholar 

  48. Ellis G, Dixon K (1977) Sequential-saturation-type assay for serum 25-hydroxyvitamin D. Clin Chem 23(5):855–862

    PubMed  CAS  Google Scholar 

  49. Bodnar LM, Catov JM, Wisner KL, Klebanoff MA (2009) Racial and seasonal differences in 25-hydroxyvitamin D detected in maternal sera frozen for over 40 years. Br J Nutr 101(2):278–284. doi:10.1017/S0007114508981460

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We thank Stacey Meyerer, laboratory manager, at the Johns Hopkins Bloomberg School of Public Health, for her assistance in the conduct of this study. The study has been supported by ISFE (Internationale Stiftung zur Förderung der Ernährungsforschung und Ernährungsaufklärung). This study was also supported by a National Cancer Institute U54 grant (Hopkins CA091409) and U54 (Howard CA091431). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.

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No potential conflicts of interest were disclosed.

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Correspondence to Monika Eichholzer.

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Eichholzer, M., Platz, E.A., Bienstock, J.L. et al. Racial variation in vitamin D cord blood concentration in white and black male neonates. Cancer Causes Control 24, 91–98 (2013). https://doi.org/10.1007/s10552-012-0093-9

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