PMID- 34311227 OWN - NLM STAT- MEDLINE DCOM- 20211229 LR - 20211229 IS - 1879-0739 (Electronic) IS - 0271-5317 (Linking) VI - 92 DP - 2021 Aug TI - Higher concentrations of vitamin D in Canadian children with juvenile idiopathic arthritis compared to healthy controls are associated with more frequent use of vitamin D supplements and season of birth. PG - 139-149 LID - S0271-5317(21)00029-4 [pii] LID - 10.1016/j.nutres.2021.05.007 [doi] AB - A number of studies have demonstrated that patients with autoimmune disease have lower levels of vitamin D prompting speculation that vitamin D might suppress inflammation and immune responses in children with juvenile idiopathic arthritis (JIA). The objective of this study was to compare vitamin D levels in children with JIA at disease onset with healthy children. We hypothesized that children and adolescents with JIA have lower vitamin D levels than healthy children and adolescents. Data from a Canadian cohort of children with new-onset JIA (n= 164, data collection 2007-2012) were compared to Canadian Health Measures Survey (CHMS) data (n=4027, data collection 2007-2011). We compared 25-hydroxy vitamin D (25(OH)D) concentrations with measures of inflammation, vitamin D supplement use, milk intake, and season of birth. Mean 25(OH)D level was significantly higher in patients with JIA (79 +/- 3.1 nmol/L) than in healthy controls (68 +/- 1.8 nmol/L P <.05). Patients with JIA more often used vitamin D containing supplements (50% vs. 7%; P <.05). The prevalence of 25(OH)D deficiency (<30 nmol/L) was 6% for both groups. Children with JIA with 25(OH)D deficiency or insufficiency (<50 nmol/L) had higher C-reactive protein levels. Children with JIA were more often born in the fall and winter compared to healthy children. In contrast to earlier studies, we found vitamin D levels in Canadian children with JIA were higher compared to healthy children and associated with more frequent use of vitamin D supplements. Among children with JIA, low vitamin D levels were associated with indicators of greater inflammation. CI - Copyright (c) 2021. Published by Elsevier Inc. FAU - Finch, Sarah L AU - Finch SL AD - University of Saskatchewan, Saskatoon, Canada; University of Prince Edward Island, Charlottetown, Canada. FAU - Rosenberg, Alan M AU - Rosenberg AM AD - University of Saskatchewan, Saskatoon, Canada. Electronic address: alan.rosenberg@usask.ca. FAU - Kusalik, Anthony J AU - Kusalik AJ AD - University of Saskatchewan, Saskatoon, Canada. FAU - Maleki, Farhad AU - Maleki F AD - University of Saskatchewan, Saskatoon, Canada. FAU - Rezaei, Elham AU - Rezaei E AD - University of Saskatchewan, Saskatoon, Canada. FAU - Baxter-Jones, Adam AU - Baxter-Jones A AD - University of Saskatchewan, Saskatoon, Canada. FAU - Benseler, Susanne AU - Benseler S AD - Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Canada. FAU - Boire, Gilles AU - Boire G AD - University of Sherbrooke, Sherbrooke, Canada. FAU - Cabral, David AU - Cabral D AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Campillo, Sarah AU - Campillo S AD - McGill University Health Center, Montreal, Canada. FAU - Chedeville, Gaelle AU - Chedeville G AD - McGill University Health Center, Montreal, Canada. FAU - Chetaille, Anne-Laure AU - Chetaille AL AD - le Centre Hospitalier Universitaire de Quebec, Quebec, Canada. FAU - Dancey, Paul AU - Dancey P AD - Janeway Children's Health and Rehabilitation Centre, St. John's, Canada. FAU - Duffy, Ciaran AU - Duffy C AD - Children's Hospital of Eastern Ontario, Ottawa, Canada. FAU - Duffy, Karen Watanabe AU - Duffy KW AD - Children's Hospital of Eastern Ontario, Ottawa, Canada. FAU - Guzman, Jaime AU - Guzman J AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Houghton, Kristin AU - Houghton K AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Huber, Adam M AU - Huber AM AD - IWK Health Centre and Dalhousie University, Halifax, Canada. FAU - Jurencak, Roman AU - Jurencak R AD - Children's Hospital of Eastern Ontario, Ottawa, Canada. FAU - Lang, Bianca AU - Lang B AD - IWK Health Centre and Dalhousie University, Halifax, Canada. FAU - Laxer, Ron M AU - Laxer RM AD - The University of Toronto and The Hospital for Sick Children, Toronto, Canada. FAU - Morishita, Kimberly AU - Morishita K AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Oen, Kiem G AU - Oen KG AD - University of Manitoba, Winnipeg, Canada. FAU - Petty, Ross E AU - Petty RE AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Ramsey, Suzanne E AU - Ramsey SE AD - IWK Health Centre and Dalhousie University, Halifax, Canada. FAU - Roth, Johannes AU - Roth J AD - Children's Hospital of Eastern Ontario, Ottawa, Canada. FAU - Schneider, Rayfel AU - Schneider R AD - The University of Toronto and The Hospital for Sick Children, Toronto, Canada. FAU - Scuccimarri, Rosie AU - Scuccimarri R AD - McGill University Health Center, Montreal, Canada. FAU - Stringer, Elizabeth AU - Stringer E AD - IWK Health Centre and Dalhousie University, Halifax, Canada. FAU - Tse, Shirley M L AU - Tse SML AD - The University of Toronto and The Hospital for Sick Children, Toronto, Canada. FAU - Tucker, Lori B AU - Tucker LB AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Turvey, Stuart E AU - Turvey SE AD - BC Children's Hospital and The University of British Columbia, Vancouver, Canada. FAU - Szafron, Michael AU - Szafron M AD - University of Saskatchewan, Saskatoon, Canada. FAU - Whiting, Susan AU - Whiting S AD - University of Saskatchewan, Saskatoon, Canada. FAU - Yeung, Rae Sm AU - Yeung RS AD - The University of Toronto and The Hospital for Sick Children, Toronto, Canada. FAU - Vatanparast, Hassan AU - Vatanparast H AD - University of Saskatchewan, Saskatoon, Canada. Electronic address: vatan.h@usask.ca. CN - BBOP Study Group LA - eng GR - FRN 82517/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210613 PL - United States TA - Nutr Res JT - Nutrition research (New York, N.Y.) JID - 8303331 RN - 1406-16-2 (Vitamin D) RN - 9007-41-4 (C-Reactive Protein) RN - A288AR3C9H (25-hydroxyvitamin D) SB - IM MH - Animals MH - Arthritis, Juvenile/*blood/complications/immunology MH - Autoimmune Diseases MH - C-Reactive Protein/metabolism MH - Canada/epidemiology MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Cohort Studies MH - *Dietary Supplements MH - Female MH - Humans MH - Infant, Newborn MH - *Inflammation/etiology/metabolism MH - Male MH - Milk MH - *Parturition MH - *Seasons MH - Vitamin D/analogs & derivatives/*blood/therapeutic use MH - Vitamin D Deficiency/*blood/complications/drug therapy/immunology OTO - NOTNLM OT - Arthritis OT - Childhood arthritis OT - Inflamation OT - Juvenile idiopathic arthritis OT - Vitamin D EDAT- 2021/07/27 06:00 MHDA- 2021/12/30 06:00 CRDT- 2021/07/26 20:20 PHST- 2020/10/02 00:00 [received] PHST- 2021/05/05 00:00 [revised] PHST- 2021/05/23 00:00 [accepted] PHST- 2021/07/27 06:00 [pubmed] PHST- 2021/12/30 06:00 [medline] PHST- 2021/07/26 20:20 [entrez] AID - S0271-5317(21)00029-4 [pii] AID - 10.1016/j.nutres.2021.05.007 [doi] PST - ppublish SO - Nutr Res. 2021 Aug;92:139-149. doi: 10.1016/j.nutres.2021.05.007. Epub 2021 Jun 13.