Associations of vitamin D status with dietary intakes and physical activity levels among adults from seven European countries: the Food4Me study Academic Article uri icon

abstract

  • PURPOSE:To report the vitamin D status in adults from seven European countries and to identify behavioural correlates. METHODS:In total, 1075 eligible adult men and women from Ireland, Netherlands, Spain, Greece, UK, Poland and Germany, were included in the study. RESULTS:Vitamin D deficiency and insufficiency, defined as 25-hydroxy vitamin D3 (25-OHD3) concentration of <30 and 30-49.9 nmol/L, respectively, were observed in 3.3 and 30.6% of the participants. The highest prevalence of vitamin D deficiency was found in the UK and the lowest in the Netherlands (8.2 vs. 1.1%, P < 0.05). In addition, the prevalence of vitamin D insufficiency was higher in females compared with males (36.6 vs. 22.6%, P < 0.001), in winter compared with summer months (39.3 vs. 25.0%, P < 0.05) and in younger compared with older participants (36.0 vs. 24.4%, P < 0.05). Positive dose-response associations were also observed between 25-OHD3 concentrations and dietary vitamin D intake from foods and supplements, as well as with physical activity (PA) levels. Vitamin D intakes of ≥5 μg/day from foods and ≥5 μg/day from supplements, as well as engagement in ≥30 min/day of moderate- and vigorous-intensity PA were associated with higher odds (P < 0.05) for maintaining sufficient (≥50 nmol/L) 25-OHD3 concentrations. CONCLUSIONS:The prevalence of vitamin D deficiency varied considerably among European adults. Dietary intakes of ≥10 μg/day of vitamin D from foods and/or supplements and at least 30 min/day of moderate- and vigorous-intensity PA were the minimum thresholds associated with vitamin D sufficiency.

authors

  • Manios, Yannis
  • Moschonis, George
  • Lambrinou, Christina P
  • Mavrogianni, Christina
  • Tsirigoti, Lydia
  • Hoeller, Ulrich
  • Roos, Franz F
  • Bendik, Igor
  • Eggersdorfer, Manfred
  • Celis-Morales, Carlos
  • Livingstone, Katherine M
  • Marsaux, Cyril FM
  • Macready, Anna L
  • Fallaize, Rosalind
  • O’Donovan, Clare B
  • Woolhead, Clara
  • Forster, Hannah
  • Walsh, Marianne C
  • Navas-Carretero, Santiago
  • San-Cristobal, Rodrigo
  • Kolossa, Silvia
  • Hallmann, Jacqueline
  • Jarosz, Mirosław
  • Surwiłło, Agnieszka
  • Traczyk, Iwona
  • Drevon, Christian A
  • van Ommen, Ben
  • Grimaldi, Keith
  • Matthews, John NS
  • Daniel, Hannelore
  • Martinez, J Alfredo
  • Lovegrove, Julie A
  • Gibney, Eileen R
  • Brennan, Lorraine
  • Saris, Wim HM
  • Gibney, Mike
  • Mathers, John C

publication date

  • 2018