Obesity
Conditions
Keywords
Vitamin D
Brief summary
Obesity is associated with lower total serum 25-hydroxycholecalciferol (S-25OHD) concentration. However, the impact of obesity on free S-25OHD is inadequately studied. A direct assay for free 25OHD was introduced recently. The aim of the study was to evaluate differences in vitamin D metabolism between young adults with severe childhood-onset obesity and normal-weight controls. Half of the obese subjects and controls will receive placebo and the other half will receive vitamin D3 50 µg daily for 12 weeks.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* weight-for-height ratio exceeding 60% before the age of 7 years, according to Finnish growth standards and persistence of severe obesity for at least three years in childhood * referral to the Children's Hospital, Helsinki University Hospital due to severe obesity * at the age of 7 years lived in the greater Helsinki area
Exclusion criteria
* endocrine or genetic disorders underlying obesity (e.g. Prader Willi syndrome, pseudohypoparathyroidism, hypothyroidism, hypercortisolism, diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in S-25OHD | baseline, 6 and 12 weeks | change in total and free S-25OHD concentrations between obese and controls |
| baseline S-25OHD | baseline | differences in total and free S-25OHD between obese and controls |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| baseline vitamin D-binding protein (DBP) | baseline | differences in DBP between obese and controls |
| correlation between S-25OHD and calcium, phosphate, parathyroid hormone (PTH) and osteocalcin | baseline, 6 and 12 weeks | correlation between S-25OHD (total and free) and calcium, phosphate, PTH and osteocalcin |
| change in vitamin D-binding protein (DBP) | baseline, 6 and 12 weeks | change in DBP concentrations between obese and controls |