B4708 - Associations of Childhood Vitamin D Status with Vascular Function and Cardiometabolic Health in Early Adulthood - 02/10/2024

B number: 
B4708
Principal applicant name: 
Melissa Melough | University of Delaware (USA)
Co-applicants: 
Sanaz Pourreza
Title of project: 
Associations of Childhood Vitamin D Status with Vascular Function and Cardiometabolic Health in Early Adulthood
Proposal summary: 

Although cardiovascular disease (CVD) has traditionally been thought of as a condition that affects older individuals, it is now understood that its origins may begin to develop early in life, during childhood. It is therefore important to identify and promote healthy lifestyle factors in early life stages that may prevent CVD.

Vitamin D has emerged as an important factor in maintaining a healthy cardiovascular system. Low blood levels of vitamin D can lead to inflammation, altered hormone levels, and reduced release of molecules that relax blood vessels. This can in turn raise blood pressure and increase the risk of heart attacks, strokes, and other cardiovascular problems.

Although it is understood that there is an association between vitamin D status and heart health, few studies have explored whether vitamin D concentrations in childhood are related to CVD risk factors and vascular health later in life. To address this gap in the literature, we will use data from the Avon Longitudinal Study of Parents and Children (ALSPAC), which has monitored the health of children from birth into adulthood. Our goal is to determine if higher vitamin D concentrations in the blood during childhood are associated with better vessel function and cardiovascular health indicators – including blood sugar, blood fats, blood pressure, and body fat mass – in adulthood. The goal of this study is to help clarify whether adequate vitamin D concentrations during childhood reduces the risk of developing CVD later in life.

Impact of research: 
Vitamin D is increasingly recognized for its critical role in CVD development and progression, yet there remains a gap due to the lack of prospective studies among children. By investigating the link between early life vitamin D levels and cardiovascular risk in adulthood, this research could reshape strategies for the primary prevention of CVD. Given the high rates of morbidity and mortality, as well as the increasing costs of chronic disease management, primary prevention of CVD is a critical target for all healthcare providers. Ultimately, the results of this study may help inform nutritional guidelines by providing evidence on the role of vitamin D in cardiovascular health. Currently, the available guidelines for vitamin D are primarily based on its effect on skeletal health. Recommendations regarding the extra-skeletal health benefits of vitamin D – such as CVD prevention – are still lacking. Many expert bodies including the Endocrine Society recognize that additional data are required to determine the optimal dosage of vitamin D intake and serum 25(OH)D concentrations for chronic disease prevention and other extra-skeletal health effects.
Date proposal received: 
Friday, 27 September, 2024
Date proposal approved: 
Tuesday, 1 October, 2024
Keywords: 
Epidemiology, Hypertension, Obesity, Hyperglycemia, dyslipidemia, endothelial dysfunction, Statistical methods, Cardiovascular, Nutrition - breast feeding, diet