Effects of weight loss on serum 1,25-(OH)2-vitamin D concentrations in adults: a preliminary report.
During a review of 42 metabolic studies in healthy women and men we observed that serum 1,25-(OH)2-D concentrations were directly correlated to the observed daily changes in body weight (r = 0.68; P less than 0.001) and to caloric intake/kg/day (r = 0.39; P = 0.01). These relationships could not be accounted for by related and physiologically expected changes in serum Ca or iPTH concentrations. However, serum 1,25-(OH)2-D concentrations were observed to be inversely correlated to serum PO4 levels (r = -0.44; P = 0.004). In addition, serum PO4 levels were inversely correlated to the daily changes in body weight (r = -0.40; P = 0.009). Since dietary sodium intake averaged 142 mmol/day, it is unlikely that the observed changes in weight were the result of changes in salt and water balance. Thus it seems reasonable to speculate that serum 1,25-(OH)2-D concentrations may vary directly with energy balance, as reflected by changes in body weight. This effect may be mediated by alterations in PO4 metabolism. The accurate assessment of serum 1,25-(OH)2-D levels thus appears to require several measurements over time periods during which body weight is stable.
D000328:Adult; D001835:Body Weight; D002149:Energy Intake; D004872:Ergocalciferols / Q000031:analogs & derivatives* / Q000097:blood; D005215:Fasting; D005260:Female; D006801:Humans; D008297:Male; D010710:Phosphates / Q000097:blood
D004872:Ergocalciferols; D010710:Phosphates; C003564:1,25-dihydroxyergocalciferol