title: Determinants of Neonatal Vitamin D Levels as Measured on Neonatal Dried Blood Spot Samples.
abstract: Vitamin D deficiency is linked to adverse childhood health outcomes, yet data on the distribution and quantifiable determinants of neonatal 25-hydroxyvitamin D3 (25OHD) concentration, a vitamin D biomarker, are limited.
  
  
  
  Our aim was to identify determinants of neonatal 25OHD concentration, measured using neonatal dried blood spots (DBS).
  
  
  
  A total of 259 ethnically diverse children aged 0-16 years born in Victoria, Australia, were recruited. Data included maternal sun exposure, skin type, 25OHD concentration on stored neonatal DBS, and genotypes at the target genes. Associations were investigated using multiple linear regression models.
  
  
  
  The median 25OHD concentration was 29.2 nmol/l (IQR 18.0-47.4). Measured 25OHD was <50 nmol/l in almost half of the neonatal sample. Ambient ultraviolet radiation (UVR) 6 weeks before birth was the strongest predictor of neonatal 25OHD, accounting for 23% of its variation. A further 10% was explained by infant genetic variants at GC (rs2282679), the gene encoding the vitamin D binding protein, and DHCR7 (rs12785878), a gene required for synthesis of 7-dehydrocholesterol, a precursor to 25OHD. DBS age explained 7%, and patterns of maternal sun exposure and clothing choices accounted for 4%. A child's skin colour was strongly associated with GC gene variants and not independent of these variants in predicting 25OHD. The final model explained 43% of the total variance in neonatal 25OHD concentration.
  
  
  
  Maternal lifestyle factors and infant genetic variants predict neonatal 25OHD levels; the importance of maternal UVR exposure in late pregnancy is highlighted.
authors.affiliation: Murdoch Childrens Research Institute, Royal Children's Hospital, and University of Melbourne, Melbourne, Vic., Australia.
authors.forename: Chloe A
authors.initials: CA
authors.lastname: Smith
authors.forename: Cong
authors.initials: C
authors.lastname: Sun
authors.forename: Angela
authors.initials: A
authors.lastname: Pezic
authors.forename: Christine
authors.initials: C
authors.lastname: Rodda
authors.forename: Fergus
authors.initials: F
authors.lastname: Cameron
authors.forename: Katie
authors.initials: K
authors.lastname: Allen
authors.forename: Maria E
authors.initials: ME
authors.lastname: Craig
authors.forename: John
authors.initials: J
authors.lastname: Carlin
authors.forename: Terry
authors.initials: T
authors.lastname: Dwyer
authors.forename: Robyn M
authors.initials: RM
authors.lastname: Lucas
authors.forename: Darryl W
authors.initials: DW
authors.lastname: Eyles
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Kemp
authors.forename: Justine A
authors.initials: JA
authors.lastname: Ellis
authors.forename: Anne-Louise
authors.initials: AL
authors.lastname: Ponsonby
mesh_terms: D000293:Adolescent; D002112:Calcifediol / Q000097:blood*; D002648:Child; D002675:Child, Preschool; D059788:Dried Blood Spot Testing / Q000379:methods; D004781:Environmental Exposure; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015999:Multivariate Analysis; D044925:Oxidoreductases Acting on CH-CH Group Donors / Q000235:genetics; D020641:Polymorphism, Single Nucleotide; D014739:Victoria / Q000453:epidemiology; D014808:Vitamin D Deficiency / Q000453:epidemiology* / Q000235:genetics*; D014809:Vitamin D-Binding Protein / Q000235:genetics
chemical_list: D014809:Vitamin D-Binding Protein; D044925:Oxidoreductases Acting on CH-CH Group Donors; C019995:7-dehydrocholesterol reductase; D002112:Calcifediol