A randomized, controlled trial evaluating the efficacy of an online intervention targeting vitamin D intake, knowledge and status among young adults.
Vitamin D plays a key role in bone health. Consuming adequate vitamin D during young adulthood is important due to the development of peak bone mass; however, many Canadian young adults do not meet vitamin D recommendations. This study aimed to improve knowledge, perceptions, dietary intake and blood concentrations of vitamin D among a sample of young adults.



Using a pre-post design, 90 Ontario adults (38 men, 52 women; 18-25 years), were randomly assigned to intervention or control groups. Participants completed a socio-demographic survey, pre-post food frequency questionnaire, and a vitamin D knowledge questionnaire (3 time-points). The intervention group watched a video, received online information and tracked intake of vitamin D using a mobile application for 12 weeks. A sub-sample of participants completed pre-post blood 25(OH)D3tests. Univariate ANOVA tested pre-post between-group differences in vitamin D intake and status. Repeated-measures ANOVA tested between-group differences in vitamin D knowledge and perceptions across 3 time-points.



Mean vitamin D intake in the sample increased significantly from pre-test (M = 407, SD = 460 IU) to post-test (M = 619, SD = 655 IU), t(88) = 5.37, p < 0.001. Mean intake increased significantly more in the intervention than control group after controlling for gender and education, F(1, 85) = 4.09, p = 0.046. Mean blood vitamin D3was significantly higher among non-Caucasian than Caucasian participants at baseline, t(56.7) = 3.49, p = 0.001. Mean blood vitamin D3increased significantly from pre-test (M = 28, SD = 16 nmol/L) to post-test (M = 43, SD = 29 nmol/L), t(53) = 11.36, p < 0.001, but did not differ significantly between groups. The increase in vitamin D knowledge from time 1-3 was significantly higher in the intervention than control group (t(88) = 2.26, p = 0.03). The intervention group (M = 3.52, SE = 0.13) had higher overall perceived importance of vitamin D supplementation than the control (M = 3.16, SE = 0.12), F(1, 88) = 4.38, p = 0.04, ηp2= 0.05.



Although recommendations suggest blood 25(OH)D3concentrations of ≥50-75 nmol/L, vitamin D status was below national recommendations. While participating in an intervention did not improve vitamin D status, it led to increased vitamin D intake, knowledge and perceived importance of supplementation.



ClinicalTrails.gov registration #: NCT02118129 .
Department of Human Health and Nutritional Sciences, University of Guelph, 50 Stone Road East, Guelph, N1G2W1, ON, Canada. samantha.goodman17@gmail.com.
Samantha
0000-0002-6320-2174
S
Goodman
Department of Psychology, University of Guelph, 50 Stone Road East, Guelph, N1G 2 W1, ON, Canada.
Barbara
B
Morrongiello
Department of Human Health and Nutritional Sciences, University of Guelph, 50 Stone Road East, Guelph, N1G2W1, ON, Canada.
Kelly
K
Meckling
D000293:Adolescent; D000328:Adult; D001364:Awareness; D015519:Bone Density; D002762:Cholecalciferol / Q000008:administration & dosage / Q000097:blood; D004032:Diet; D019587:Dietary Supplements; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D020407:Internet; D008297:Male; D063731:Mobile Applications; D009751:Nutritional Requirements; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014807:Vitamin D / Q000008:administration & dosage* / Q000097:blood; D014808:Vitamin D Deficiency / Q000097:blood* / Q000208:ethnology / Q000517:prevention & control; D055815:Young Adult
D014807:Vitamin D; D002762:Cholecalciferol
Behaviour change; Emerging adulthood; Intervention; Mobile app; Nutrition; Vitamin D intake; Vitamin D status