Vitamin D insufficiency, hemoglobin, and anemia in children with chronic kidney disease. 2018

Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
Johns Hopkins University, Baltimore, MD, 21218, USA. kaltemo1@jhmi.edu.

25-Hydroxyvitamin D (25OHD) deficiency is common in children with chronic kidney disease (CKD). It has been associated with an increased risk for anemia in both healthy US children and in adults with CKD. This association has not been explored in children with CKD. Children aged 1-16 enrolled in the Chronic Kidney Disease in Children (CKiD) study with mild to moderate kidney dysfunction, and with 25OHD measured at baseline (n = 580), were included in the analysis. The cross-sectional associations between 25OHD and hemoglobin (g/dL) and anemia were assessed. Anemia was defined as hemoglobin < 5th percentile for age and sex. Overall 334 (57.59%) children were vitamin D insufficient/deficient and 137 (23.62%) were anemic. Of those who were vitamin D insufficient/deficient, 95 (28.44%) were anemic. In the overall cohort, the odds of being anemic was 1.9 times higher (95% CI, 1.22-3.04, p < 0.01) in vitamin D insufficient/deficient vs sufficient children, when adjusting for covariates (age, sex, race [black, white, or other], body mass index (BMI), iohexol GFR (iGFR), erythropoietin stimulation agent (ESA) use, iron supplementation use, and underlying cause of CKD). Stratified by race, the odds of being anemic was 2.39 times higher (95% CI, 1.41-4.05, p = 0.001) in vitamin D insufficient/deficient vs vitamin D sufficient white children. The association between vitamin D status and anemia was not significant in black children. The data support our hypothesis that vitamin D insufficiency/deficiency increases the odds of anemia in children with CKD. The effect was strong and significant among white, but not black, children.

UI MeSH Term Description Entries
D008297 Male Males
D009749 Nutrition Surveys A systematic collection of factual data pertaining to the nutritional status of a human population within a given geographic area. Data from these surveys are used in preparing NUTRITION ASSESSMENTS. NHANES,National Health and Nutrition Examination Survey,Nutritional Surveys,Nutrition Survey,Nutritional Survey,Survey, Nutrition,Survey, Nutritional,Surveys, Nutrition,Surveys, Nutritional
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006454 Hemoglobins The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements. Eryhem,Ferrous Hemoglobin,Hemoglobin,Hemoglobin, Ferrous
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000740 Anemia A reduction in the number of circulating ERYTHROCYTES or in the quantity of HEMOGLOBIN. Anemias

Related Publications

Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
October 2008, Pediatric nephrology (Berlin, Germany),
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
January 2012, Annals of Saudi medicine,
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
June 2009, The Journal of pediatrics,
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
July 2012, Saudi medical journal,
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
December 2010, Pediatric nephrology (Berlin, Germany),
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
March 2012, Jornal brasileiro de nefrologia,
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
April 2010, Kidney international,
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
August 2012, Pediatric nephrology (Berlin, Germany),
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
July 1973, Deutsche medizinische Wochenschrift (1946),
Kathleen E Altemose, and Juhi Kumar, and Anthony A Portale, and Bradley A Warady, and Susan L Furth, and Jeffrey J Fadrowski, and Meredith A Atkinson
January 2009, Journal of nephrology,
Copied contents to your clipboard!