The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Decreased bioavailability of vitamin D in obesity
Open accessAbstract
Background Obesity is associated with vitamin D insufficiency and secondary hyperparathyroidism.Objective This study assessed whether obesity alters the cutaneous production of vitamin D(3) (cholecalciferol) or the intestinal absorption of vitamin D(2) (ergocalciferol).Design Healthy, white, obese [body mass index (BMI; in kg/m(2)) > or = 30] and matched lean control subjects (BMI </= 25) received either whole-body ultraviolet radiation or a pharmacologic dose of vitamin D(2) orally.Results Obese subjects had significantly lower basal 25-hydroxyvitamin D concentrations and higher parathyroid hormone concentrations than did age-matched control subjects. Evaluation of blood vitamin D(3) concentrations 24 h after whole-body irradiation showed that the incremental increase in vitamin D(3) was 57% lower in obese than in nonobese subjects. The content of the vitamin D(3) precursor 7-dehydrocholesterol in the skin of obese and nonobese subjects did not differ significantly between groups nor did its conversion to previtamin D(3) after irradiation in vitro. The obese and nonobese subjects received an oral dose of 50000 IU (1.25 mg) vitamin D(2). BMI was inversely correlated with serum vitamin D(3) concentrations after irradiation (r = -0.55, P: = 0.003) and with peak serum vitamin D(2) concentrations after vitamin D(2) intake (r = -0.56, P: = 0.007).Conclusions Obesity-associated vitamin D insufficiency is likely due to the decreased bioavailability of vitamin D(3) from cutaneous and dietary sources because of its deposition in body fat compartments.
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“Emerging data also support a direct relationship between bone and fat16, 17.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [16]
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Cites
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Self-citationEvidence for alteration of the vitamin D-endocrine system in obese subjects.
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Sunscreens Suppress Cutaneous Vitamin D3Synthesis*
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Self-citationLow circulating vitamin D in obesity
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Racial Pigmentation and the Cutaneous Synthesis of Vitamin D
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Self-citationEffects of skin thickness, age, body fat, and sunlight on serum 25-hydroxyvitamin D
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Holick, M. F., Binkley, N., Bischoff-Ferrari, H. A., Gordon, C. M., Hanley, D. A., Heaney, R. P., Murad, M. H., & Weaver, C. M. (2011) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-0385 · Cited by 10,961
Self-citationClinician’s Guide to Prevention and Treatment of Osteoporosis
Cosman, F., de Beur, S. J., LeBoff, M. S., Lewiecki, E. M., Tanner, B., Randall, S., & Lindsay, R. (2014) · Osteoporosis International · doi:10.1007/s00198-014-2794-2 · Cited by 4,149
“This regimen should be followed by maintenance therapy of 1500–2000 IU/day or whatever dose is needed to maintain the target blood level [37, 38].”
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Self-citationVitamin D deficiency: a worldwide problem with health consequences
Holick, M. F., & Chen, T. C. (2008) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/87.4.1080s · Cited by 2,689
Self-citationHigh Prevalence of Vitamin D Inadequacy and Implications for Health
Holick, M. F. (2006) · Mayo Clinic Proceedings · doi:10.4065/81.3.353 · Cited by 2,037
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Metadata
- Authors
- Wortsman, J., Matsuoka, L. Y., Chen, T. C., Lu, Z., & Holick, M. F.
- Affiliations
- SIU Medicine (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2000-09
- Volume
- 72
- Issue
- 3
- Pages
- 690-693
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2157304718
- Cited by
- 3,204
- References
- 19
- Citations by year
- 2026: 73 · 2025: 89 · 2024: 97 · 2023: 138 · 2022: 190 · 2021: 173 · 2020: 177 · 2019: 158 · 2018: 183 · 2017: 194 · 2016: 189 · 2015: 213 · 2014: 215 · 2013: 231 · 2012: 193
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR369637)
- National Center for Research Resources (MO1 RR 00533, M01RR000533)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin K Research Studies
- Keywords
- obesity, vitamin D bioavailability, vitamin D insufficiency, 25-hydroxyvitamin D, parathyroid hormone, secondary hyperparathyroidism, UV irradiation, 7-dehydrocholesterol, previtamin D3, vitamin D2, body fat storage
- MeSH terms
- Adult, Biological Availability, Cholecalciferol, Ergocalciferols, Humans, Intestinal Absorption, Obesity, Reference Values, Skin, Ultraviolet Rays, Vitamin D, Body Mass Index
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