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Relationship between body mass index and vitamin D status, age, and sex in Saudi Arabia

By: Sahar Abdulaziz Al Sedairy

Key Words: Key words: Vitamin D, Body mass index, Correlation, Saudi Arabia, Obesity.

Int. J. Biosci. 19(1), 65-74, July 2021.


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Obesity and vitamin D deficiency are closely linked issues that have negative health consequences for people of all ages. The objective of this study was to analyze the connotation between body mass index and vitamin D status, age and sex in Saudi Arabia. Most participants (n = 37; 67.27%) were female, and the age of 61.82% of all participants (n = 34) who participated in the study were lesser than 40 years. The BMI of only 21 (38.18%) participants was normal and other participants were either overweight (36.36%) or obese (25.46%). A significant relationship (p ≤0.05) has been found between vitamin D status and BMI for subjects > 40 years. Among females, a significant relationship (p ≤0.05) has been observed between vitamin D status and BMI. A significant (p ≤0.01) positive correlation has been observed between BMI and age in subjects >40 years while a significant (p ≤0.05) negative correlation has been observed between BMI and vitamin D. A significant (p ≤0.01) positive correlation has been observed between age and BMI in females. In summary, this study shows that females had lower vitamin D concentrations than males among the different classes of BMI.

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Relationship between body mass index and vitamin D status, age, and sex in Saudi Arabia

Al Kadi H, Alissa E. 2017. Prevalence of cardiometabolic risk factors among Saudi Women with vitamin D deficiency. Endocrine Abstracts 49, 292.

Al Othman A, Al Musharaf S, Al Daghiri NM,  Krishnaswamy S, Yususf DS, Alkharfy KM, Al- Saleh Y, Al-Attas OS, Alokail MS, Moharram O, Sabico S, Chrousos GP. 2012. Effect of physical activity and sun exposure on vitamin D status of Saudi children and adolescents. BMC Pediatrics 12, 1-6.

Al Quwaidhi AJ, Pearce MS, Critchley JA, Sobngwi E, O’ Flaherty M. 2014. Trends and future projections of the prevalence of adult obesity in Saudi Arabia. 1992-2022. Eastern Mediterranean Health Journal 20, 589-595.

Al Saleh Y, Al Daghri NM, Khan N, Alfawaz H, Al Othman AM, Alokail MS, Chrousos GP. 2015. Vitamin D status in Saudi school children based on knowledge. BMC Pediatrics 15, 1-6.

Al-Alyani H, Al-Turki HA, Al-Essa ON, Alani FM, Ali MS. 2018. Vitamin D deficiency in Saudi Arabians: A reality or simply hype: A meta-analysis. Journal of Family and Community Medicine 25, 1-4.

Al-Daghri NM, K. M. Alkharfy, A. Al-Othman, Yakout SM, Al- Saleh Y, A Fouda M, Sulimani R, Sabico S. 2012. Effect of gender, season, and vitamin D status on bone biochemical markers in Saudi diabetes patients. Molecules 17, 8408–8418.

Al-Daghri NM, Sabico S, Al-Saleh Y, Al-Attas OS, Alnaami AM, AlRehaili MM, Al-Harbi M, Alfawaz H, Chrousos G, Alokail MS. 2016. Calculated adiposity and lipid indices in healthy Arab children as influenced by vitamin D status. Journal of Clinical Lipidology 10, 775-781.

Alqarni SSM. 2016. A Review of Prevalence of Obesity in Saudi Arabia. Journal of Obesity and Eating Disorders 2, 1-6.

Ardawi MS-M, Sibiany AM, Bakhsh TM, Qari MH, Maimani AA. 2012. High prevalence of vitamin D deficiency among healthy Saudi Arabian men: relationship to bone mineral density, parathyroid hormone, bone turnover markers, and lifestyle factors. Osteoporosis International 23, 675-686.

Autier P, Boniol M, Pizot C, Mullie P. 2014. Vitamin D status and ill health: a systematic review. The Lancet Diabetes and Endocrinology 2, 76–89.

Avitabile CM, Leonard MB, Zemel BS, Brodsky JL, Lee D, Dodds K, Hayden Rush C, Whitehead KK, Goldmuntz, E, Paridon SM, Rychik J, Goldberg DJ. 2004. Lean mass deficits, vitamin D status and exercise capacity in children and young adults after Fontan palliation. Heart 100, 1702-1707.

Carlin AM, Rao DS, Meslemani AM, Genaw JA, Parikh NJ, Levy S, Bhan A, Talpos GB. 2006. Prevalence of vitamin D depletion among morbidly obese patients seeking gastric bypass surgery. Surgery for Obesity and Related Diseases 2, 98-103,

Centers for Disease Control and Prevention. 2012. Second national report on biochemical indicators of diet and nutrition in US. population 2012. Atlanta (GA): National Centre for Environmental Health, p 1-495.

Chiang KC, Yeh CN, Chen MF, Chen TC. 2011. Hepatocellular carcinoma and vitamin D: a review. Journal of Gastroenterology and Hepatology 26, 1597–1603.

Ding C, Parameswaran V, Blizzard L, Burgess J, Jones G. 2010. Not a simple fat-soluble vitamin: Changes in serum 25-(OH)D levels are predicted by adiposity and adipocytokines in older adults. Journal of Internal Medicine 268, 501–510.

Dusso AS. 2011.  Kidney disease and vitamin D levels: 25-hydroxyvitamin D, 1, 25-dihydroxyvitamin D, and VDR activation. Kidney International Supplements 1, 136–141.

El Nashar DE, Alananbeh KM, Al Hassan N. 2016. Genetic, dietary, and non-dietary risk factors of obesity among preparatory-year female students at Taibah University, Saudi Arabia. Journal of Taibah University for Science 11, 408-421.

Forrest KYZ, Stuhldreher WL. 2011. Prevalence and correlates of vitamin D deficiency in US adults. Nutrition Research 31, 48–54.

Gallagher D, Heymsfield SB,  Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. 2000. Healthy percentage body fat ranges: An approach for developing guidelines based on body mass index. American Journal of Clinical Nutrition 72, 694–701.

Giovannoni G, Ebers G. 2007. Multiple sclerosis: the environment and causation. Current Opinion in Neurology 20, 261–268.

Gurrici S, Hartriyanti Y, Hautvast JGAG, Deurenberg P. 1998. Relationship between body fat and body mass index: Differences between Indonesians and Dutch Caucasians. European Journal of Clinical Nutrition 52, 779–783.

Haddad Jr JG, Hahn TJ. 1973. Natural and synthetic sources of circulating 25-hydroxyvitamin Din man.  Nature 244, 515–527.

Holick MF, Binkley NC, Bischoff-Ferrari H. A. Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM. 2011. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism 96, 1911–1930.

Holick MF, Chen TC. 2008. Vitamin D deficiency: a worldwide problem with health consequences. The American Journal of Clinical Nutrition 87, 1080S–1086S.

Holick MF. 2007. Medical progress: Vitamin D, deficiency. The New England Journal of Medicine 357, 266–81.

Kelly TN, Yang W, Chen CS, Reynolds K, He J. 2008. Global burden of obesity in 2005 and projections to 2030. International journal of obesity 32, 1431-7.

Lagunova Z, Porojnicu AC, Lindberg F, Hexeberg S, Moan J.  2009. The dependency of vitamin d status on body mass index, gender, age and season. Anticancer Research 29, 3713-3720.

Larose TL, Chen Y, Camargo Jr CA,  Langhammer A, Romundstad P, Mai XM. 2014. Factors associated with vitamin D deficiency in a Norwegian population: the HUNT Study. Journal of Epidemiology and Community Health 68, 165–170.

Mai XM, Chen Y, Camargo Jr CA, Langhammer A. 2012. Cross-sectional and prospective cohort study of serum 25-hydroxyvitamin D level and obesity in adults: the HUNT study. American Journal of Epidemiology 175, 1029–36.

Masoompour SM, Sadegholvaad A, Larijan B, Ranjbar-Omrani G. 2008. Effects of age and renal function on vitamin D status in men. Archives of Iranian Medicine 11, 377–81

May AL, Freedman D, Sherry S, Blanck HM. 2013. Obesity—United States, 1999–2010 In: morbidity and mortality weekly report: division of nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. CDC., p 120–8.

Misra M, Pacaud D, Petryk A, Collett-Solberg P, Kappy M. 2008. Vitamin D deficiency in children and its management: Review of current knowledge and recommendations. Pediatrics 122, 398-417.

Muscogiuri G, Barrea L, Somma CD, Laudisio D, Salzano C, Pugliese G, de Alteriis G, Colao A, Savastano S. 2019. Sex differences of vitamin D status across bmi classes: An observational prospective cohort study. Nutrients 11, 3034.

Rock CL, Emond JA, Flatt SW, Heath DD, Karanja N, Pakiz B, Sherwood NE, Thomson CA. 2012. Weight loss is associated with increased serum 25-hydroxyvitamin D in overweight or obese women. Obesity 20, 2296–2301.

Rosenstreich SJ, Rich C, Volwiler W. 1971. Deposition in and release of vitamin D3 from body fat: evidence for a storage site in the rat. Journal of Clinical Investigation 50, 679-687.

Sadat  Ali  M,  Al  Elq  A,  Al  Farhan  M,  Sadat  NA. 2013. Fortification with vitamin D:  Comparative study in the Saudi Arabian and US markets. Journal of Family and Community Medicine 20, 49-52.

Salas-Salvadó  J,  Fernández-Ballart  J,  Ros  E,  Martínez-González MA, Fitó M, Estruch R. 2008. Effect of a Mediterranean  diet  supplemented  with  nuts  on  metabolic  syndrome  status:  one-year  results  of  the  PREDIMED  randomized  trial. Archives of Internal Medicine 168, 2449-2458.

Savastano S, Barrea L,  Savanelli MC,  Nappi F, Di Somma C,  Orio F,  Colao  A. 2017. Low vitamin D status and obesity: Role of nutritionist. Reviews in Endocrine and Metabolic Disorders 18, 215–225.

Schmitt EB, Nahas-Neto J, Bueloni-Dias F, Poloni PF, Orsatti CL, Petri Nahas EA. 2018. Vitamin D deficiency is associated with metabolic syndrome in postmenopausal women. Maturitas 107, 97-102.

Smotkin-Tangorra M, Purushothaman R, Gupta A, Nejati G, Anhalt H, Ten S. 2007. Prevalence of vitamin D insufficiency in obese children and adolescents. Journal of Pediatric Endocrinology and Metabolism 20, 817–23.

Snijder MB, van Dam RM, Visser M, Deeg DJ, Dekker JM, Bouter LM, Seidell JC, Lips P. 2005. Adiposity in relation to vitamin D status and parathyroid hormone levels: A population-based study in older men and women. The Journal of Clinical Endocrinology and Metabolism 90, 4119–4123.

Theodoratou E, Tzoulaki I, Zgaga, L, Loannidis JPA. 2014.  Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and Randomised trials. BMJ 348, g2035.

Vieth R, Bischoff-Ferrari H, Boucher BJ, Dawson-Hughes B, Garland CF, Heaney RP, Holick MF, Hollis BW, Lamberg-Allardt C, McGrath JJ, Norman AW, Scragg R, Whiting SJ, Willett WC, Zittermann A. 2007. The urgent need to recommend an intake of vitamin D that is effective. American Journal of Clinical Nutrition 85, 649-50.

Wagner C, Greer F. 2008. American Academy of Pediatrics Section on Breastfeeding; American Academy of Pediatrics Committee on Nutrition. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 122, 1142-1152.

Wang Y, Beydoun MA, Liang L, Caballero B, Kumanyika SK. 2008. Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity (Silver Spring, Md.) 16, 2323–2330.

Weaver CM. 2007. Vitamin D, calcium homeostasis, and skeleton accretion in children. Journal of Bone and Mineral Research 22, V45–V49.

World Health Organization. 2004. Appropriate body mass index for Asian populations and its implications for policy and intervention strategies.  The Lancet 363, 157-63.

World Health Organization. 2021. Obesity and Overweight. Available online:

Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF. 2000. Decreased bioavailability of vitamin D in obesity. American Journal of Clinical Nutrition 72, 690-693.

Sahar Abdulaziz Al Sedairy.
Relationship between body mass index and vitamin D status, age, and sex in Saudi Arabia.
Int. J. Biosci. 19(1), 65-74, July 2021.
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