No association between vitamin D levels around time of birth and later risk of developing oligo- and polyarticular juvenile idiopathic arthritis: a Danish case–cohort study

SU Thorsen*, C. Pipper, M. Alberdi-Saugstrup, S. Nielsen, A. Cohen, M. Lundqvist, LC Thygesen, A. Ascherio, J. Svensson

*Corresponding author for this work
5 Citations (Scopus)

Abstract

Objectives: Basic and epidemiological studies on rheumatic autoimmune diseases have suggested an association between vitamin D levels around time of birth and disease risk. The literature on vitamin D and juvenile idiopathic arthritis (JIA) is scarce. We hypothesized that low levels of 25-hydroxyvitamin D [25(OH)D] around time of birth would be associated with increased risk of oligo- or polyarticular JIA. Method: We conducted a case–cohort study of validated cases diagnosed with oligo- and polyarticular JIA (1993–2012) and controls matched on date of birth. Cases and controls were born in the period 1983–2010. Cases were diagnosed using international criteria. The concentration of 25(OH)D was assessed from neonatal dried blood spot (DBS) samples using high-sensitivity liquid chromatography tandem mass spectrometry (LC-MS/MS). Odds ratios (ORs) were calculated using conditional logistic regression and a two-way analysis of variance (ANOVA) was used to test for season and birth year 25(OH)D variations. A total of 300 matched pairs were included in the statistical analyses. Results: No significant association was found between levels of 25(OH)D and JIA risk in the adjusted model [OR (per 25 nmol/L increase) 1.2, 95% confidence interval (CI) 0.9–1.6, p = 0.2]. 25(OH)D levels were found to fluctuate significantly with season (p 

Original languageEnglish
JournalScandinavian Journal of Rheumatology
Volume46
Issue number2
Pages (from-to)104-111
ISSN0300-9742
DOIs
Publication statusPublished - 4 Mar 2017

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