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Associations between maternal-child dietary vitamin D and calcium intakes in UK male and female adolescents aged 14–18 years

Published online by Cambridge University Press:  23 September 2015

T. Smith
Affiliation:
Department of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7XH
L. Tripkovic
Affiliation:
Department of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7XH
K. Hart
Affiliation:
Department of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7XH
S. Lanham-New
Affiliation:
Department of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7XH
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Abstract

Type
Abstract
Copyright
Copyright © The Authors 2015 

Significant relationships between parent-child dietary intakes have been reported previously, with mother-child (M-C) correlations stronger than father-child correlations( Reference Wang 1 ). Additionally, mother-daughter (M-D) correlations may be stronger than for mother-son (M-S) pairs( Reference Wang 1 ). There is little data relating to maternal influence on dietary vitamin D and calcium intakes in male or female adolescents, a crucial phase of rapid bone accrual and development of peak bone mass( Reference Henry 2 ).

The aim of this analysis was to examine associations between vitamin D and calcium intakes of mothers and adolescents (14–18 years) and specifically between M-D and M-S pairs recruited onto a 20 week vitamin D randomised controlled trial as part of the EU funded ODIN Project (Food-based solutions for Optimal vitamin D Nutrition and health through the life cycle). A total of 55 M-C pairs completed a Food Frequency Questionnaire at baseline to assess habitual vitamin D and calcium intakes from food sources only.

A significant, positive correlation was found between M-C vitamin D intakes (r = 0·36, p = 0·007) and M-C calcium intakes (r = 0·32, p = 0·016). When M-D (n = 32) and M-S (n = 23) pairs were investigated separately, a stronger and more significant positive correlation was identified for M-S versus M-D pairs for intakes of vitamin D (r = 0·41, p = 0·05 and r = 0·33, p = 0·063 respectively). However, for calcium intakes, correlations were not significant nor different between M-D and M-S pairs. Dietary vitamin D and calcium intakes for mothers and adolescents were divided into tertiles of intakes and chi-square test performed. Chi-squared test indicated significant associations between tertiles of vitamin D intakes in M-C and M-S pairings (χ2 = 12·52, p = 0·014 and χ2 = 9·89, p = 0·042 respectively) but not for M-D tertiles of intake. However, no significant associations were found for M-C, M-S or M-D tertiles of calcium intakes (χ2 = 7·52, p = 0·111; χ2 = 4·60, p = 0·331; χ2 = 6·92, p = 0·140 respectively).

Therefore, contrary to previous studies citing stronger relationships between intakes of gender matched parent-child pairs( Reference Wang 1 ), the present analysis suggests that mothers may influence different types of food choices in their adolescent sons compared to their adolescent daughters, with a subsequent differential impact on vitamin D and calcium intakes. Stronger associations for dairy intakes between mothers and their adolescent daughters compared to adolescent sons have previously been reported( Reference Hanson 3 ). This maternal influence may be important in the adolescent age group as 16 % of UK females and 11 % of UK males 11–18 years have calcium intakes below the Reference Nutrient Intake (RNI)( Reference Bates 4 ). There is currently no UK RNI for vitamin D, although dietary intakes are low amongst both adolescents and adults at between 2 and 4 µg/day( Reference Bates 4 ). Sub-optimal calcium intakes during adolescence, alongside inadequate vitamin D intakes and status, has the potential to prevent maximum peak bone mass being achieved which could consequently lead to an increased risk of fracture and osteoporosis in later life( Reference Henry 2 ). Further analysis will investigate the potential behaviours underlying these relationships and how any positive associations may be manipulated to improve adolescent dietary patterns and nutrient status, particularly with regard to key but often inadequate nutrients such as vitamin D and calcium.

References

1. Wang, et al. (2011) J Epidemiol Community Health, 65, 177189.Google Scholar
2. Henry, et al. (2004) Osteoporos Int, 15, 263273.Google Scholar
3. Hanson, et al. (2005) Public Health Nutr, 8, 7785.Google Scholar
4. Bates, et al. (2014) Public Health England.Google Scholar