Evidence map›Paper›PMID 40041287›Full record

Observational studyFrontiers in endocrinology2025

Effect of sex, pubertal stage, body mass index, oral contraceptive use, and C-reactive protein on vitamin D binding protein reference values.

Philipp von Heimburg, Ronny Baber, Anja Willenberg, Philip Wölfle, Jürgen Kratzsch, Wieland Kiess, Mandy Vogel

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02550236 (Prospective Population-based Childhood Cohort Study in the Leipzig Area Investigating Genetic, Environmental, and Metabolic Factors and Their Association With the Development of Civilization Diseases), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02550236 recruitingnot on this map

Prospective Population-based Childhood Cohort Study in the Leipzig Area Investigating Genetic, Environmental, and Metabolic Factors and Their Association With the Development of Civilization Diseases

TypeobservationalSponsorUniversity of LeipzigRan2010 to 2026Enrolled7,000ConditionsChild Development
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Philipp von HeimburgLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Ronny BaberLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Anja WillenbergInstitute for Laboratory Medicine, Clinical Chemistry and Molecular Diagnostics (ILM), Leipzig University, Leipzig, Germany.
Philip WölfleLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Jürgen KratzschLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Wieland KiessLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Mandy VogelLIFE Child - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Vitamin D binding protein (DBP) regulates the transport and availability of vitamin D. We aimed to establish age- and sex-specific reference ranges for serum concentrations of DBP in healthy infants, children, and adolescents. In addition, we investigated DBP's associations with age, sex, puberty, body mass index (BMI), and oral contraceptive use. Design and methods: 2,503 serum samples from children and adolescents aged 3 months to 17 years from the LIFE Child cohort were analyzed to study DBP levels in this population (49.3% female subjects, 50.7% male subjects). Age- and sex-dependent reference percentiles were established using generalized additive models. We used linear mixed effects models to assess DBP's associations with age, sex, pubertal status, the BMI standard deviation score (SDS), and oral contraceptives. To investigate associations between DBP and vitamin D metabolites, we applied univariate regression analysis. We used hierarchical regression models and linear mixed effects models to assess DBP's associations with bone parameters, hormones, and inflammatory markers. Results: Mean DBP values differed between males (347 mg/l) and females (366 mg/l) (p < 0.001). Age had no significant association with DBP levels. In both males and females, DBP levels remained relatively stable from infancy through late adolescence. Children and adolescents with obesity had lower mean DBP levels compared with normal-weight subjects (ß = -14.28, p < 0.001). The BMI-SDS was inversely associated with DBP levels in males (ß = -5.7, p < 0.001). Female subjects using oral contraceptives had higher levels of DBP (ß = 141.38, p < 0.001). DBP was positively associated with the vitamin D metabolites: 25(OH)D Conclusion: We established age- and sex-specific reference ranges for the serum concentration of DBP. We suggest that BMI, pubertal stages, oral contraceptive use, and inflammation markers need to be considered when interpreting DBP as a stabilizer and regulator of vitamin D metabolism and vitamin D status in children and adolescents. Clinical trial registration: ClinicalTrial.gov, identifier NCT02550236.

Indexed as

Body Mass IndexContraceptives, OralC-Reactive ProteinPubertyVitamin D-Binding ProteinAdolescentBiomarkersChildChild, PreschoolFemaleHumansInfantMaleReference ValuesSex FactorsVitamin DBiomarkersContraceptives, OralC-Reactive ProteinVitamin DVitamin D-Binding ProteinBMIcontraceptive drugsDBPobesitypubertal stagereference valuesvitamin D binding protein

Identifiers

PMID40041287
PMCPMC11876044

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.