Reduced sun exposure does not explain the inverse association of 25-hydroxyvitamin D with percent body fat in older adults.

CONTEXT Greater adiposity is associated with lower blood levels of 25-hydroxyvitamin D [25(OH)D]. The extent to which this results from reduced sun exposure among heavier individuals is unknown. OBJECTIVES This analysis was conducted to determine whether sun exposure habits differ according to percent body fat (%FAT) in older adults and to what extent they explain the inverse association of adiposity with 25(OH)D in that population. DESIGN We performed a cross-sectional analysis of baseline data from a randomized trial of calcium and vitamin D supplementation to prevent bone loss. SETTING The study was performed at the Metabolic Research Unit at the Jean Mayer United States Department of Agriculture Human Nutrition Research Center on Aging at Tufts University. PARTICIPANTS A total of 381 generally healthy male and female volunteers age 65 and older participated in the study. Exclusion criteria included vitamin D and calcium supplement use, and medical conditions and medications known to affect bone metabolism. INTERVENTION There were no interventions. Measurements for this analysis were made before participants received trial supplements. MAIN OUTCOME MEASURES Plasma 25(OH)D, an indicator of vitamin D status, was measured. RESULTS Sunscreen use, hours spent outside per week, and percent of skin exposed did not differ across quartiles of %FAT (P > 0.43). 25(OH)D decreased across %FAT quartiles (P < 0.05) and was about 20% lower in the highest compared with the lowest quartile of %FAT after adjustments for age, sex, season, and vitamin D intake. Further adjustment for sun exposure habits had little effect on estimates of 25(OH)D. CONCLUSIONS In older adults, sun exposure habits do not vary according to adiposity and do not appear to explain lower 25(OH)D concentrations with increasing adiposity.