Abstract

The deficiency and excess of vitamin D cause various diseases, necessitating continuous management; but it is not easy to accurately measure the serum vitamin D level in the body using a non-invasive method. The aim of this study is to investigate the correlation between vitamin D levels, body information obtained by an InBody scan, and blood parameters obtained during health checkups, to determine the optimum frequency of vitamin D quantification in the skin and to propose a vitamin D measurement method based on impedance. We assessed body composition, arm impedance, and blood vitamin D concentrations to determine the correlation between each element using multiple machine learning analyses and an algorithm which predicted the concentration of vitamin D in the body using the impedance value developed. Body fat percentage obtained from the InBody device and blood parameters albumin and lactate dehydrogenase correlated with vitamin D level. An impedance measurement frequency of 21.1 Hz was reflected in the blood vitamin D concentration at optimum levels, and a confidence level of about 75% for vitamin D in the body was confirmed. These data demonstrate that the concentration of vitamin D in the body can be predicted using impedance measurement values. This method can be used for predicting and monitoring vitamin D-related diseases and may be incorporated in wearable health measurement devices.

Highlights

  • Vitamin D (25(OH)D) is an essential nutrient for good health

  • The correlation with vitamin D in the body was analyzed for parameters such as sex, age, obesity, body composition, skeletal muscle/fat, muscle by part, and the extracellular water ratio collected from the InBody device, and the measurement parameters that could be used to estimate the amount of vitamin D were selected

  • Analysis of the relationship between the factors collected from the InBody device and the vitamin D level revealed that the right leg and the body fat percentage had an effect on muscle analysis by region

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Summary

Introduction

Vitamin D (25(OH)D) is an essential nutrient for good health. Insufficient vitaminD levels cause rickets in children and osteomalacia, bone pain, and muscle weakness in adults [1]. Excessive levels of vitamin D in the blood can cause nausea, vomiting, muscle weakness, pain, loss of appetite, dehydration, excessive urination, thirst, and kidney stones. It can cause kidney failure, irregular heartbeat, and even death [4,5]. Quantification of vitamin D can be performed by competitive protein binding (CPB) assays, radioimmunoassay (RIA), chemiluminescence immunoassay (CLIA), liquid chromatography with UV detection (LC), and liquid chromatography–mass spectrometry These methods are labor-intensive and technically complex [7,8]. Other conditions that predict vitamin D levels include normal blood levels of calcium and phosphorus, high or high levels of parathyroid hormone, normal to high levels of total alkaline phosphatase, urinary calcium excretion rates, and vitamin D binding protein analysis [6,10,11]

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