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Circulating Vitamin D Concentrations in Two Neighboring Populations With Markedly Different Incidence of Type 1 Diabetes

  1. Hanna Viskari, MD, PHD12,
  2. Anita Kondrashova, MD13,
  3. Pentti Koskela, PHD4,
  4. Mikael Knip, MD, PHD56 and
  5. Heikki Hyöty, MD, PHD12
  1. 1Department of Virology, University of Tampere, Tampere, Finland
  2. 2Department of Clinical Microbiology, Center for Laboratory Medicine, Tampere University Hospital, Tampere, Finland
  3. 3Department of Pediatrics, University of Petrozavodsk, Petrozavodsk, Russia
  4. 4National Health Institute, Oulu, Finland
  5. 5Department of Pediatrics, Tampere University Hospital, Tampere, Finland
  6. 6Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland
  1. Address correspondence to Hanna Viskari, MD, PhD, University of Tampere, Medical School/ FM3, 5th floor, Biokatu 10, 33520 Tampere, Finland. E-mail: hanna.viskari{at}uta.fi

Recent studies have suggested that vitamin D deficiency may increase the risk of type 1 diabetes (1). In Finland, the incidence of type 1 diabetes is the highest in the world, while in the neighboring Karelian Republic of Russia, the incidence is approximately one-sixth that in Finland, despite no difference in HLA-conferred susceptibility (2). Thus, the reason(s) must be linked to environmental factors.

We assessed vitamin D status in the Russian Karelian and Finnish populations to determine whether vitamin D could play a role in the huge difference observed in diabetes incidence. The geographical location in terms of daily sunlight exposure is …

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