SUMMARY. The seasonal vanation of serum 25-hydroxy vitamin D 3 and 1,25-dihydroxy-vitamin D has been investigated. Blood was taken from 27 healthy volunteers, aged 21-44 years old at 3 monthly intervals over a period of 1 year. A scrolling monthly programme with 12 quarterly (3 month) time periods was developed. A summer associated increase in 25-hydroxy vitamin D 3 was significantly correlated with but lagged behind by 2 months, the increase in recorded sunlight hours. However, four individuals showed no seasonal rise but maintained constant concentrations throughout the year within the established reference range. Serum 1,25-dihydroxy vitamin D showed marked intra-individual variability with no seasonal pattern although the highest concentration (180 pmol/L) was observed in the winter and no concentration greater than 108 pmollL in the summer.
Additional key phrases: scrolling 3-month analysis; sunlight assessmentIt is well established that there is a seasonal variation in the serum concentration of 25-hydroxy vitamin D 3 (250HD 3 ) associated with an increase after exposure to sunlight in the summer months and a decrease during the winter months.':" In contrast, there is no seasonal change in the serum concentration of 25-hydroxy vitamin D 2 as it is entirely dietary in origin.1 The effect of seasonal change on serum total 1,25-dihydroxy vitamin D (including D 2 and D 3 ) , the most physiologically active metabolite is less clear since studies using sequential sampling throughout the year the serum 1,25(OH)2D was shown to parallel the serum 250HD 3 concentration-while Chesney et al. I observed no seasonal variation at all.Routine measurement of these compounds is now much easier to carry out because of new improved commercial kits being available. It will be important, therefore, if changes in plasma concentrations of these compounds are to be linked with any pathological defined disease states that misinterpretation is not made because of a normal seasonal variation. The purpose of this investigation therefore was to establish the magnitude of the seasonal variation in the serum