Vitamin D and mortality: Individual participant data meta-analysis of standardized 25-hydroxyvitamin D in 26916 individuals from a European consortium
Publication Date
February 16, 2017
Authors
Martin Gaksch, Rolf Jorde, Guri Grimnes, Ragnar Joakimsen, et al
Volume
12
Issue
2
Pages
e0170791
DOI
https://dx.plos.org/10.1371/journal.pone.0170791
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0170791
Scopus
85012982827
Mendeley
http://www.mendeley.com/research/vitamin-d-mortality-individual-participant-data-metaanalysis-standardized-25hydroxyvitamin-d-26916-i
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We therefore performed an IPD meta-analysis on the association between standardized serum 25(OH)D and mortality.\\n\\nMETHODS: In a European consortium of eight prospective studies, including seven general population cohorts, we used the Vitamin D Standardization Program (VDSP) protocols to standardize 25(OH)D data. Meta-analyses using a one step procedure on IPD were performed to study associations of 25(OH)D with all-cause mortality as the primary outcome, and with cardiovascular and cancer mortality as secondary outcomes. This meta-analysis is registered at ClinicalTrials.gov, number NCT02438488.\\n\\nFINDINGS: We analysed 26916 study participants (median age 61.6 years, 58% females) with a median 25(OH)D concentration of 53.8 nmol/L. During a median follow-up time of 10.5 years, 6802 persons died. Compared to participants with 25(OH)D concentrations of 75 to 99.99 nmol/L, the adjusted hazard ratios (with 95% confidence interval) for mortality in the 25(OH)D groups with 40 to 49.99, 30 to 39.99, and <30 nmol/L were 1.15 (1.00-1.29), 1.33 (1.16-1.51), and 1.67 (1.44-1.89), respectively. We observed similar results for cardiovascular mortality, but there was no significant linear association between 25(OH)D and cancer mortality. There was also no significantly increased mortality risk at high 25(OH)D levels up to 125 nmol/L.\\n\\nINTERPRETATION: In the first IPD meta-analysis using standardized measurements of 25(OH)D we observed an association between low 25(OH)D and increased risk of all-cause mortality. It is of public health interest to evaluate whether treatment of vitamin D deficiency prevents premature deaths.", "link"=>"http://www.mendeley.com/research/vitamin-d-mortality-individual-participant-data-metaanalysis-standardized-25hydroxyvitamin-d-26916-i", "reader_count"=>53, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>3, "Researcher"=>7, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>9, "Student > Bachelor"=>4, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>6}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>3, "Researcher"=>7, "Student > Doctoral Student"=>2, "Student > Ph. D. 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