Vitamin D Intake Determines Vitamin D Status of Postmenopausal Women, Particularly Those with Limited Sun Exposure
Few detailed data are available on the wide range of determinants of vitamin D status among postmenopausal women, and it is also unclear whether there may be undiscovered determinants. The objective of this study was to comprehensively evaluate determinants of serum 25-hydroxyvitamin D [25(OH)D] con...
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| Veröffentlicht in: | The Journal of nutrition 2014-05, Vol.144 (5), p.681-689 |
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| creator | CHENG, Ting-Yuan David MILLEN, Amy E WACTAWSKI-WENDE, Jean BERESFORD, Shirley A. A LACROIX, Andrea Z YINGYE ZHENG GOODMAN, Gary E THORNQUIST, Mark D NEUHOUSER, Marian L |
| description | Few detailed data are available on the wide range of determinants of vitamin D status among postmenopausal women, and it is also unclear whether there may be undiscovered determinants. The objective of this study was to comprehensively evaluate determinants of serum 25-hydroxyvitamin D [25(OH)D] concentrations in a large cohort of postmenopausal women. Data from a subset of the Women's Health Initiative Observational Study were analyzed (50-79 y; n = 3345). Information on diet, lifestyle behaviors, secondhand smoke, use of dietary supplements and medication, chronic diseases, and anthropometry was collected at baseline (1993-1998) and on sun exposure at year 4 follow-up. Linear regression was performed to estimate regression coefficients (β). Significant determinants were total vitamin D intake (food plus supplements per 100 IU/d, β = 2.08), years of supplemental vitamin D use (β = 0.15), total fat intake (grams per day, β = -0.03), smoking status (β = -2.64, current vs. never), regional solar irradiance (β = 6.26, 475-500 vs. 300-325 Langleys), daylight time spent outdoors in summer (β = 5.15, >2 h vs. |
| doi_str_mv | 10.3945/jn.113.183541 |
| format | Article |
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A ; LACROIX, Andrea Z ; YINGYE ZHENG ; GOODMAN, Gary E ; THORNQUIST, Mark D ; NEUHOUSER, Marian L</creator><creatorcontrib>CHENG, Ting-Yuan David ; MILLEN, Amy E ; WACTAWSKI-WENDE, Jean ; BERESFORD, Shirley A. A ; LACROIX, Andrea Z ; YINGYE ZHENG ; GOODMAN, Gary E ; THORNQUIST, Mark D ; NEUHOUSER, Marian L</creatorcontrib><description>Few detailed data are available on the wide range of determinants of vitamin D status among postmenopausal women, and it is also unclear whether there may be undiscovered determinants. The objective of this study was to comprehensively evaluate determinants of serum 25-hydroxyvitamin D [25(OH)D] concentrations in a large cohort of postmenopausal women. Data from a subset of the Women's Health Initiative Observational Study were analyzed (50-79 y; n = 3345). Information on diet, lifestyle behaviors, secondhand smoke, use of dietary supplements and medication, chronic diseases, and anthropometry was collected at baseline (1993-1998) and on sun exposure at year 4 follow-up. Linear regression was performed to estimate regression coefficients (β). Significant determinants were total vitamin D intake (food plus supplements per 100 IU/d, β = 2.08), years of supplemental vitamin D use (β = 0.15), total fat intake (grams per day, β = -0.03), smoking status (β = -2.64, current vs. never), regional solar irradiance (β = 6.26, 475-500 vs. 300-325 Langleys), daylight time spent outdoors in summer (β = 5.15, >2 h vs. <30 min/d), recreational physical activity (metabolic equivalent task per hour per week, β = 0.13), waist circumference (centimeters, β = -0.26), and race/ethnicity (β = -11.94, black vs. white). Total vitamin D intake (partial R(2) = 0.09) explained the most variance in serum 25(OH)D concentrations (total R(2) = 0.29). The association between total vitamin D intake and serum 25(OH)D concentrations was stronger among participants who spent less rather than more daylight time outdoors in summer (P-interaction = 0.026). History and medications for hypertension, hyperlipidemia, and type 2 diabetes and secondhand smoke exposure were not associated with serum 25(OH)D. In conclusion, dietary factors and sun exposure remain important determinants of vitamin D status in postmenopausal women. Vitamin D intake should be emphasized for those with limited sun exposure.</description><identifier>ISSN: 0022-3166</identifier><identifier>EISSN: 1541-6100</identifier><identifier>DOI: 10.3945/jn.113.183541</identifier><identifier>PMID: 24598886</identifier><identifier>CODEN: JONUAI</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Nutrition</publisher><subject>Aged ; Biological and medical sciences ; Black People - statistics & numerical data ; Dietary Supplements ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Life Style ; Linear Models ; Middle Aged ; Multivariate Analysis ; Postmenopause - metabolism ; Smoking - epidemiology ; Sunlight ; Surveys and Questionnaires ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin D - administration & dosage ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; Vitamin D Deficiency - drug therapy ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - metabolism ; Vitamins - administration & dosage ; Vitamins - blood ; White People - statistics & numerical data</subject><ispartof>The Journal of nutrition, 2014-05, Vol.144 (5), p.681-689</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-4c753b651f4dbd069a9eefada332c3e98a884f9a330be8775460c327b96edc423</citedby><cites>FETCH-LOGICAL-c362t-4c753b651f4dbd069a9eefada332c3e98a884f9a330be8775460c327b96edc423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28451432$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24598886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHENG, Ting-Yuan David</creatorcontrib><creatorcontrib>MILLEN, Amy E</creatorcontrib><creatorcontrib>WACTAWSKI-WENDE, Jean</creatorcontrib><creatorcontrib>BERESFORD, Shirley A. A</creatorcontrib><creatorcontrib>LACROIX, Andrea Z</creatorcontrib><creatorcontrib>YINGYE ZHENG</creatorcontrib><creatorcontrib>GOODMAN, Gary E</creatorcontrib><creatorcontrib>THORNQUIST, Mark D</creatorcontrib><creatorcontrib>NEUHOUSER, Marian L</creatorcontrib><title>Vitamin D Intake Determines Vitamin D Status of Postmenopausal Women, Particularly Those with Limited Sun Exposure</title><title>The Journal of nutrition</title><addtitle>J Nutr</addtitle><description>Few detailed data are available on the wide range of determinants of vitamin D status among postmenopausal women, and it is also unclear whether there may be undiscovered determinants. The objective of this study was to comprehensively evaluate determinants of serum 25-hydroxyvitamin D [25(OH)D] concentrations in a large cohort of postmenopausal women. Data from a subset of the Women's Health Initiative Observational Study were analyzed (50-79 y; n = 3345). Information on diet, lifestyle behaviors, secondhand smoke, use of dietary supplements and medication, chronic diseases, and anthropometry was collected at baseline (1993-1998) and on sun exposure at year 4 follow-up. Linear regression was performed to estimate regression coefficients (β). Significant determinants were total vitamin D intake (food plus supplements per 100 IU/d, β = 2.08), years of supplemental vitamin D use (β = 0.15), total fat intake (grams per day, β = -0.03), smoking status (β = -2.64, current vs. never), regional solar irradiance (β = 6.26, 475-500 vs. 300-325 Langleys), daylight time spent outdoors in summer (β = 5.15, >2 h vs. <30 min/d), recreational physical activity (metabolic equivalent task per hour per week, β = 0.13), waist circumference (centimeters, β = -0.26), and race/ethnicity (β = -11.94, black vs. white). Total vitamin D intake (partial R(2) = 0.09) explained the most variance in serum 25(OH)D concentrations (total R(2) = 0.29). The association between total vitamin D intake and serum 25(OH)D concentrations was stronger among participants who spent less rather than more daylight time outdoors in summer (P-interaction = 0.026). History and medications for hypertension, hyperlipidemia, and type 2 diabetes and secondhand smoke exposure were not associated with serum 25(OH)D. In conclusion, dietary factors and sun exposure remain important determinants of vitamin D status in postmenopausal women. Vitamin D intake should be emphasized for those with limited sun exposure.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Black People - statistics & numerical data</subject><subject>Dietary Supplements</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Life Style</subject><subject>Linear Models</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Postmenopause - metabolism</subject><subject>Smoking - epidemiology</subject><subject>Sunlight</subject><subject>Surveys and Questionnaires</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin D - administration & dosage</subject><subject>Vitamin D - analogs & derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - drug therapy</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - metabolism</subject><subject>Vitamins - administration & dosage</subject><subject>Vitamins - blood</subject><subject>White People - statistics & numerical data</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtP3DAUhS1UxAyUJdvKm0osyOBXHGdZ8WiRRmIkaFlGN86NxtMkntqOyvz7Bs0UVkfn3k9n8RFywdlCliq_3gwLzuWCG5krfkTmfIpMc8Y-kTljQmSSaz0jpzFuGGNcleaEzITKS2OMnpPwyyXo3UBv6cOQ4DfSW0wYpgtG-vF7SpDGSH1LVz6mHge_hTFCR1_8VK7oCkJyduwgdDv6vPYR6V-X1nTpepewoU_jQO9etz6OAT-T4xa6iOeHPCM_7--eb35ky8fvDzfflpmVWqRM2SKXtc55q5q6YbqEErGFBqQUVmJpwBjVllNlNZqiyJVmVoqiLjU2Vgl5Ri73u9vg_4wYU9W7aLHrYEA_xorn3AhVKMYnNNujNvgYA7bVNrgewq7irHrTXG2GatJc7TVP_JfD9Fj32LzT_71OwNcDANFC1wYYrIsfnFE5V1LIfwM-hfo</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>CHENG, Ting-Yuan David</creator><creator>MILLEN, Amy E</creator><creator>WACTAWSKI-WENDE, Jean</creator><creator>BERESFORD, Shirley A. 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Psychology</topic><topic>Humans</topic><topic>Life Style</topic><topic>Linear Models</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Postmenopause - metabolism</topic><topic>Smoking - epidemiology</topic><topic>Sunlight</topic><topic>Surveys and Questionnaires</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin D - administration & dosage</topic><topic>Vitamin D - analogs & derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - drug therapy</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - metabolism</topic><topic>Vitamins - administration & dosage</topic><topic>Vitamins - blood</topic><topic>White People - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHENG, Ting-Yuan David</creatorcontrib><creatorcontrib>MILLEN, Amy E</creatorcontrib><creatorcontrib>WACTAWSKI-WENDE, Jean</creatorcontrib><creatorcontrib>BERESFORD, Shirley A. A</creatorcontrib><creatorcontrib>LACROIX, Andrea Z</creatorcontrib><creatorcontrib>YINGYE ZHENG</creatorcontrib><creatorcontrib>GOODMAN, Gary E</creatorcontrib><creatorcontrib>THORNQUIST, Mark D</creatorcontrib><creatorcontrib>NEUHOUSER, Marian L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHENG, Ting-Yuan David</au><au>MILLEN, Amy E</au><au>WACTAWSKI-WENDE, Jean</au><au>BERESFORD, Shirley A. A</au><au>LACROIX, Andrea Z</au><au>YINGYE ZHENG</au><au>GOODMAN, Gary E</au><au>THORNQUIST, Mark D</au><au>NEUHOUSER, Marian L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin D Intake Determines Vitamin D Status of Postmenopausal Women, Particularly Those with Limited Sun Exposure</atitle><jtitle>The Journal of nutrition</jtitle><addtitle>J Nutr</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>144</volume><issue>5</issue><spage>681</spage><epage>689</epage><pages>681-689</pages><issn>0022-3166</issn><eissn>1541-6100</eissn><coden>JONUAI</coden><abstract>Few detailed data are available on the wide range of determinants of vitamin D status among postmenopausal women, and it is also unclear whether there may be undiscovered determinants. The objective of this study was to comprehensively evaluate determinants of serum 25-hydroxyvitamin D [25(OH)D] concentrations in a large cohort of postmenopausal women. Data from a subset of the Women's Health Initiative Observational Study were analyzed (50-79 y; n = 3345). Information on diet, lifestyle behaviors, secondhand smoke, use of dietary supplements and medication, chronic diseases, and anthropometry was collected at baseline (1993-1998) and on sun exposure at year 4 follow-up. Linear regression was performed to estimate regression coefficients (β). Significant determinants were total vitamin D intake (food plus supplements per 100 IU/d, β = 2.08), years of supplemental vitamin D use (β = 0.15), total fat intake (grams per day, β = -0.03), smoking status (β = -2.64, current vs. never), regional solar irradiance (β = 6.26, 475-500 vs. 300-325 Langleys), daylight time spent outdoors in summer (β = 5.15, >2 h vs. <30 min/d), recreational physical activity (metabolic equivalent task per hour per week, β = 0.13), waist circumference (centimeters, β = -0.26), and race/ethnicity (β = -11.94, black vs. white). Total vitamin D intake (partial R(2) = 0.09) explained the most variance in serum 25(OH)D concentrations (total R(2) = 0.29). The association between total vitamin D intake and serum 25(OH)D concentrations was stronger among participants who spent less rather than more daylight time outdoors in summer (P-interaction = 0.026). History and medications for hypertension, hyperlipidemia, and type 2 diabetes and secondhand smoke exposure were not associated with serum 25(OH)D. In conclusion, dietary factors and sun exposure remain important determinants of vitamin D status in postmenopausal women. Vitamin D intake should be emphasized for those with limited sun exposure.</abstract><cop>Bethesda, MD</cop><pub>American Society for Nutrition</pub><pmid>24598886</pmid><doi>10.3945/jn.113.183541</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biological and medical sciences Black People - statistics & numerical data Dietary Supplements Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Life Style Linear Models Middle Aged Multivariate Analysis Postmenopause - metabolism Smoking - epidemiology Sunlight Surveys and Questionnaires Vertebrates: anatomy and physiology, studies on body, several organs or systems Vitamin D - administration & dosage Vitamin D - analogs & derivatives Vitamin D - blood Vitamin D Deficiency - drug therapy Vitamin D Deficiency - epidemiology Vitamin D Deficiency - metabolism Vitamins - administration & dosage Vitamins - blood White People - statistics & numerical data |
| title | Vitamin D Intake Determines Vitamin D Status of Postmenopausal Women, Particularly Those with Limited Sun Exposure |
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