Prospective association of vitamin D concentrations with mortality in postmenopausal women: results from the Women's Health Initiative (WHI)
Prospective epidemiologic data on the association between vitamin D and all-cause and cause-specific mortality are limited. This study aimed to determine whether 25-hydroxyvitamin D [25(OH)D] concentrations were prospectively and independently associated with cardiovascular disease (CVD), cancer, an...
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| Veröffentlicht in: | The American journal of clinical nutrition 2011-12, Vol.94 (6), p.1471-1478 |
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| creator | EATON, Charles B YOUNG, Alicia SIMIN LIU MANSON, Joann E ALLISON, Matthew A ROBINSON, Jennifer MARTIN, Lisa W KULLER, Lewis H JOHNSON, Karen C CURB, J. David LINDA VAN HORN MCTIERNAN, Anne |
| description | Prospective epidemiologic data on the association between vitamin D and all-cause and cause-specific mortality are limited.
This study aimed to determine whether 25-hydroxyvitamin D [25(OH)D] concentrations were prospectively and independently associated with cardiovascular disease (CVD), cancer, and all-cause mortality in postmenopausal women.
A substudy in 2429 postmenopausal women within the Women's Health Initiative (WHI) with measured baseline 25(OH)D concentrations were followed for 10 y for death from CVD, cancer, and all-cause mortality. Proportional hazards models were performed to evaluate quartiles of month-adjusted 25(OH)D concentrations, with adjustment for potential confounders. Sequential model building and analysis for multiplicative interaction were performed to evaluate the effects of central adiposity on the association of low 25(OH)D with all-cause mortality.
Of the 2429 women, 224 deaths occurred, with 79 deaths from CVD and 62 deaths from cancer. Multivariate-adjusted HRs that compared quartiles 1 (lowest) to 4 (highest) of 25(OH)D for all-cause mortality (HR: 1.25; 95% CI: 0.80, 1.95), CVD mortality (HR: 1.27; 95% CI: 0.81, 1.99), and cancer mortality (HR: 1.39; 95% CI: 0.88, 2.19) were not significant. There was a potential interaction (P = 0.08) between abdominal obesity and low 25(OH)D concentrations that showed an increased risk of the lowest quartile of 25(OH)D concentrations (HR: 1.85; 95% CI: 1.00, 3.44) with increased mortality in women with a normal waist circumference but no increased risk in women with abdominal obesity (HR: 0.96; 95% CI: 0.52, 1.76).
Body fat distribution may play an important role in the modulation of the effect of low vitamin D concentrations on health. This trial was registered at clinicaltrials.gov as NCT 00000611. |
| doi_str_mv | 10.3945/ajcn.111.017715 |
| format | Article |
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This study aimed to determine whether 25-hydroxyvitamin D [25(OH)D] concentrations were prospectively and independently associated with cardiovascular disease (CVD), cancer, and all-cause mortality in postmenopausal women.
A substudy in 2429 postmenopausal women within the Women's Health Initiative (WHI) with measured baseline 25(OH)D concentrations were followed for 10 y for death from CVD, cancer, and all-cause mortality. Proportional hazards models were performed to evaluate quartiles of month-adjusted 25(OH)D concentrations, with adjustment for potential confounders. Sequential model building and analysis for multiplicative interaction were performed to evaluate the effects of central adiposity on the association of low 25(OH)D with all-cause mortality.
Of the 2429 women, 224 deaths occurred, with 79 deaths from CVD and 62 deaths from cancer. Multivariate-adjusted HRs that compared quartiles 1 (lowest) to 4 (highest) of 25(OH)D for all-cause mortality (HR: 1.25; 95% CI: 0.80, 1.95), CVD mortality (HR: 1.27; 95% CI: 0.81, 1.99), and cancer mortality (HR: 1.39; 95% CI: 0.88, 2.19) were not significant. There was a potential interaction (P = 0.08) between abdominal obesity and low 25(OH)D concentrations that showed an increased risk of the lowest quartile of 25(OH)D concentrations (HR: 1.85; 95% CI: 1.00, 3.44) with increased mortality in women with a normal waist circumference but no increased risk in women with abdominal obesity (HR: 0.96; 95% CI: 0.52, 1.76).
Body fat distribution may play an important role in the modulation of the effect of low vitamin D concentrations on health. This trial was registered at clinicaltrials.gov as NCT 00000611.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.111.017715</identifier><identifier>PMID: 22030222</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Nutrition</publisher><subject>Aged ; Biological and medical sciences ; Body Fat Distribution ; Cardiovascular disease ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - mortality ; Cause of Death ; Epidemiology ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Humans ; Male ; Menopause ; Middle Aged ; Mortality ; Neoplasms - blood ; Neoplasms - mortality ; Obesity, Abdominal - blood ; Obesity, Abdominal - complications ; Postmenopause ; Proportional Hazards Models ; Prospective Studies ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin D ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - complications ; Waist Circumference ; Womens health</subject><ispartof>The American journal of clinical nutrition, 2011-12, Vol.94 (6), p.1471-1478</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Dec 1, 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-1f39d3e037e2345507f32b09f12d3779b909c44e42ae020530f997a537d81bf53</citedby><cites>FETCH-LOGICAL-c394t-1f39d3e037e2345507f32b09f12d3779b909c44e42ae020530f997a537d81bf53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25229067$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22030222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>EATON, Charles B</creatorcontrib><creatorcontrib>YOUNG, Alicia</creatorcontrib><creatorcontrib>SIMIN LIU</creatorcontrib><creatorcontrib>MANSON, Joann E</creatorcontrib><creatorcontrib>ALLISON, Matthew A</creatorcontrib><creatorcontrib>ROBINSON, Jennifer</creatorcontrib><creatorcontrib>MARTIN, Lisa W</creatorcontrib><creatorcontrib>KULLER, Lewis H</creatorcontrib><creatorcontrib>JOHNSON, Karen C</creatorcontrib><creatorcontrib>CURB, J. David</creatorcontrib><creatorcontrib>LINDA VAN HORN</creatorcontrib><creatorcontrib>MCTIERNAN, Anne</creatorcontrib><title>Prospective association of vitamin D concentrations with mortality in postmenopausal women: results from the Women's Health Initiative (WHI)</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>Prospective epidemiologic data on the association between vitamin D and all-cause and cause-specific mortality are limited.
This study aimed to determine whether 25-hydroxyvitamin D [25(OH)D] concentrations were prospectively and independently associated with cardiovascular disease (CVD), cancer, and all-cause mortality in postmenopausal women.
A substudy in 2429 postmenopausal women within the Women's Health Initiative (WHI) with measured baseline 25(OH)D concentrations were followed for 10 y for death from CVD, cancer, and all-cause mortality. Proportional hazards models were performed to evaluate quartiles of month-adjusted 25(OH)D concentrations, with adjustment for potential confounders. Sequential model building and analysis for multiplicative interaction were performed to evaluate the effects of central adiposity on the association of low 25(OH)D with all-cause mortality.
Of the 2429 women, 224 deaths occurred, with 79 deaths from CVD and 62 deaths from cancer. Multivariate-adjusted HRs that compared quartiles 1 (lowest) to 4 (highest) of 25(OH)D for all-cause mortality (HR: 1.25; 95% CI: 0.80, 1.95), CVD mortality (HR: 1.27; 95% CI: 0.81, 1.99), and cancer mortality (HR: 1.39; 95% CI: 0.88, 2.19) were not significant. There was a potential interaction (P = 0.08) between abdominal obesity and low 25(OH)D concentrations that showed an increased risk of the lowest quartile of 25(OH)D concentrations (HR: 1.85; 95% CI: 1.00, 3.44) with increased mortality in women with a normal waist circumference but no increased risk in women with abdominal obesity (HR: 0.96; 95% CI: 0.52, 1.76).
Body fat distribution may play an important role in the modulation of the effect of low vitamin D concentrations on health. This trial was registered at clinicaltrials.gov as NCT 00000611.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Fat Distribution</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cause of Death</subject><subject>Epidemiology</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Menopause</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neoplasms - blood</subject><subject>Neoplasms - mortality</subject><subject>Obesity, Abdominal - blood</subject><subject>Obesity, Abdominal - complications</subject><subject>Postmenopause</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin D</subject><subject>Vitamin D - analogs & derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - blood</subject><subject>Vitamin D Deficiency - complications</subject><subject>Waist Circumference</subject><subject>Womens health</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFPHCEYhkljo1vbc2-GmBjbw6wfMAyLN6O2u4lJe2jjccKyENnMwAiMxv_QH12mu7ZJTwR4eF_gQegjgTmTNb9QW-3nhJA5ECEIf4NmRLJFxSiIAzQDAFpJ0vAj9C6lLQCh9aI5REeUAgNK6Qz9-h5DGozO7slglVLQTmUXPA4WP7mseufxDdbBa-Nz_LOV8LPLD7gPMavO5RdckCGk3BsfBjUm1eHnUCaXOJo0djlhG0OP84PB99P6ecJLo7oSsfIuT3Wl-tP9cvX5PXprVZfMh_14jH5-uf1xvazuvn1dXV_dVbo8OlfEMrlhBpgwlNWcg7CMrkFaQjdMCLmWIHVdm5oqAxQ4AyulUJyJzYKsLWfH6HyXO8TwOJqU294lbbpOeRPG1ErgC0EbIIU8_Y_chjH6crkCNazhXE5xFztIl79M0dh2iK5X8aUl0E6a2klTWzS1O03lxMk-dlz3ZvOXf_VSgLM9oJJWnY3Ka5f-cZzS0i_Yb5v4m9U</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>EATON, Charles B</creator><creator>YOUNG, Alicia</creator><creator>SIMIN LIU</creator><creator>MANSON, Joann E</creator><creator>ALLISON, Matthew A</creator><creator>ROBINSON, Jennifer</creator><creator>MARTIN, Lisa W</creator><creator>KULLER, Lewis H</creator><creator>JOHNSON, Karen C</creator><creator>CURB, J. 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Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Menopause</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neoplasms - blood</topic><topic>Neoplasms - mortality</topic><topic>Obesity, Abdominal - blood</topic><topic>Obesity, Abdominal - complications</topic><topic>Postmenopause</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin D</topic><topic>Vitamin D - analogs & derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D Deficiency - blood</topic><topic>Vitamin D Deficiency - complications</topic><topic>Waist Circumference</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>EATON, Charles B</creatorcontrib><creatorcontrib>YOUNG, Alicia</creatorcontrib><creatorcontrib>SIMIN LIU</creatorcontrib><creatorcontrib>MANSON, Joann E</creatorcontrib><creatorcontrib>ALLISON, Matthew A</creatorcontrib><creatorcontrib>ROBINSON, Jennifer</creatorcontrib><creatorcontrib>MARTIN, Lisa W</creatorcontrib><creatorcontrib>KULLER, Lewis H</creatorcontrib><creatorcontrib>JOHNSON, Karen C</creatorcontrib><creatorcontrib>CURB, J. 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David</au><au>LINDA VAN HORN</au><au>MCTIERNAN, Anne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective association of vitamin D concentrations with mortality in postmenopausal women: results from the Women's Health Initiative (WHI)</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>94</volume><issue>6</issue><spage>1471</spage><epage>1478</epage><pages>1471-1478</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>Prospective epidemiologic data on the association between vitamin D and all-cause and cause-specific mortality are limited.
This study aimed to determine whether 25-hydroxyvitamin D [25(OH)D] concentrations were prospectively and independently associated with cardiovascular disease (CVD), cancer, and all-cause mortality in postmenopausal women.
A substudy in 2429 postmenopausal women within the Women's Health Initiative (WHI) with measured baseline 25(OH)D concentrations were followed for 10 y for death from CVD, cancer, and all-cause mortality. Proportional hazards models were performed to evaluate quartiles of month-adjusted 25(OH)D concentrations, with adjustment for potential confounders. Sequential model building and analysis for multiplicative interaction were performed to evaluate the effects of central adiposity on the association of low 25(OH)D with all-cause mortality.
Of the 2429 women, 224 deaths occurred, with 79 deaths from CVD and 62 deaths from cancer. Multivariate-adjusted HRs that compared quartiles 1 (lowest) to 4 (highest) of 25(OH)D for all-cause mortality (HR: 1.25; 95% CI: 0.80, 1.95), CVD mortality (HR: 1.27; 95% CI: 0.81, 1.99), and cancer mortality (HR: 1.39; 95% CI: 0.88, 2.19) were not significant. There was a potential interaction (P = 0.08) between abdominal obesity and low 25(OH)D concentrations that showed an increased risk of the lowest quartile of 25(OH)D concentrations (HR: 1.85; 95% CI: 1.00, 3.44) with increased mortality in women with a normal waist circumference but no increased risk in women with abdominal obesity (HR: 0.96; 95% CI: 0.52, 1.76).
Body fat distribution may play an important role in the modulation of the effect of low vitamin D concentrations on health. This trial was registered at clinicaltrials.gov as NCT 00000611.</abstract><cop>Bethesda, MD</cop><pub>American Society for Nutrition</pub><pmid>22030222</pmid><doi>10.3945/ajcn.111.017715</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of clinical nutrition, 2011-12, Vol.94 (6), p.1471-1478 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Biological and medical sciences Body Fat Distribution Cardiovascular disease Cardiovascular Diseases - blood Cardiovascular Diseases - mortality Cause of Death Epidemiology Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Humans Male Menopause Middle Aged Mortality Neoplasms - blood Neoplasms - mortality Obesity, Abdominal - blood Obesity, Abdominal - complications Postmenopause Proportional Hazards Models Prospective Studies Vertebrates: anatomy and physiology, studies on body, several organs or systems Vitamin D Vitamin D - analogs & derivatives Vitamin D - blood Vitamin D Deficiency - blood Vitamin D Deficiency - complications Waist Circumference Womens health |
| title | Prospective association of vitamin D concentrations with mortality in postmenopausal women: results from the Women's Health Initiative (WHI) |
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