Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys

Background: The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedu...

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Veröffentlicht in:The American journal of clinical nutrition 2013-06, Vol.97 (6), p.1235-1242
Hauptverfasser: Cashman, Kevin D, Kiely, Mairead, Kinsella, Michael, Durazo-Arvizu, Ramón A, Tian, Lu, Zhang, Yue, Lucey, Alice, Flynn, Albert, Gibney, Michael J, Vesper, Hubert W, Phinney, Karen W, Coates, Paul M, Picciano, Mary F, Sempos, Christopher T
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container_end_page 1242
container_issue 6
container_start_page 1235
container_title The American journal of clinical nutrition
container_volume 97
creator Cashman, Kevin D
Kiely, Mairead
Kinsella, Michael
Durazo-Arvizu, Ramón A
Tian, Lu
Zhang, Yue
Lucey, Alice
Flynn, Albert
Gibney, Michael J
Vesper, Hubert W
Phinney, Karen W
Coates, Paul M
Picciano, Mary F
Sempos, Christopher T
description Background: The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedure to improve public health practice.Objective: We applied VDSP protocols to existing ELISA-derived serum 25(OH)D data from the Irish National Adult Nutrition Survey (NANS) as a case-study survey and evaluated their effectiveness by comparison of the protocol-projected estimates with those from a reanalysis of survey serums by using liquid chromatography–tandem mass spectrometry (LC–tandem MS).Design: The VDSP reference system and protocols were applied to ELISA-based serum 25(OH)D data from the representative NANS sample (n = 1118). A reanalysis of 99 stored serums by using standardized LC–tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC–tandem MS reanalyzed values for all serums.Results: Year-round prevalence rates for serum 25(OH)D concentrations
doi_str_mv 10.3945/ajcn.112.057182
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A reanalysis of 99 stored serums by using standardized LC–tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC–tandem MS reanalyzed values for all serums.Results: Year-round prevalence rates for serum 25(OH)D concentrations <30, <40, and <50 nmol/L were 6.5%, 21.9%, and 40.0%, respectively, via original ELISA measurements and 11.4%, 25.3%, and 43.7%, respectively, when VDSP protocols were applied. Differences in estimates at <30- and <40-nmol/L thresholds, but not at the <50-nmol/L threshold, were significant (P < 0.05). A reanalysis of all serums by using LC–tandem MS confirmed prevalence estimates as 11.2%, 27.2%, and 45.0%, respectively. Prevalences of serum 25(OH)D concentrations >125 nmol/L were 1.2%, 0.3%, and 0.6% by means of ELISA, VDSP protocols, and LC–tandem MS, respectively.Conclusion: VDSP protocols hold a major potential for national nutrition and health surveys in terms of the standardization of serum 25(OH)D data.]]></description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.112.057182</identifier><identifier>PMID: 23615829</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Adolescent ; Adult ; adults ; Aged ; Aged, 80 and over ; Biological and medical sciences ; blood serum ; case studies ; Chromatography ; Chromatography, Liquid - methods ; clinical nutrition ; dietary surveys ; Enzyme-Linked Immunosorbent Assay ; equations ; Feeding. Feeding behavior ; Fundamental and applied biological sciences. Psychology ; Guidelines as Topic ; Humans ; Linear Models ; liquid chromatography ; Mass spectrometry ; Middle Aged ; Nutrition ; Nutrition Surveys ; Nutritional Status ; Public health ; Reference Standards ; Regression analysis ; Seasons ; tandem mass spectrometry ; Tandem Mass Spectrometry - methods ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin D ; Vitamin D - administration &amp; dosage ; Vitamin D - blood ; Vitamin D - standards ; Vitamin D Deficiency - prevention &amp; control ; Vitamins, Minerals, and Phytochemicals ; Young Adult</subject><ispartof>The American journal of clinical nutrition, 2013-06, Vol.97 (6), p.1235-1242</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Jun 1, 2013</rights><rights>2013 American Society for Nutrition 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-b5a34156e35ef41574a7df281bd2e80420103eaa3b55f52f78add90b0ffc1f123</citedby><cites>FETCH-LOGICAL-c508t-b5a34156e35ef41574a7df281bd2e80420103eaa3b55f52f78add90b0ffc1f123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27374682$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23615829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cashman, Kevin D</creatorcontrib><creatorcontrib>Kiely, Mairead</creatorcontrib><creatorcontrib>Kinsella, Michael</creatorcontrib><creatorcontrib>Durazo-Arvizu, Ramón A</creatorcontrib><creatorcontrib>Tian, Lu</creatorcontrib><creatorcontrib>Zhang, Yue</creatorcontrib><creatorcontrib>Lucey, Alice</creatorcontrib><creatorcontrib>Flynn, Albert</creatorcontrib><creatorcontrib>Gibney, Michael J</creatorcontrib><creatorcontrib>Vesper, Hubert W</creatorcontrib><creatorcontrib>Phinney, Karen W</creatorcontrib><creatorcontrib>Coates, Paul M</creatorcontrib><creatorcontrib>Picciano, Mary F</creatorcontrib><creatorcontrib>Sempos, Christopher T</creatorcontrib><title>Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description><![CDATA[Background: The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedure to improve public health practice.Objective: We applied VDSP protocols to existing ELISA-derived serum 25(OH)D data from the Irish National Adult Nutrition Survey (NANS) as a case-study survey and evaluated their effectiveness by comparison of the protocol-projected estimates with those from a reanalysis of survey serums by using liquid chromatography–tandem mass spectrometry (LC–tandem MS).Design: The VDSP reference system and protocols were applied to ELISA-based serum 25(OH)D data from the representative NANS sample (n = 1118). A reanalysis of 99 stored serums by using standardized LC–tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC–tandem MS reanalyzed values for all serums.Results: Year-round prevalence rates for serum 25(OH)D concentrations <30, <40, and <50 nmol/L were 6.5%, 21.9%, and 40.0%, respectively, via original ELISA measurements and 11.4%, 25.3%, and 43.7%, respectively, when VDSP protocols were applied. Differences in estimates at <30- and <40-nmol/L thresholds, but not at the <50-nmol/L threshold, were significant (P < 0.05). A reanalysis of all serums by using LC–tandem MS confirmed prevalence estimates as 11.2%, 27.2%, and 45.0%, respectively. Prevalences of serum 25(OH)D concentrations >125 nmol/L were 1.2%, 0.3%, and 0.6% by means of ELISA, VDSP protocols, and LC–tandem MS, respectively.Conclusion: VDSP protocols hold a major potential for national nutrition and health surveys in terms of the standardization of serum 25(OH)D data.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>blood serum</subject><subject>case studies</subject><subject>Chromatography</subject><subject>Chromatography, Liquid - methods</subject><subject>clinical nutrition</subject><subject>dietary surveys</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>equations</subject><subject>Feeding. Feeding behavior</subject><subject>Fundamental and applied biological sciences. 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Feeding behavior</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Guidelines as Topic</topic><topic>Humans</topic><topic>Linear Models</topic><topic>liquid chromatography</topic><topic>Mass spectrometry</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutrition Surveys</topic><topic>Nutritional Status</topic><topic>Public health</topic><topic>Reference Standards</topic><topic>Regression analysis</topic><topic>Seasons</topic><topic>tandem mass spectrometry</topic><topic>Tandem Mass Spectrometry - methods</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin D</topic><topic>Vitamin D - administration &amp; dosage</topic><topic>Vitamin D - blood</topic><topic>Vitamin D - standards</topic><topic>Vitamin D Deficiency - prevention &amp; control</topic><topic>Vitamins, Minerals, and Phytochemicals</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cashman, Kevin D</creatorcontrib><creatorcontrib>Kiely, Mairead</creatorcontrib><creatorcontrib>Kinsella, Michael</creatorcontrib><creatorcontrib>Durazo-Arvizu, Ramón A</creatorcontrib><creatorcontrib>Tian, Lu</creatorcontrib><creatorcontrib>Zhang, Yue</creatorcontrib><creatorcontrib>Lucey, Alice</creatorcontrib><creatorcontrib>Flynn, Albert</creatorcontrib><creatorcontrib>Gibney, Michael J</creatorcontrib><creatorcontrib>Vesper, Hubert W</creatorcontrib><creatorcontrib>Phinney, Karen W</creatorcontrib><creatorcontrib>Coates, Paul M</creatorcontrib><creatorcontrib>Picciano, Mary F</creatorcontrib><creatorcontrib>Sempos, Christopher T</creatorcontrib><collection>AGRIS</collection><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>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cashman, Kevin D</au><au>Kiely, Mairead</au><au>Kinsella, Michael</au><au>Durazo-Arvizu, Ramón A</au><au>Tian, Lu</au><au>Zhang, Yue</au><au>Lucey, Alice</au><au>Flynn, Albert</au><au>Gibney, Michael J</au><au>Vesper, Hubert W</au><au>Phinney, Karen W</au><au>Coates, Paul M</au><au>Picciano, Mary F</au><au>Sempos, Christopher T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>97</volume><issue>6</issue><spage>1235</spage><epage>1242</epage><pages>1235-1242</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract><![CDATA[Background: The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedure to improve public health practice.Objective: We applied VDSP protocols to existing ELISA-derived serum 25(OH)D data from the Irish National Adult Nutrition Survey (NANS) as a case-study survey and evaluated their effectiveness by comparison of the protocol-projected estimates with those from a reanalysis of survey serums by using liquid chromatography–tandem mass spectrometry (LC–tandem MS).Design: The VDSP reference system and protocols were applied to ELISA-based serum 25(OH)D data from the representative NANS sample (n = 1118). A reanalysis of 99 stored serums by using standardized LC–tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC–tandem MS reanalyzed values for all serums.Results: Year-round prevalence rates for serum 25(OH)D concentrations <30, <40, and <50 nmol/L were 6.5%, 21.9%, and 40.0%, respectively, via original ELISA measurements and 11.4%, 25.3%, and 43.7%, respectively, when VDSP protocols were applied. Differences in estimates at <30- and <40-nmol/L thresholds, but not at the <50-nmol/L threshold, were significant (P < 0.05). A reanalysis of all serums by using LC–tandem MS confirmed prevalence estimates as 11.2%, 27.2%, and 45.0%, respectively. Prevalences of serum 25(OH)D concentrations >125 nmol/L were 1.2%, 0.3%, and 0.6% by means of ELISA, VDSP protocols, and LC–tandem MS, respectively.Conclusion: VDSP protocols hold a major potential for national nutrition and health surveys in terms of the standardization of serum 25(OH)D data.]]></abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>23615829</pmid><doi>10.3945/ajcn.112.057182</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
adults
Aged
Aged, 80 and over
Biological and medical sciences
blood serum
case studies
Chromatography
Chromatography, Liquid - methods
clinical nutrition
dietary surveys
Enzyme-Linked Immunosorbent Assay
equations
Feeding. Feeding behavior
Fundamental and applied biological sciences. Psychology
Guidelines as Topic
Humans
Linear Models
liquid chromatography
Mass spectrometry
Middle Aged
Nutrition
Nutrition Surveys
Nutritional Status
Public health
Reference Standards
Regression analysis
Seasons
tandem mass spectrometry
Tandem Mass Spectrometry - methods
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin D
Vitamin D - administration & dosage
Vitamin D - blood
Vitamin D - standards
Vitamin D Deficiency - prevention & control
Vitamins, Minerals, and Phytochemicals
Young Adult
title Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys
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