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 surveys12345

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 improv...

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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 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. 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). 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. Year-round prevalence rates for serum 25(OH)D concentrations
doi_str_mv 10.3945/ajcn.112.057182
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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). 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. 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. 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><language>eng</language><publisher>Elsevier Inc</publisher><subject>Vitamins, Minerals, and Phytochemicals</subject><ispartof>The American journal of clinical nutrition, 2013-06, Vol.97 (6), p.1235-1242</ispartof><rights>2013 American Society for Nutrition.</rights><rights>2013 American Society for Nutrition 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids></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 surveys12345</title><title>The American journal of clinical nutrition</title><description><![CDATA[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. 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). 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. 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. 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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 surveys12345
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