Inverse relation between vitamin D and serum total immunoglobulin G in the Scandinavian Cystic Fibrosis Nutritional Study

Background/Objectives: The hallmark of cystic fibrosis (CF) is chronic lung inflammation. The severity of lung disease is closely correlated with immunoglobulin G (IgG) levels. Beyond its contribution to the bone health, the importance of vitamin D has not been fully recognized owing to the lack of...

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Veröffentlicht in:European journal of clinical nutrition 2011-01, Vol.65 (1), p.102-109
Hauptverfasser: Pincikova, T, Nilsson, K, Moen, I.E, Karpati, F, Fluge, G, Hollsing, A, Knudsen, P.K, Lindblad, A, Mared, L, Pressler, T, Hjelte, L
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container_issue 1
container_start_page 102
container_title European journal of clinical nutrition
container_volume 65
creator Pincikova, T
Nilsson, K
Moen, I.E
Karpati, F
Fluge, G
Hollsing, A
Knudsen, P.K
Lindblad, A
Mared, L
Pressler, T
Hjelte, L
description Background/Objectives: The hallmark of cystic fibrosis (CF) is chronic lung inflammation. The severity of lung disease is closely correlated with immunoglobulin G (IgG) levels. Beyond its contribution to the bone health, the importance of vitamin D has not been fully recognized owing to the lack of human studies providing evidence of its benefit. In the context of the recently described immunomodulatory functions of vitamin D, we aimed to assess the relationship between vitamin D and IgG levels. Subjects/Methods: Eight hundred and ninety-six CF patients were included (0.53–65.9 years) from seven centers in Denmark, Norway and Sweden. Serum 25-hydroxyvitamin D (25OHD) and total IgG were measured, spirometry was carried out and vitamin D intake data were gathered using a 7-day dietary food record. Multiple linear regression analyses were performed for IgG and forced expiratory volume in 1λs (FEV1) as dependent variables, and serum 25OHD, daily food and supplemented vitamin D sources of intake as independent variables. The model was controlled for age, gender, genotype, CF-related diabetes, season, infection/colonization status, long-term oral corticosteroid treatment, long-term treatment with macrolide antibiotics, pancreatic insufficient phenotype and body mass index z-score. Results: Serum total IgG levels were negatively associated with serum 25OHD (adjusted R 2=0.376; beta=−0.02; P
doi_str_mv 10.1038/ejcn.2010.194
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The severity of lung disease is closely correlated with immunoglobulin G (IgG) levels. Beyond its contribution to the bone health, the importance of vitamin D has not been fully recognized owing to the lack of human studies providing evidence of its benefit. In the context of the recently described immunomodulatory functions of vitamin D, we aimed to assess the relationship between vitamin D and IgG levels. Subjects/Methods: Eight hundred and ninety-six CF patients were included (0.53–65.9 years) from seven centers in Denmark, Norway and Sweden. Serum 25-hydroxyvitamin D (25OHD) and total IgG were measured, spirometry was carried out and vitamin D intake data were gathered using a 7-day dietary food record. Multiple linear regression analyses were performed for IgG and forced expiratory volume in 1λs (FEV1) as dependent variables, and serum 25OHD, daily food and supplemented vitamin D sources of intake as independent variables. The model was controlled for age, gender, genotype, CF-related diabetes, season, infection/colonization status, long-term oral corticosteroid treatment, long-term treatment with macrolide antibiotics, pancreatic insufficient phenotype and body mass index z-score. Results: Serum total IgG levels were negatively associated with serum 25OHD (adjusted R 2=0.376; beta=−0.02; P&lt;0.001), supplemented vitamin D intake per kg bodyweight (adjusted R 2=0.375; beta=−0.82; P&lt;0.001) and total vitamin D intake per kg bodyweight (adjusted R 2=0.398; beta=−0.60; P=0.002). Serum 25OHD was positively associated with FEV1 (adjusted R 2=0.308; beta=0.0007; P=0.025). Conclusions: Increasing vitamin D intake may positively modulate inflammation in CF. This study supports the proposed role of vitamin D in the immune system during infection and substantiates prospective studies.</description><identifier>ISSN: 0954-3007</identifier><identifier>ISSN: 1476-5640</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2010.194</identifier><identifier>PMID: 20859300</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject><![CDATA[25-hydroxycholecalciferol ; 631/250 ; 692/699/1785 ; 692/700/459/1994 ; administration & dosage ; Adolescent ; Adult ; Aged ; Alfacalcidol ; analogs & derivatives ; Antibiotics ; Biological and medical sciences ; blood ; Calcifediol ; Care and treatment ; Child ; Child, Preschool ; Clinical Nutrition ; Colonization ; Correlation analysis ; Cross-Sectional Studies ; Cystic Fibrosis ; Cystic Fibrosis - blood ; Cystic Fibrosis - immunology ; Cystic Fibrosis - metabolism ; Denmark ; Denmark - epidemiology ; Dietary Supplements ; disease severity ; Epidemiology ; Ergocalciferols ; Ergocalciferols - administration & dosage ; Ergocalciferols - blood ; Errors of metabolism ; Feeding. Feeding behavior ; Female ; Food ; forced expiratory flow rates ; Fundamental and applied biological sciences. Psychology ; Health Sciences ; human diseases ; human nutrition ; Humans ; Hälsovetenskap ; Immune system ; immunity ; Immunoglobulin G ; Immunoglobulin G - blood ; Immunoglobulins ; immunology ; Infant ; inflammation ; Inflammatory diseases ; Internal Medicine ; Male ; Medical and Health Sciences ; Medical sciences ; MEDICIN ; Medicin och hälsovetenskap ; MEDICINE ; Medicine & Public Health ; Metabolic Diseases ; metabolism ; Middle Aged ; Miscellaneous hereditary metabolic disorders ; Norway ; Norway - epidemiology ; nutrient intake ; Nutrition and Dietetics ; Nutritional Status ; Näringslära ; original-article ; patients ; Pediatrics ; Pediatrik ; Preschool ; Properties ; Public Health ; Regression Analysis ; respiratory tract diseases ; Scandinavian Cystic Fibrosis Nutritional Study ; Sweden ; Sweden - epidemiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin D ; Vitamin D - administration & dosage ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; vitamin supplements ; Young Adult]]></subject><ispartof>European journal of clinical nutrition, 2011-01, Vol.65 (1), p.102-109</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c802t-bb10ac4e5bd808719b97e56783ae3bb2e719601beddc25e30808625ed7fe7cec3</citedby><cites>FETCH-LOGICAL-c802t-bb10ac4e5bd808719b97e56783ae3bb2e719601beddc25e30808625ed7fe7cec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2010.194$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2010.194$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23896056$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20859300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-149728$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/143212$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/1869802$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:122079451$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Pincikova, T</creatorcontrib><creatorcontrib>Nilsson, K</creatorcontrib><creatorcontrib>Moen, I.E</creatorcontrib><creatorcontrib>Karpati, F</creatorcontrib><creatorcontrib>Fluge, G</creatorcontrib><creatorcontrib>Hollsing, A</creatorcontrib><creatorcontrib>Knudsen, P.K</creatorcontrib><creatorcontrib>Lindblad, A</creatorcontrib><creatorcontrib>Mared, L</creatorcontrib><creatorcontrib>Pressler, T</creatorcontrib><creatorcontrib>Hjelte, L</creatorcontrib><creatorcontrib>Scandinavian Cystic Fibrosis Study Consortium</creatorcontrib><creatorcontrib>for the Scandinavian Cystic Fibrosis Study Consortium (SCFSC)</creatorcontrib><title>Inverse relation between vitamin D and serum total immunoglobulin G in the Scandinavian Cystic Fibrosis Nutritional Study</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/Objectives: The hallmark of cystic fibrosis (CF) is chronic lung inflammation. The severity of lung disease is closely correlated with immunoglobulin G (IgG) levels. Beyond its contribution to the bone health, the importance of vitamin D has not been fully recognized owing to the lack of human studies providing evidence of its benefit. In the context of the recently described immunomodulatory functions of vitamin D, we aimed to assess the relationship between vitamin D and IgG levels. Subjects/Methods: Eight hundred and ninety-six CF patients were included (0.53–65.9 years) from seven centers in Denmark, Norway and Sweden. Serum 25-hydroxyvitamin D (25OHD) and total IgG were measured, spirometry was carried out and vitamin D intake data were gathered using a 7-day dietary food record. Multiple linear regression analyses were performed for IgG and forced expiratory volume in 1λs (FEV1) as dependent variables, and serum 25OHD, daily food and supplemented vitamin D sources of intake as independent variables. The model was controlled for age, gender, genotype, CF-related diabetes, season, infection/colonization status, long-term oral corticosteroid treatment, long-term treatment with macrolide antibiotics, pancreatic insufficient phenotype and body mass index z-score. Results: Serum total IgG levels were negatively associated with serum 25OHD (adjusted R 2=0.376; beta=−0.02; P&lt;0.001), supplemented vitamin D intake per kg bodyweight (adjusted R 2=0.375; beta=−0.82; P&lt;0.001) and total vitamin D intake per kg bodyweight (adjusted R 2=0.398; beta=−0.60; P=0.002). Serum 25OHD was positively associated with FEV1 (adjusted R 2=0.308; beta=0.0007; P=0.025). Conclusions: Increasing vitamin D intake may positively modulate inflammation in CF. This study supports the proposed role of vitamin D in the immune system during infection and substantiates prospective studies.</description><subject>25-hydroxycholecalciferol</subject><subject>631/250</subject><subject>692/699/1785</subject><subject>692/700/459/1994</subject><subject>administration &amp; dosage</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alfacalcidol</subject><subject>analogs &amp; derivatives</subject><subject>Antibiotics</subject><subject>Biological and medical sciences</subject><subject>blood</subject><subject>Calcifediol</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Nutrition</subject><subject>Colonization</subject><subject>Correlation analysis</subject><subject>Cross-Sectional Studies</subject><subject>Cystic Fibrosis</subject><subject>Cystic Fibrosis - blood</subject><subject>Cystic Fibrosis - immunology</subject><subject>Cystic Fibrosis - metabolism</subject><subject>Denmark</subject><subject>Denmark - epidemiology</subject><subject>Dietary Supplements</subject><subject>disease severity</subject><subject>Epidemiology</subject><subject>Ergocalciferols</subject><subject>Ergocalciferols - administration &amp; dosage</subject><subject>Ergocalciferols - blood</subject><subject>Errors of metabolism</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Food</subject><subject>forced expiratory flow rates</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health Sciences</subject><subject>human diseases</subject><subject>human nutrition</subject><subject>Humans</subject><subject>Hälsovetenskap</subject><subject>Immune system</subject><subject>immunity</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G - blood</subject><subject>Immunoglobulins</subject><subject>immunology</subject><subject>Infant</subject><subject>inflammation</subject><subject>Inflammatory diseases</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical and Health Sciences</subject><subject>Medical sciences</subject><subject>MEDICIN</subject><subject>Medicin och hälsovetenskap</subject><subject>MEDICINE</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>metabolism</subject><subject>Middle Aged</subject><subject>Miscellaneous hereditary metabolic disorders</subject><subject>Norway</subject><subject>Norway - epidemiology</subject><subject>nutrient intake</subject><subject>Nutrition and Dietetics</subject><subject>Nutritional Status</subject><subject>Näringslära</subject><subject>original-article</subject><subject>patients</subject><subject>Pediatrics</subject><subject>Pediatrik</subject><subject>Preschool</subject><subject>Properties</subject><subject>Public Health</subject><subject>Regression Analysis</subject><subject>respiratory tract diseases</subject><subject>Scandinavian Cystic Fibrosis Nutritional Study</subject><subject>Sweden</subject><subject>Sweden - epidemiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin D</subject><subject>Vitamin D - administration &amp; dosage</subject><subject>Vitamin D - analogs &amp; derivatives</subject><subject>Vitamin D - blood</subject><subject>vitamin supplements</subject><subject>Young Adult</subject><issn>0954-3007</issn><issn>1476-5640</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9k01v1DAQhiMEoqVw5ApRER8HtjhxPpxj1dJSqYJDKVfLdiapi2MvdrzV_nsm3aXboraKnDgzz7we2zNJ8jojexmh7AtcKruXk-m3KZ4k21lRV7OyKsjTZJs0ZTGjhNRbyYsQLglBZ50_T7ZywsoGHdvJ8sQuwAdIPRgxamdTCeMVgE0XehSDtulhKmybBvBxSEc3CpPqYYjW9cbJaBA4TvE1XkB6ppDUViy0sOnBMoxapUdaehd0SL_H0etpARQ4G2O7fJk864QJ8Gr93UnOj77-PPg2O_1xfHKwfzpTjOTjTMqMCFVAKVtGWJ01sqmhrGpGBVApc0BTRTIJbavyEihBqsJJW3dQK1B0J5mtdMMVzKPkc68H4ZfcCc3Xpt84A14WjBUM-dMHeRPnOCSOKUCWVYN5lbyWpOFFRTuO2REuRU1Vx9pGZvDo8j3Koam_VssKmmc58p8f5A_1r33ufM9jRLyp8ynbjyt87t2fCGHkgw4KjBEWXAyc5XlNGmSR_PQomZGGFnVJKoLo7n_opYseb-5ajzKsogl6t4J6YYBr27nRCzVp8v28qDKstqrabP8O1YMFL4yz0Gk03-H37uHxaWHQ6t6AD7cCLkCY8SI4E6dSC_dmorAgg4fu5mgzwqdW4lMr8amVOLYS8m_WhxDlAO0N_a93EHi_BkRQwnReWKXDhqMMC7O8taWALtuD35zmQyu_XQV0wnHRexQ9P0MvJVmTY-lX9C9Q7T5M</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Pincikova, T</creator><creator>Nilsson, K</creator><creator>Moen, I.E</creator><creator>Karpati, F</creator><creator>Fluge, G</creator><creator>Hollsing, A</creator><creator>Knudsen, P.K</creator><creator>Lindblad, A</creator><creator>Mared, L</creator><creator>Pressler, T</creator><creator>Hjelte, L</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF2</scope><scope>F1U</scope><scope>D95</scope></search><sort><creationdate>20110101</creationdate><title>Inverse relation between vitamin D and serum total immunoglobulin G in the Scandinavian Cystic Fibrosis Nutritional Study</title><author>Pincikova, T ; Nilsson, K ; Moen, I.E ; Karpati, F ; Fluge, G ; Hollsing, A ; Knudsen, P.K ; Lindblad, A ; Mared, L ; Pressler, T ; Hjelte, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c802t-bb10ac4e5bd808719b97e56783ae3bb2e719601beddc25e30808625ed7fe7cec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>25-hydroxycholecalciferol</topic><topic>631/250</topic><topic>692/699/1785</topic><topic>692/700/459/1994</topic><topic>administration &amp; dosage</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alfacalcidol</topic><topic>analogs &amp; derivatives</topic><topic>Antibiotics</topic><topic>Biological and medical sciences</topic><topic>blood</topic><topic>Calcifediol</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Nutrition</topic><topic>Colonization</topic><topic>Correlation analysis</topic><topic>Cross-Sectional Studies</topic><topic>Cystic Fibrosis</topic><topic>Cystic Fibrosis - blood</topic><topic>Cystic Fibrosis - immunology</topic><topic>Cystic Fibrosis - metabolism</topic><topic>Denmark</topic><topic>Denmark - epidemiology</topic><topic>Dietary Supplements</topic><topic>disease severity</topic><topic>Epidemiology</topic><topic>Ergocalciferols</topic><topic>Ergocalciferols - administration &amp; 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Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Uppsala universitet</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Lunds universitet</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pincikova, T</au><au>Nilsson, K</au><au>Moen, I.E</au><au>Karpati, F</au><au>Fluge, G</au><au>Hollsing, A</au><au>Knudsen, P.K</au><au>Lindblad, A</au><au>Mared, L</au><au>Pressler, T</au><au>Hjelte, L</au><aucorp>Scandinavian Cystic Fibrosis Study Consortium</aucorp><aucorp>for the Scandinavian Cystic Fibrosis Study Consortium (SCFSC)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inverse relation between vitamin D and serum total immunoglobulin G in the Scandinavian Cystic Fibrosis Nutritional Study</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>65</volume><issue>1</issue><spage>102</spage><epage>109</epage><pages>102-109</pages><issn>0954-3007</issn><issn>1476-5640</issn><eissn>1476-5640</eissn><abstract>Background/Objectives: The hallmark of cystic fibrosis (CF) is chronic lung inflammation. The severity of lung disease is closely correlated with immunoglobulin G (IgG) levels. Beyond its contribution to the bone health, the importance of vitamin D has not been fully recognized owing to the lack of human studies providing evidence of its benefit. In the context of the recently described immunomodulatory functions of vitamin D, we aimed to assess the relationship between vitamin D and IgG levels. Subjects/Methods: Eight hundred and ninety-six CF patients were included (0.53–65.9 years) from seven centers in Denmark, Norway and Sweden. Serum 25-hydroxyvitamin D (25OHD) and total IgG were measured, spirometry was carried out and vitamin D intake data were gathered using a 7-day dietary food record. Multiple linear regression analyses were performed for IgG and forced expiratory volume in 1λs (FEV1) as dependent variables, and serum 25OHD, daily food and supplemented vitamin D sources of intake as independent variables. The model was controlled for age, gender, genotype, CF-related diabetes, season, infection/colonization status, long-term oral corticosteroid treatment, long-term treatment with macrolide antibiotics, pancreatic insufficient phenotype and body mass index z-score. Results: Serum total IgG levels were negatively associated with serum 25OHD (adjusted R 2=0.376; beta=−0.02; P&lt;0.001), supplemented vitamin D intake per kg bodyweight (adjusted R 2=0.375; beta=−0.82; P&lt;0.001) and total vitamin D intake per kg bodyweight (adjusted R 2=0.398; beta=−0.60; P=0.002). Serum 25OHD was positively associated with FEV1 (adjusted R 2=0.308; beta=0.0007; P=0.025). Conclusions: Increasing vitamin D intake may positively modulate inflammation in CF. This study supports the proposed role of vitamin D in the immune system during infection and substantiates prospective studies.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20859300</pmid><doi>10.1038/ejcn.2010.194</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0954-3007
ispartof European journal of clinical nutrition, 2011-01, Vol.65 (1), p.102-109
issn 0954-3007
1476-5640
1476-5640
language eng
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source MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals
subjects 25-hydroxycholecalciferol
631/250
692/699/1785
692/700/459/1994
administration & dosage
Adolescent
Adult
Aged
Alfacalcidol
analogs & derivatives
Antibiotics
Biological and medical sciences
blood
Calcifediol
Care and treatment
Child
Child, Preschool
Clinical Nutrition
Colonization
Correlation analysis
Cross-Sectional Studies
Cystic Fibrosis
Cystic Fibrosis - blood
Cystic Fibrosis - immunology
Cystic Fibrosis - metabolism
Denmark
Denmark - epidemiology
Dietary Supplements
disease severity
Epidemiology
Ergocalciferols
Ergocalciferols - administration & dosage
Ergocalciferols - blood
Errors of metabolism
Feeding. Feeding behavior
Female
Food
forced expiratory flow rates
Fundamental and applied biological sciences. Psychology
Health Sciences
human diseases
human nutrition
Humans
Hälsovetenskap
Immune system
immunity
Immunoglobulin G
Immunoglobulin G - blood
Immunoglobulins
immunology
Infant
inflammation
Inflammatory diseases
Internal Medicine
Male
Medical and Health Sciences
Medical sciences
MEDICIN
Medicin och hälsovetenskap
MEDICINE
Medicine & Public Health
Metabolic Diseases
metabolism
Middle Aged
Miscellaneous hereditary metabolic disorders
Norway
Norway - epidemiology
nutrient intake
Nutrition and Dietetics
Nutritional Status
Näringslära
original-article
patients
Pediatrics
Pediatrik
Preschool
Properties
Public Health
Regression Analysis
respiratory tract diseases
Scandinavian Cystic Fibrosis Nutritional Study
Sweden
Sweden - epidemiology
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin D
Vitamin D - administration & dosage
Vitamin D - analogs & derivatives
Vitamin D - blood
vitamin supplements
Young Adult
title Inverse relation between vitamin D and serum total immunoglobulin G in the Scandinavian Cystic Fibrosis Nutritional Study
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