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Original Article
Differential Association of Vitamin D Deficiency With Albuminuria by Sex in the Korean General Population: A Cross-sectional Study of the Korea National Health and Nutrition Examination Survey 2011-2012
Yongwoo Jeon, Jaeyong Shin, Jong Hyun Jhee, Youngdae Cho, Eun-Cheol Park
J Prev Med Public Health. 2018;51(2):92-99.   Published online February 6, 2018
DOI: https://doi.org/10.3961/jpmph.17.005
  • 6,784 View
  • 185 Download
  • 2 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
Albuminuria has emerged as a biomarker for several medical conditions, and vitamin D has received attention due to its associations with various disorders. We evaluated the association between low serum vitamin D levels and prevalent albuminuria by sex in the Korean general population. Methods: We analyzed 9823 participants (4401 males, 5422 females) from the Korea National Health and Nutrition Examination Survey 2011-2012 (KNHANES V-2), and categorized them as having a normal range of vitamin D levels, vitamin D insufficiency, or vitamin D deficiency. A multivariable logistic regression model was used to compare the risk of albuminuria across these groups. Stratified analyses were conducted by smoking status, obesity, and renal function. Results: Albuminuria was found in 325 of the 4401 male participants (7.4%) and in 455 of the 5422 female participants (8.4%). Among the males, vitamin D deficiency was associated with an odds ratio (OR) for albuminuria of 1.78 (95% confidence interval [CI], 1.07 to 2.97, p<0.05). However, such an association was not found in females. The association was stronger in male current smokers (OR, 3.54; 95% CI, 1.47 to 8.50; p=0.005). Conclusions: The findings of this study suggest that sex differences exist in the association between serum vitamin D deficiency and albuminuria. Additionally, we observed that the association was stronger in current smokers than in the overall male population, but was not seen in non-smokers. Therefore, different approaches by sex and smoking status might be needed when considering using vitamin D as a biomarker for renal function.
Summary

Citations

Citations to this article as recorded by  
  • Association between environmental chemical exposure and albumin-to-creatinine ratio is modified by hypertension status in women of reproductive age
    Gowoon Lee, Sunmi Kim, Inae Lee, Habyeong Kang, Jung Pyo Lee, Jeonghwan Lee, Young Wook Choi, Jeongim Park, Gyuyeon Choi, Kyungho Choi
    Environmental Research.2023; 231: 116234.     CrossRef
  • Long-term vitamin D deficiency promotes renal fibrosis and functional impairment in middle-aged male mice
    Zhi-Hui Zhang, Biao Luo, Shen Xu, Zhi-Cheng Zhang, Wei-Yang Xing, Yuan-Hua Chen, Cheng Zhang, Hua Wang, Dong-Dong Xie, De-Xiang Xu
    British Journal of Nutrition.2021; 125(8): 841.     CrossRef
Perspective
The Big Vitamin D Mistake
Dimitrios T. Papadimitriou
J Prev Med Public Health. 2017;50(4):278-281.   Published online May 10, 2017
DOI: https://doi.org/10.3961/jpmph.16.111
  • 54,515 View
  • 1,048 Download
  • 28 Crossref
AbstractAbstract PDF
Since 2006, type 1 diabetes in Finland has plateaued and then decreased after the authorities’ decision to fortify dietary milk products with cholecalciferol. The role of vitamin D in innate and adaptive immunity is critical. A statistical error in the estimation of the recommended dietary allowance (RDA) for vitamin D was recently discovered; in a correct analysis of the data used by the Institute of Medicine, it was found that 8895 IU/d was needed for 97.5% of individuals to achieve values ≥50 nmol/L. Another study confirmed that 6201 IU/d was needed to achieve 75 nmol/L and 9122 IU/d was needed to reach 100 nmol/L. The largest meta-analysis ever conducted of studies published between 1966 and 2013 showed that 25-hydroxyvitamin D levels <75 nmol/L may be too low for safety and associated with higher all-cause mortality, demolishing the previously presumed U-shape curve of mortality associated with vitamin D levels. Since all-disease mortality is reduced to 1.0 with serum vitamin D levels ≥100 nmol/L, we call public health authorities to consider designating as the RDA at least three-fourths of the levels proposed by the Endocrine Society Expert Committee as safe upper tolerable daily intake doses. This could lead to a recommendation of 1000 IU for children <1 year on enriched formula and 1500 IU for breastfed children older than 6 months, 3000 IU for children >1 year of age, and around 8000 IU for young adults and thereafter. Actions are urgently needed to protect the global population from vitamin D deficiency.
Summary

Citations

Citations to this article as recorded by  
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    Nutrients.2024; 16(8): 1176.     CrossRef
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    Exploration of Medicine.2024; : 363.     CrossRef
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    Linia Patel, Carlo La Vecchia, Gianfranco Alicandro
    Journal of Human Nutrition and Dietetics.2023; 36(3): 1019.     CrossRef
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    Meis Moukayed
    Current Nutrition Reports.2023; 12(2): 215.     CrossRef
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    Victoria Bell, Tito Horácio Fernandes
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    Rodis D. Paparodis, Dimitra Bantouna, Evangelos Karvounis, Ioannis Zoupas, Sarantis Livadas, Nicholas Angelopoulos, Shahnawaz Imam, Dimitrios T. Papadimitriou, Juan C. Jaume
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    Gabriela Gama Freire Alberca, Ricardo Wesley Alberca
    World Journal of Virology.2022; 11(1): 85.     CrossRef
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    World Journal of Virology.2022; 11(2): 90.     CrossRef
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    Eirik Garnås
    Advances in Nutrition.2022; 13(5): 1431.     CrossRef
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    Sarka Kankova, Marie Bicikova, Ludmila Macova, Jana Hlavacova, Katerina Sykorova, Dobroslava Jandova, Jaroslav Flegr
    Folia Parasitologica.2021;[Epub]     CrossRef
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    International Immunopharmacology.2021; 97: 107686.     CrossRef
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    Dimitrios T Papadimitriou, Alexandros K Vassaras, Michael F Holick
    World Journal of Virology.2021; 10(3): 111.     CrossRef
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    Nutrients.2021; 13(10): 3596.     CrossRef
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JPMPH : Journal of Preventive Medicine and Public Health