RT Journal Article
SR Electronic
T1 Serum 25-hydroxyvitamin D level, chronic diseases and all-cause mortality in a population-based prospective cohort: the HUNT Study, Norway
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e017256
DO 10.1136/bmjopen-2017-017256
VO 7
IS 6
A1 Yi-Qian Sun
A1 Arnulf Langhammer
A1 Frank Skorpen
A1 Yue Chen
A1 Xiao-Mei Mai
YR 2017
UL http://bmjopen.bmj.com/content/7/6/e017256.abstract
AB Objective To investigate the association of vitamin D status with all-cause mortality in a Norwegian population and the potential influences of existing chronic diseases on the association.Design A population-based prospective cohort study.Setting Nord-Trøndelag County, Norway.Participants A random sample (n=6613) of adults aged 20 years or older in a cohort.Methods Serum 25-hydroxyvitamin D (25(OH)D) levels were measured in blood samples collected at baseline (n=6377). Mortality was ascertained from the Norwegian National Registry. Cox regression models were applied to estimate the HRs with 95% CIs for all-cause mortality in association with serum 25(OH)D levels after adjustment for a wide spectrum of confounding factors as well as chronic diseases at baseline.Results The median follow-up time was 18.5 years, during which 1539 subjects died. The HRs for all-cause mortality associated with the first quartile level of 25(OH)D (<34.5 nmol/L) as compared with the fourth quartile (≥58.1 nmol/L) before and after adjustment for chronic diseases at baseline were 1.30 (95% CI 1.11 to 1.51) and 1.27 (95% CI 1.09 to 1.48), respectively. In the subjects without chronic diseases at baseline and with further exclusion of the first 3 years of follow-up, the corresponding adjusted HR was 1.34 (95% CI 1.09 to 1.66).Conclusions Low serum 25(OH)D level was associated with increased all-cause mortality in a general Norwegian population. The association was not notably influenced by existing chronic diseases.