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Vitamin D deficiency is associated with anaemia among African Americans in a US cohort

Smith, Ellen M., Alvarez, Jessica A., Martin, Greg S., Zughaier, Susu M., Ziegler, Thomas R., Tangpricha, Vin·2015·British Journal of Nutrition

Abstract

Vitamin D deficiency is highly prevalent in the US population and is associated with numerous diseases, including those characterised by inflammatory processes. We aimed to investigate the link between vitamin D status and anaemia, hypothesising that lower vitamin D status would be associated with increased odds of anaemia, particularly anaemia with inflammation. A secondary aim was to examine the effects of race in the association between vitamin D status and anaemia. We conducted a cross-sectional analysis in a cohort of generally healthy adults in Atlanta, GA (n 638). Logistic regression was used to evaluate the association between vitamin D status and anaemia. Serum 25-hydroxyvitamin D (25(OH)D) < 50 nmol/l (compared to 25(OH)D ≥ 50 nmol/l) was associated with anaemia in bivariate analysis (OR 2·64, 95 % CI 1·43, 4·86). There was significant effect modification by race (P= 0·003), such that blacks with 25(OH)D < 50 nmol/l had increased odds of anaemia (OR 6·42, 95 % CI 1·88, 21·99), v. blacks with 25(OH)D ≥ 50 nmol/l, controlling for potential confounders; this association was not apparent in whites. When categorised by subtype of anaemia, blacks with 25(OH)D < 50 nmol/l had significantly increased odds of anaemia with inflammation than blacks with serum 25(OH)D ≥ 50 nmol/l (OR 8·42, 95 % CI 1·96, 36·23); there was no association with anaemia without inflammation. In conclusion, serum 25(OH)D < 50 nmol/l was significantly associated with anaemia, particularly anaemia with inflammation, among blacks in a generally healthy adult US cohort.

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Metadata

Authors
Smith, E. M., Alvarez, J. A., Martin, G. S., Zughaier, S. M., Ziegler, T. R., & Tangpricha, V.
Venue
British Journal of Nutrition
Published
2015-04-16
Volume
113
Issue
11
Pages
1732-1740
ISSN
  • 0007-1145
  • 1475-2662
Cited by
41
References
8
Language
en

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