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The 25(OH)D/PTH threshold in black women
John F Aloia1, Ding-Geng Chen, Henian Chen
1Bone Mineral Research Center, Winthrop-University Hospital, Mineola, New York 11501, USA. jaloia@winthrop.org
Black women experience elevated parathyroid hormone (PTH) at lower 25-hydroxyvitamin D [25(OH)D] levels than white women. This difference in vitamin D and PTH thresholds warrants further investigation into cardiovascular health risks for Black women.
Area of Science:
- Endocrinology
- Nutritional Science
- Cardiovascular Health
Background:
- Black women exhibit lower serum 25-hydroxyvitamin D [25(OH)D] and higher parathyroid hormone (PTH) levels compared to white women.
- Emerging research links elevated PTH to adverse cardiovascular outcomes.
Purpose of the Study:
- To investigate racial differences in the threshold of 25-hydroxyvitamin D [25(OH)D] at which parathyroid hormone (PTH) levels begin to rise.
- To determine if Black women experience an increase in PTH at lower 25(OH)D concentrations than white women.
Main Methods:
- Cross-sectional study involving healthy Black and white women aged 20-80 years.
- Serum 25-hydroxyvitamin D [25(OH)D] and parathyroid hormone (PTH) levels were measured.
- Convenience sample recruited from a community setting.
Main Results:
- A significantly lower threshold for parathyroid hormone (PTH) elevation was observed in Black women (37 nmol/liter) compared to white women (59 nmol/liter).
- The identified thresholds for 25-hydroxyvitamin D [25(OH)D] and PTH differed significantly between racial groups (P < 0.001).
Conclusions:
- Black women demonstrate an increase in serum parathyroid hormone (PTH) at a lower 25-hydroxyvitamin D [25(OH)D] level than white women.
- Further research is recommended to explore the association between higher PTH levels and negative health outcomes, particularly cardiovascular risks, in Black women.
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