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Published on: January 29, 2018
Does higher serum 25-hydroxyvitamin D levels will harm bone mineral density?: a cross-sectional study
Bingcheng Xu1, Qiai Li2, Bo Luo1
1Department of Geriatrics, Wuhan Wuchang Hospital, Wuhan, 430063, China.
Optimal vitamin D levels for bone health differ by sex. For men, 84.8 nmol/L is ideal, while women need above 31.4 nmol/L to support bone mineral density (BMD).
Area of Science:
- Endocrinology and Bone Metabolism
- Nutritional Science
- Public Health
Background:
- Vitamin D is crucial for bone health and osteoporosis management.
- Optimal vitamin D supplementation strategies for maintaining bone mineral density (BMD) remain debated.
- This study investigates the relationship between serum 25-hydroxyvitamin D [25(OH)D] and BMD in adults.
Purpose of the Study:
- To determine the correlation between serum 25(OH)D levels and total BMD in a large adult population.
- To identify sex-specific optimal serum 25(OH)D thresholds for bone health.
Main Methods:
- Analysis of data from 11,375 adult participants in the National Health and Nutrition Examination Survey (NHANES) 2011-2018.
- Key variables included serum 25(OH)D levels and BMD.
- Multivariable logistic regression was employed to control for confounding factors.
Main Results:
- A U-shaped association was observed between serum 25(OH)D and BMD.
- In males, positive correlation with BMD was significant below 84.8 nmol/L (p < 0.0001).
- In females, positive correlation with BMD was significant below 31.4 nmol/L (p = 0.0010), with diminishing significance above this level.
Conclusions:
- The optimal serum 25(OH)D level for adult males is 84.8 nmol/L; higher levels do not enhance BMD.
- For adult females, serum 25(OH)D levels should be above 31.4 nmol/L to support BMD.
- Maintaining adequate vitamin D levels is essential for bone health in both men and women.
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