Relationship between Serum 25-Hydroxyvitamin D Level and Risk of Recurrent Stroke. 2022

Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
Center for Clinical Epidemiology and Methodology (CCEM), Guangdong Second Provincial General Hospital, Guangzhou 510317, China.

Evidence for the association between vitamin D and risk of recurrent stroke remains sparse and limited. We aimed to assess the relationship between serum circulating 25-hydroxyvitamin D (25(OH)D) level and risk of recurrent stroke in patients with a stroke history, and to identify the optimal 25(OH)D level in relation to lowest recurrent stroke risk. Data from the nationwide prospective United Kingdom Biobank were used for analyses. Primary outcome was time to first stroke recurrence requiring a hospital visit during follow-up. We used Cox proportional hazards regression model with restricted cubic splines to explore 25(OH)D level in relation to recurrent stroke. The dose-response relationship between 25(OH)D and recurrent stroke risk was also estimated, taking the level of 10 nmol/L as reference. A total of 6824 participants (mean age: 60.6 years, 40.8% females) with a baseline stroke were included for analyses. There were 388 (5.7%) recurrent stroke events documented during a mean follow-up of 7.6 years. Using Cox proportional hazards regression model with restricted cubic splines, a quasi J-shaped relationship between 25(OH)D and risk of recurrent stroke was found, where the lowest recurrent stroke risk lay at the 25(OH)D level of approximate 60 nmol/L. When compared with 10 nmol/L, a 25(OH)D level of 60 nmol/L was related with a 48% reduction in the recurrent stroke risk (hazard ratio = 0.52, 95% confidence interval: 0.33-0.83). Based on data from a large-scale prospective cohort, we found a quasi J-shaped relationship between 25(OH)D and risk of recurrent stroke in patients with a stroke history. Given a lack of exploring the cause-effect relationship in this observational study, more high-quality evidence is needed to further clarify the vitamin D status in relation to recurrent stroke risk.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002112 Calcifediol The major circulating metabolite of VITAMIN D3. It is produced in the LIVER and is the best indicator of the body's vitamin D stores. It is effective in the treatment of RICKETS and OSTEOMALACIA, both in azotemic and non-azotemic patients. Calcifediol also has mineralizing properties. 25-Hydroxycholecalciferol,25-Hydroxyvitamin D 3,25-Hydroxycholecalciferol Monohydrate,25-Hydroxyvitamin D3,Calcidiol,Calcifediol Anhydrous,Calcifediol, (3 alpha,5Z,7E)-Isomer,Calcifediol, (3 beta,5E,7E)-Isomer,Calderol,Dedrogyl,Hidroferol,25 Hydroxycholecalciferol,25 Hydroxycholecalciferol Monohydrate,25 Hydroxyvitamin D 3,25 Hydroxyvitamin D3,Anhydrous, Calcifediol,Monohydrate, 25-Hydroxycholecalciferol
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D014807 Vitamin D A vitamin that includes both CHOLECALCIFEROLS and ERGOCALCIFEROLS, which have the common effect of preventing or curing RICKETS in animals. It can also be viewed as a hormone since it can be formed in SKIN by action of ULTRAVIOLET RAYS upon the precursors, 7-dehydrocholesterol and ERGOSTEROL, and acts on VITAMIN D RECEPTORS to regulate CALCIUM in opposition to PARATHYROID HORMONE.
D014808 Vitamin D Deficiency A nutritional condition produced by a deficiency of VITAMIN D in the diet, insufficient production of vitamin D in the skin, inadequate absorption of vitamin D from the diet, or abnormal conversion of vitamin D to its bioactive metabolites. It is manifested clinically as RICKETS in children and OSTEOMALACIA in adults. (From Cecil Textbook of Medicine, 19th ed, p1406) Deficiency, Vitamin D,Deficiencies, Vitamin D,Vitamin D Deficiencies
D014815 Vitamins Organic substances that are required in small amounts for maintenance and growth, but which cannot be manufactured by the human body. Vitamin

Related Publications

Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
October 2016, Nutrition, metabolism, and cardiovascular diseases : NMCD,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
January 2015, BioMed research international,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
October 2019, Dermatology practical & conceptual,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
April 2021, Clinical nutrition (Edinburgh, Scotland),
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
February 2017, Korean journal of pediatrics,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
January 2016, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
January 2021, American journal of translational research,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
January 2023, Nutrients,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
April 2013, Medical mycology,
Guowei Li, and Likang Li, and Jonathan D Adachi, and Ruoting Wang, and Zebing Ye, and Xintong Liu, and Lehana Thabane, and Gregory Y H Lip
May 2012, Zhonghua yi xue za zhi,
Copied contents to your clipboard!