Evidence map›Paper›PMID 21916603›Full record

Trial reportAIDS patient care and STDs2011

Vitamin D status and its association with morbidity including wasting and opportunistic illnesses in HIV-infected women in Tanzania.

Saurabh Mehta, Ferdinand M Mugusi, Donna Spiegelman, Eduardo Villamor, Julia L Finkelstein, Ellen Hertzmark, Edward L Giovannucci, Gernard I Msamanga, Wafaie W Fawzi

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS patient care and STDs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Vitamin D in pregnancy: current concepts.Current opinion in obstetrics & gynecology · 2012
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Review
  10. The Nutritional Status of HIV-Infected US Adults.Current developments in nutrition · 2017
    Article
  11. Article
  12. Observational
  13. Low vitamin D status among pregnant Latin American and Caribbean women with HIV Infection.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2015
    Article
  14. Review
  15. Article
  16. Article
  17. How important is vitamin D in preventing infections?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Review
  18. Article
  19. Review
  20. Relevance of vitamin D in reproduction.Human reproduction (Oxford, England) · 2012
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Saurabh MehtaDivision of Nutritional Sciences, Cornell University, Ithaca, New York 14853, USA. smehta@cornell.edu
Ferdinand M Mugusi
Donna Spiegelman
Eduardo Villamor
Julia L Finkelstein
Ellen Hertzmark
Edward L Giovannucci
Gernard I Msamanga
Wafaie W Fawzi
Harvard University · USCornell University · USMuhimbili University of Health and Allied Sciences · TZBrigham and Women's Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

INTERNATIONAL TRAINING IN AIDS-RELATED EPIDEMIOLOGYD43TW000004 · FIC · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ESSEX, MYRON E · 1988 to 2012
$13.4M
TRIALS OF VITAMINS IN HIV PROGRESSION AND TRANSMISSIONR01HD032257 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 1994 to 2009
$5.5M
FIC NIH HHS D43 TW00004NICHD NIH HHS R01 HD032257PHS HHS R01 32257
6 · The paper itself

Abstract

Vitamin D has a potential role in preventing HIV-related complications, based on its extensive involvement in immune and metabolic function, including preventing osteoporosis and premature cardiovascular disease. However, this association has not been examined in large studies or in resource-limited settings. Vitamin D levels were assessed in 884 HIV-infected pregnant women at enrollment in a trial of multivitamin supplementation (excluding vitamin D) in Tanzania. Information on HIV related complications was recorded during follow-up (median, 70 months). Proportional hazards models and generalized estimating equations were used to assess the relationship of vitamin D status with these outcomes. Women with low vitamin D status (serum 25-hydroxyvitamin D<32 ng/mL) had 43% higher risk of reaching a body mass index (BMI) less than 18 kg/m(2) during the first 2 years of follow-up, compared to women with adequate vitamin D levels (hazard ratio [HR]: 1.43; 95% confidence intervals: [1.03-1.99]). The relationship between continuous vitamin D levels and risk of BMI less than 18 kg/m(2) during follow-up was inverse and linear (p=0.03). Women with low vitamin D levels had significantly higher incidence of acute upper respiratory infections (HR: 1.27 [1.04-1.54]) and thrush (HR: 2.74 [1.29-5.83]) diagnosed during the first 2 years of follow-up. Low vitamin D status was a significant risk factor for wasting and HIV-related complications such as thrush during follow-up in this prospective cohort in Tanzania. If these protective associations are confirmed in randomized trials, vitamin D supplementation could represent a simple and inexpensive method to improve health and quality of life of HIV-infected patients, particularly in resource-limited settings.

Indexed as

AdultAIDS-Related Opportunistic InfectionsCandidiasis, OralDietary SupplementsDisease ProgressionDouble-Blind MethodFemaleHIV InfectionsHIV Wasting SyndromeHumansPregnancyPregnancy Complications, InfectiousPregnancy Trimester, FirstPregnancy Trimester, SecondProportional Hazards ModelsRespiratory Tract InfectionsVitamin DVitamins

Identifiers

PMID21916603
PMCPMC3183700
OpenAlexW2120716047

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.