Evidence map›Paper›PMID 22442173›Full record

Trial reportStroke2012

25-Hydroxyvitamin D levels and the risk of stroke: a prospective study and meta-analysis.

Qi Sun, An Pan, Frank B Hu, JoAnn E Manson, Kathryn M Rexrode

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Stroke, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 8 pooled it
12.5field-weighted citation impact, top 1% 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

77 citing papers in PubMed, 8 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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17 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Qi SunDepartment of Nutrition, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, USA. qisun@hsph.harvard.edu
An Pan
Frank B Hu
JoAnn E Manson
Kathryn M Rexrode
Harvard University · US

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ROSNER, BERNARD A · 2000 to 2019
$77.8M
RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
Risk Factors for Ischemic Stroke in WomenR01HL088521 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REXRODE, KATHRYN M · 2008 to 2025
$9.9M
Novel Adipokines and Coronary Heart Disease in U.S. Men and Women with DiabetesK99HL098459 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI SUN, QI · 2010 to 2011
$189k
NCI NIH HHS CA4449NCI NIH HHS CA87969NCI NIH HHS P01 CA087969NHLBI NIH HHS HL088521NHLBI NIH HHS HL34594NHLBI NIH HHS K99 HL098459NHLBI NIH HHS K99HL098459NHLBI NIH HHS R01 HL034594NHLBI NIH HHS R01 HL088521
6 · The paper itself

Abstract

background and purposeDespite evidence suggesting that vitamin D deficiency may lead to elevated cardiovascular disease risk, results regarding the association of 25-hydroxyvitamin D (25[OH]D) levels with stroke risk are inconclusive. We aimed to examine this association in a prospective study in women and to summarize all existing data in a meta-analysis.

methodsWe measured 25(OH)D levels among 464 women who developed ischemic stroke and an equal number of control subjects who were free of stroke through 2006 in the Nurses' Health Study (NHS). We searched MEDLINE and EMBASE for articles published through March 2011 that prospectively evaluated 25(OH)D levels in relation to stroke.

resultsAfter multivariable adjustment for lifestyle and dietary covariates, lower 25(OH)D levels were associated with an elevated risk of ischemic stroke in the NHS: the OR (95% CI) comparing women in the lowest versus highest tertiles was 1.49 (1.01-2.18; P(trend)=0.04). We found 6 other prospective studies that examined 25(OH)D in relation to stroke outcomes. After pooling our results with these prospective studies that included 1214 stroke cases in total, low 25(OH)D levels were associated with increased risk of developing stroke outcomes in comparison to high levels: the pooled relative risk (95% CI) was 1.52 (1.20-1.85; I(2)=0.0%, P(heterogeneity)=0.63). In 2 studies that explicitly examined ischemic stroke, this association was 1.59 (1.07-2.12; I(2)=0.0%, P(heterogeneity)=0.80).

conclusionsThese data provide evidence that low vitamin D levels are modestly associated with risk of stroke. Maintaining adequate vitamin D status may lower the risk of stroke in women.

Indexed as

AdultBrain IschemiaCalcifediolFemaleHumansMiddle AgedProspective StudiesRisk FactorsStrokeVitamin D DeficiencyCalcifediol

Identifiers

PMID22442173
PMCPMC3361562
OpenAlexW2087149359

What OpenQuestion holds

Textmetadata
LicenceTDM
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.