Evidence map›Paper›PMID 23902738›Full record

ArticleBMC medicine2013

Serum concentrations of 25-hydroxyvitamin D and immunoglobulins in an older Swiss cohort: results of the Senior Labor Study.

Benjamin Sakem, Cristina Nock, Zeno Stanga, Pedro Medina, Urs E Nydegger, Martin Risch, Lorenz Risch

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of micronutrients in stable COPD patients.Asia Pacific journal of clinical nutrition · 2025
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  9. Dietary vitamin DNutrition & metabolism · 2018
    Article
  10. Article
  11. Sports medicine international open · 2017
    Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Effect of vitamin D level on the immunogenicity to hepatitis B vaccination in dialysis patients.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016
    Observational
  17. Article
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

7 authors at 4 institutions in 3 countries.

Benjamin SakemDivision of Clinical Chemistry, Labormedizinisches Zentrum Dr Risch, Waldeggstrasse 37, CH-3097 Liebefeld bei Bern, Switzerland.
Cristina Nock
Zeno Stanga
Pedro Medina
Urs E Nydegger
Martin Risch
Lorenz Risch
Labormedizinische Zentrum Dr Risch (Switzerland) · CHKantonsspital Graubünden · CHPrivate University in the Principality of Liechtenstein · LIUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D and the components of humoral immunity play important roles in human health. Older people have lower 25-hydroxyvitamin D (25(OH)D) serum levels than younger adults. We aimed to determine the levels of 25(OH)D serum concentrations in healthy senior citizens and to study their relationship to the levels of components of humoral immunity.

methodsA total of 1,470 healthy Swiss men and women, 60 years or older, were recruited for this study. A total of 179 subjects dropped out of the study because of elevated serum concentrations of C-reactive protein. Fasting blood sera were analyzed for 25(OH)D with the high-performance liquid chromatography (HPLC) and for parathyroid hormone (PTH), immunoglobulins and complement C4 and C3 concentrations with immunoassays. The percentage of participants in each of the four 25(OH)D deficiency groups--severely deficient (<10 ng/ml), deficient (10 to 20), insufficient (21 to 29 ng/ml) and normal (>=30 ng/ml)--were statistically compared. The relationship of the major components of the humoral system and age with 25(OH)D levels was also assessed.

resultsAbout 66% of the subjects had insufficient levels of 25(OH)D. Normal levels of 25(OH)D were found in 26.1% of the subjects of which 21% were males and 30.5% were females (total study population). Severely deficient levels of 25(OH)D were found in 7.98% of the total study population. Low levels of 25(OH)D were positively associated with IgG2 (P = 0.01) and with C4 (P = 0.02), yet were inversely related to levels of IgG1 and IgA (P < 0.05) and C3 (P = 0.01). Serum levels of total IgA, IgG, IgG2 and IgG4 peaked together with 25(OH)D during late summer.

conclusionsApproximately two-thirds of the healthy, older Swiss population presented with Vitamin D insufficiency. The incremental shift in IgA and C3 levels might not necessarily reflect a deranged humoral immune defense; however, given the high prevalence of vitamin D deficiency, the importance of this condition in humoral immunity will be worth looking at more closely. This study supports the role of vitamin D in the competent immune system.

Indexed as

AgedAged, 80 and overBiomarkersCohort StudiesFemaleHumansImmunoglobulinsMaleMiddle AgedSwitzerlandVitamin DVitamin D Deficiency25-hydroxyvitamin DBiomarkersImmunoglobulinsVitamin D

Identifiers

PMID23902738
PMCPMC3751655
OpenAlexW2061077305

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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.