Evidence map›Paper›PMID 26603883›Full record

ArticleEuropean journal of clinical nutrition2016

Cosinor modelling of seasonal variation in 25-hydroxyvitamin D concentrations in cardiovascular patients in Norway.

E Degerud, R Hoff, O Nygård, E Strand, D W Nilsen, J E Nordrehaug, Ø Midttun, P M Ueland, S de Vogel, J Dierkes

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Article in European journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

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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

29 citing papers in PubMed.

  1. Seasonal fluctuations of cardiovascular risk markers in patients referred to coronary angiography.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Article
  2. Article
  3. Gaps in Vitamin D Intake and Status in Moroccan Women.Epidemiologia (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

E DegerudDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
R HoffThe Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
O NygårdDepartment of Clinical Science, University of Bergen, Bergen, Norway.
E StrandDepartment of Clinical Science, University of Bergen, Bergen, Norway.
D W NilsenDepartment of Clinical Science, University of Bergen, Bergen, Norway.
J E NordrehaugDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Ø MidttunBevital AS, Bergen, Norway.
P M UelandDepartment of Clinical Science, University of Bergen, Bergen, Norway.
S de VogelDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
J DierkesDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSeasonal variation may reduce the validity of 25-hydroxyvitamin D (25OHD) as a biomarker of vitamin D status. Here we aimed to identify potential determinants of seasonal variation in 25OHD concentrations and to evaluate cosinor modelling as a method to adjust single 25OHD measurements for seasonal variation. SUBJECTS/

methodsIn Caucasian cardiovascular patients (1999-2004), we measured 25OHD by liquid chromatography tandem mass spectrometry in 4116 baseline and 528 follow-up samples. To baseline values, we fitted a cosinor model for monthly concentrations of 25OHD. Using the model, we estimated each patient's adjusted annual 25OHD value. Further, we studied how covariates affected the annual mean 25OHD concentration and seasonal variation of the study cohort. To evaluate the model, we predicted follow-up measurements with and without covariates and compared accuracy with carrying forward baseline values and linear regression adjusting for season, common approaches in research and clinical practice, respectively.

resultsThe annual mean (59.6 nmol/l) was associated with participants' age, gender, smoking status, body mass, physical activity level, diabetes diagnosis, vitamin D supplement use and study site (adjusted models, P<0.05). Seasonal 25OHD variation was 15.8 nmol/l, and older age (>62 years) was associated with less variation (adjusted model, P=0.025). Prediction of follow-up measurements was more accurate with the cosinor model compared with the other approaches (P<0.05). Adding covariates to cosinor models did not improve prediction (P>0.05).

conclusionsWe find cosinor models suitable and flexible for analysing and adjusting for seasonal variation in 25OHD concentrations, which is influenced by age.

Indexed as

SeasonsAgedBiomarkersBlood PressureBody Mass IndexCardiovascular DiseasesCohort StudiesC-Reactive ProteinDietary SupplementsExerciseFemaleFollow-Up StudiesHumansLinear ModelsMaleMiddle Aged25-hydroxyvitamin DBiomarkersC-Reactive ProteinVitamin D

Identifiers

PMID26603883
PMCPMC4827012

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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.