Evidence map›Paper›PMID 27490916›Full record

ArticleThe Journal of clinical endocrinology and metabolism2016

Use of Estrogen-Containing Contraception Is Associated With Increased Concentrations of 25-Hydroxy Vitamin D.

Quaker E Harmon, David M Umbach, Donna D Baird

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 56 citations in OpenAlex.

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  19. Vitamin DLife (Basel, Switzerland) · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Quaker E HarmonEpidemiology Branch (Q.E.H., D.D.B.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina; Biostatistics and Computational Biology Branch (D.M.U.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina.
David M UmbachEpidemiology Branch (Q.E.H., D.D.B.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina; Biostatistics and Computational Biology Branch (D.M.U.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina.
Donna D BairdEpidemiology Branch (Q.E.H., D.D.B.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina; Biostatistics and Computational Biology Branch (D.M.U.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina.
National Institute of Environmental Health Sciences · US

Funding

Uterine LeiomyomasZIAES049013 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI JUKIC, ANNE MARIE · 2009 to 2025
$14.7M
Statistical techniques applied to environmental health sciencesZIAES103126 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI UMBACH, DAVID M · 2012 to 2025
$1.0M
6 · The paper itself

Abstract

contextSmall studies suggest exogenous estrogen may improve vitamin D status, but the etiology is unclear because women who use hormones may make lifestyle choices that differentially affect vitamin D status.

objectiveOur objective was to investigate the association between use of hormonal contraception and 25-hydroxy-vitamin D (25(OH)D).

designWe used linear regression modeling of cross-sectional data to estimate percent change in season-adjusted serum 25(OH)D with estrogen use after adjustment for other factors.

settingAt the enrollment clinic visit (2010-2012) into a cohort study of uterine fibroids, each subject provided a blood sample, had anthropomorphic variables and skin reflectance measured, and answered questionnaires on demographics, dietary and supplement intake, contraceptive use, reproductive and medical history, and behaviors.

participantsA total of 1662 African American women, community volunteers, 23-34 years old, living in the Detroit, Michigan, area were included.

interventionsNone. MAIN OUTCOMES AND MEASURES: Serum 25(OH)D was measured.

resultsSerum 25(OH)D concentrations were low (70% <20 ng/ml). Current use of an estrogen-containing contraceptive was associated with a 20% (95% confidence interval: 14-27) increase in 25(OH)D after adjustment. There was no increase in 25(OH)D among participants who had used estrogen in the past, but were not current users, indicating that results were unlikely to be due to unmeasured confounding by factors related to contraceptive choice.

conclusionsThe increase in 25(OH)D with use of estrogen-containing contraceptives raise mechanistic questions regarding the biological pathways involved, and highlights the need for studies that examine possible endogenous estrogen effects on vitamin D.

Indexed as

ContraceptionAdultBiomarkersCohort StudiesContraceptives, Oral, HormonalCross-Sectional StudiesEstrogensFemaleFollow-Up StudiesHumansLeiomyomaPrognosisVitamin DVitamin D Deficiency25-hydroxyvitamin DBiomarkersContraceptives, Oral, HormonalEstrogensVitamin D

Identifiers

PMID27490916
PMCPMC5010573
OpenAlexW2484284758

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.