Evidence map›Paper›PMID 30121806›Full record

ArticleEuropean journal of nutrition2019

Vitamin D deficiency is an independent predictor of mortality in patients with chronic heart failure.

Richard M Cubbon, Judith E Lowry, Michael Drozd, Marlous Hall, John Gierula, Maria F Paton, Rowena Byrom, Lorraine C Kearney, Julian H Barth, Mark T Kearney and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Interpretation of the Expert Consensus Statement on the Role of Vitamin D in Metabolic Health].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  14. The Role of Vitamin DJournal of clinical medicine · 2022
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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

11 authors at 2 institutions in 1 country.

Richard M CubbonDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Judith E LowryDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Michael DrozdDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Marlous HallDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
John GierulaDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Maria F PatonDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Rowena ByromDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Lorraine C KearneyDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Julian H BarthDepartment of Clinical Biochemistry, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Mark T KearneyDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK.
Klaus K WitteDivision of Cardiovascular and Diabetes Research, Multidisciplinary Cardiovascular Research Centre (MCRC), Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LIGHT building, Clarendon Way, Leeds, LS2 9JT, UK. k.k.witte@leeds.ac.uk.ORCID http://orcid.org/0000-0002-7146-7105
University of Leeds · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

British Heart Foundation FS/12/80/29821British Heart Foundation FS/18/44/33792British Heart Foundation PG/08/020/24617Medical Research Council MR/J00281X/1Wellcome Trust
6 · The paper itself

Abstract

purposeLow 25-hydroxyvitamin D (25[OH]D) concentrations have been associated with adverse outcomes in selected populations with established chronic heart failure (CHF). However, it remains unclear whether 25[OH]D deficiency is associated with mortality and hospitalisation in unselected patients receiving contemporary medical and device therapy for CHF.

methodsWe prospectively examined the prevalence and correlates of 25[OH]D deficiency in 1802 ambulatory patients with CHF due to left ventricular systolic dysfunction (left ventricular ejection fraction ≤ 45%) attending heart failure clinics in the north of England.

results73% of patients were deficient in 25[OH]D (< 50 nmol/L). 25[OH]D deficiency was associated with male sex, diabetes, lower serum sodium, higher heart rate, and greater diuretic requirement. During a mean follow-up period of 4 years, each 2.72-fold increment in 25[OH]D concentration (for example from 32 to 87 nmol/L) is associated with 14% lower all-cause mortality (95% confidence interval (CI) 1, 26%; p = 0.04), after accounting for potential confounding factors.

conclusionsLow 25-hydroxyvitamin D deficiency is associated with increased mortality in patients with chronic heart failure due to left ventricular systolic dysfunction. Whether vitamin D supplementation will improve outcomes is, as yet, unproven.

Indexed as

AgedChronic DiseaseCohort StudiesComorbidityEnglandFemaleFollow-Up StudiesHeart FailureHumansMalePrevalenceProspective StudiesSex FactorsVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin DChronic heart failureMortalityVitamin D

Identifiers

PMID30121806
PMCPMC6689317
OpenAlexW2885249027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.