Evidence map›Paper›PMID 30214033›Full record

ArticleEuropean journal of clinical nutrition2019

Airway obstruction, serum vitamin D and mortality in a 33-year follow-up study.

Tiina Mattila, Tuula Vasankari, Harri Rissanen, Paul Knekt, Laura Sares-Jäske, Tuija Jääskeläinen, Markku Heliövaara

Open access · greenAbstract read
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In one paragraph

Article in European journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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  5. Review
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 3 institutions in 1 country.

Tiina MattilaDepartment of Pulmonary Diseases, Heart and Lung Center, Meilahti Triangle Hospital, Helsinki University Hospital, Helsinki, Finland. tiina.m.mattila@fimnet.fi.ORCID http://orcid.org/0000-0001-8466-985X
Tuula VasankariDivision of Medicine, Department of Pulmonary Diseases and Clinical Allergology, Turku University Hospital and University of Turku, Turku, Finland.
Harri RissanenNational Institute for Health and Welfare, Helsinki, Finland.
Paul KnektNational Institute for Health and Welfare, Helsinki, Finland.
Laura Sares-JäskeNational Institute for Health and Welfare, Helsinki, Finland.
Tuija JääskeläinenNational Institute for Health and Welfare, Helsinki, Finland.
Markku HeliövaaraNational Institute for Health and Welfare, Helsinki, Finland.
Finnish Institute for Health and Welfare · FIHelsinki Institute of Physics · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveChronic obstructive pulmonary disease and low vitamin D status predict mortality, but their combined effect on mortality remains inconclusive. We aimed to investigate a joint effect of airway obstruction and vitamin D status on mortality in a nationally representative cohort.

methodsWe analysed data of 6676 Finnish adults participating between 1978 and 1980 in a national health examination survey, undergoing spirometry and having all necessary data collected. We followed them up in national registers through record linkage until 31 December 2011. We categorised the subjects with obstruction using the lower limit of normal (LLN) and the measured serum 25-hydroxyvitamin-D (s-25(OH)D) into tertiles.

resultsBoth obstruction and low s-25(OH)D independently predicted mortality in a multivariate model adjusted also for age, sex, smoking, education, leisure physical activity, body mass index, asthma and serum C-reactive protein. However, a statistically significant (p = 0.007) interaction emerged: the adjusted mortality HRs (95% CI's) for s-25(OH)D in tertiles among the subjects without and with obstruction were 1.00 (lowest), 0.96 (0.87-1.05) and 0.89 (0.81-0.98); and 1.00, 0.96 (0.71-1.31) and 0.57 (0.40-0.80), respectively.

conclusionsIn conclusion, obstruction and low s-25(OH)D predict mortality independently of each other. Our findings suggest that low vitamin D status might be particularly detrimental among subjects with obstruction.

Indexed as

DietAdultAgedAged, 80 and overAirway ObstructionCohort StudiesFemaleFinlandFollow-Up StudiesHumansMaleMiddle AgedNutrition SurveysPulmonary Disease, Chronic ObstructiveRegistriesVitamin DVitamin D

Identifiers

PMID30214033
OpenAlexW2890190577

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.