Evidence map›Paper›PMID 30214179›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2018

Vitamin D status is associated with muscle strength and quality of life in patients with COPD: a seasonal prospective observation study.

Emma L Carson, L Kirsty Pourshahidi, Sharon M Madigan, Francina R Baldrick, Martin G Kelly, Eamon Laird, Martin Healy, J J Strain, Maria S Mulhern

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Evaluation of micronutrients in stable COPD patients.Asia Pacific journal of clinical nutrition · 2025
    Article
  3. Review
  4. Observational
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Review
  15. Article
  16. 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

9 authors at 5 institutions in 2 countries.

Emma L CarsonNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, UK, m.mulhern@ulster.ac.uk.
L Kirsty PourshahidiNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, UK, m.mulhern@ulster.ac.uk.
Sharon M MadiganRespiratory Dietitian, Pulmonary Rehabilitation Team, Belfast Health and Social Care Trust, Belfast, UK.
Francina R BaldrickNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, UK, m.mulhern@ulster.ac.uk.
Martin G KellyRespiratory Team, Altnagelvin Hospital, Western Health and Social Care Trust, Londonderry, UK.
Eamon LairdSchool of Medicine, Trinity College, Dublin, Ireland.
Martin HealyDepartment of Biochemistry, Central Pathology Laboratory, St James Hospital, Dublin, Ireland.
J J StrainNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, UK, m.mulhern@ulster.ac.uk.
Maria S MulhernNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, UK, m.mulhern@ulster.ac.uk.
University of Ulster · GBBelfast Health and Social Care Trust · GBSt. James's Hospital · IETrinity College Dublin · IEWestern Health and Social Care Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Owing to hospitalization, reduced functional capacity and consequently, less sunlight exposure, suboptimal vitamin D status (25-hydroxyvitamin D [25(OH)D]⩽50 nmol/L) is prevalent among COPD patients. Objective: This study aimed to investigate seasonal changes in vitamin D status and any associated changes in fat-free mass (FFM), muscle strength and quality of life (QoL) in COPD patients. Patients and methods: COPD patients living in Northern Ireland (n=51) completed study visits at the end of winter (March/April) and at the end of summer (September/October), corresponding to the nadir and peak of vitamin D status, respectively. At both time points, serum concentration of 25(OH)D was quantified by liquid chromatography-tandem mass spectrometry, FFM (kg) was measured using bioelectrical impedance and muscle strength (kg) was measured using handgrip dynamometry. QoL was assessed using the validated St George's Respiratory Questionnaire. Results: Mean±SD 25(OH)D concentration was significantly higher at the end of summer compared to the end of winter (52.5±30.5 nmol/L vs 33.7±28.4 nmol/L, Conclusion: This study highlights the need for health policies to include a recommendation for year-round vitamin D supplementation in housebound COPD patients, and wintertime supplementation in nonhousebound patients, to maintain optimal 25(OH)D concentrations to protect musculoskeletal health. Furthermore, an optimal vitamin D status may have potential benefits for QoL in these patients.

Indexed as

Muscle StrengthQuality of LifeAgedDietary SupplementsFemaleHand StrengthHumansIrelandMaleProspective StudiesPulmonary Disease, Chronic ObstructiveSeasonsVitamin DVitamins25-hydroxyvitamin DVitamin DVitamins25(OH)DCOPDmuscle strengthquality of lifeseasonalvitamin D

Identifiers

PMID30214179
PMCPMC6118240
OpenAlexW2889407496

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.