Evidence map›Paper›PMID 30764690›Full record

Observational studyJournal of the American Heart Association2019

Racial/Ethnic Differences in 25-Hydroxy Vitamin D and Parathyroid Hormone Levels and Cardiovascular Disease Risk Among Postmenopausal Women.

Xi Zhang, Wanzhu Tu, JoAnn E Manson, Lesley Tinker, Simin Liu, Jane A Cauley, Lihong Qi, Charles Mouton, Lisa W Martin, Lifang Hou and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Vitamin D and risk of hypertension among Black women.Journal of clinical hypertension (Greenwich, Conn.) · 2023
    Article
  5. Article
  6. Observational
  7. Article
  8. Observational
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 9 institutions in 1 country.

Xi Zhang1 Department of Epidemiology Indiana University Richard M. Fairbanks School of Public Health Indianapolis IN.
Wanzhu Tu2 Department of Biostatistics Indiana University School of Medicine Indianapolis IN.
JoAnn E Manson3 Division of Preventive Medicine Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA.
Lesley Tinker5 Public Health Division Fred Hutchinson Cancer Research Center Seattle WA.
Simin Liu6 School of Public Health Brown University Providence RI.
Jane A Cauley8 Department of Epidemiology University of Pittsburgh, Graduate School of Public Health Pittsburgh PA.
Lihong Qi9 Department of Public Health Sciences University of California Davis CA.
Charles Mouton10 The University of Texas Medical Branch Galveston TX.
Lisa W Martin11 Division of Cardiology School of Medicine and Health Sciences George Washington University Washington DC.
Lifang Hou12 Department of Preventive Medicine Feinberg School of Medicine Northwestern University Chicago IL.
Yiqing Song1 Department of Epidemiology Indiana University Richard M. Fairbanks School of Public Health Indianapolis IN.
Indiana University – Purdue University Indianapolis · USBrown University · USFred Hutch Cancer Center · USGeorge Washington University · USHarvard University · USNorthwestern University · USThe University of Texas Medical Branch at Galveston · USUniversity of California, Davis · USUniversity of Pittsburgh · US

Funding

Racial/Ethnic Differences in 25(OH)D and PTH Levels and CVD among WomenR01HL113056 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI SONG, YIQING · 2013 to 2016
$1.8M
NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018CNHLBI NIH HHS R01 HL113056
6 · The paper itself

Abstract

Background Recent evidence suggests that racial/ethnic differences in circulating levels of free or bioavailable 25-hydroxy vitamin D (25[ OH ]D) rather than total 25( OH )D may explain apparent racial disparities in cardiovascular disease ( CVD ). We prospectively examined black-white differences in the associations of total, free, and bioavailable 25( OH )D, vitamin D-binding protein, and parathyroid hormone levels at baseline with incident CVD (including nonfatal myocardial infarction, nonfatal stroke, and CVD death) in postmenopausal women. Methods and Results We conducted a case-cohort study among 79 705 postmenopausal women, aged 50 to 79 years, who were free of CVD at baseline in the WHI-OS (Women's Health Initiative Observational Study). A subcohort of 1300 black and 1500 white participants were randomly chosen as controls; a total of 550 black and 1500 white women who developed incident CVD during a mean follow-up of 11 years were chosen as cases. We directly measured total 25( OH )D, vitamin D-binding protein, albumin, parathyroid hormone, and calculated free and bioavailable 25( OH )D. Weighted Cox proportional hazards models were used to examine their associations with CVD risk. Although vitamin D-binding protein and total, free, and bioavailable 25( OH )D were not significantly associated with CVD risk in black or white women, a significant positive association between parathyroid hormone and CVD risk persisted in white women (hazard ratio comparing the highest quartile with the lowest, 1.37; 95% CI , 1.06-1.77) but not in black women (hazard ratio comparing the highest quartile with the lowest, 1.12; 95% CI, 0.79-1.58), independent of total, free, and bioavailable 25( OH )D or vitamin D-binding protein. Conclusions Circulating levels of vitamin D biomarkers are not related to CVD risk in either white or black women. Higher parathyroid hormone levels may be an independent risk factor for CVD in white women.

Indexed as

EthnicityForecastingRacial GroupsAgedBiomarkersCardiovascular DiseasesCase-Control StudiesFemaleFollow-Up StudiesHumansIncidenceMiddle AgedParathyroid HormonePostmenopauseProspective StudiesRisk Assessment25-hydroxyvitamin DBiomarkersParathyroid HormoneVitamin D25(OH)Dbiomarkercardiovascular diseaseparathyroid hormone/calcitoninvitamin Dwomen

Identifiers

PMID30764690
PMCPMC6405652
OpenAlexW2911318865

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.