Evidence map›Paper›PMID 32232398›Full record

Observational studyThe American journal of clinical nutrition2020

Could vitamin D reduce obesity-associated inflammation? Observational and Mendelian randomization study.

Saranya Palaniswamy, Dipender Gill, N Maneka De Silva, Estelle Lowry, Jari Jokelainen, Toni Karhu, Shivaprakash J Mutt, Abbas Dehghan, Eeva Sliz, Daniel I Chasman and 7 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  13. Vitamin DEuropean journal of nutrition · 2024
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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

17 authors at 8 institutions in 5 countries.

Saranya PalaniswamyCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Dipender GillDepartment of Epidemiology and Biostatistics, School of Public Health, MRC Centre for Environment and Health, Imperial College London, London, United Kingdom.
N Maneka De SilvaDepartment of Epidemiology and Biostatistics, School of Public Health, MRC Centre for Environment and Health, Imperial College London, London, United Kingdom.
Estelle LowryCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Jari JokelainenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Toni KarhuBiocenter Oulu, University of Oulu, Oulu, Finland.
Shivaprakash J MuttBiocenter Oulu, University of Oulu, Oulu, Finland.
Abbas DehghanDepartment of Epidemiology and Biostatistics, School of Public Health, MRC Centre for Environment and Health, Imperial College London, London, United Kingdom.
Eeva SlizCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Daniel I ChasmanPreventive Medicine Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Markku TimonenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Heimo ViinamäkiInstitute of Clinical Medicine/Psychiatry, University of Eastern Finland, Kuopio, Finland; and Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland.
Sirkka Keinänen-KiukaanniemiCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Elina HyppönenAustralian Centre for Precision Health, South Australian Cancer Research Institute, University of South Australia, Adelaide, Australia.
Karl-Heinz HerzigInstitute of Biomedicine, Medical Research Center, University of Oulu, and Oulu University Hospital, Oulu, Finland.
Sylvain SebertCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Marjo-Riitta JärvelinCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Oulu University Hospital · FIImperial College London · GBUniversity of Oulu · FIBrigham and Women's Hospital · USGenomics (United Kingdom) · GBPoznan University of Medical Sciences · PLUniversity of Eastern Finland · FIUniversity of South Australia · AU

Funding

Medical Research Council G0601653Medical Research Council MR/S03658X/1
6 · The paper itself

Abstract

backgroundObesity is associated with inflammation but the role of vitamin D in this process is not clear.

objectivesWe aimed to assess the associations between serum 25-hydroxyvitamin D [25(OH)D], BMI, and 16 inflammatory biomarkers, and to assess the role of vitamin D as a potential mediator in the association between higher BMI and inflammation.

methodsNorthern Finland Birth Cohort 1966 (NFBC1966) 31-y data on 3586 individuals were analyzed to examine the observational associations between BMI, 25(OH)D, and 16 inflammatory biomarkers. Multivariable regression analyses and 2-sample regression-based Mendelian randomization (MR) mediation analysis were performed to assess any role of vitamin D in mediating a causal effect of BMI on inflammatory biomarkers [soluble intercellular adhesion molecule 1 (sICAM-1), high sensitivity C-reactive protein (hs-CRP), and α1-acid glycoprotein (AGP)] for which observational associations were detected. For MR, genome-wide association study summary results ranging from 5163 to 806,834 individuals were used for biomarkers, 25(OH)D, and BMI. Findings were triangulated with a literature review of vitamin D supplementation trials.

resultsIn NFBC1966, mean BMI (kg/m2) was 24.8 (95% CI: 24.7, 25.0) and mean 25(OH)D was 50.3 nmol/L (95% CI: 49.8, 50.7 nmol/L). Inflammatory biomarkers correlated as 4 independent clusters: interleukins, adhesion molecules, acute-phase proteins, and chemokines. BMI was positively associated with 9 inflammatory biomarkers and inversely with 25(OH)D (false discovery rate < 0.05). 25(OH)D was inversely associated with sICAM-1, hs-CRP, and AGP, which were positively associated with BMI. The MR analyses showed causal association of BMI on these 3 inflammatory biomarkers. There was no observational or MR evidence that circulating 25(OH)D concentrations mediated the association between BMI and these 3 inflammatory markers. Review of randomized controlled trials (RCTs) supported our findings showing no impact of vitamin D supplementation on inflammatory biomarkers.

conclusionsThe findings from our observational study and causal MR analyses, together with data from RCTs, do not support a beneficial role of vitamin D supplementation on obesity-related inflammation.

Indexed as

Body Mass IndexCohort StudiesC-Reactive ProteinFemaleGenome-Wide Association StudyHumansIntercellular Adhesion Molecule-1MaleMendelian Randomization AnalysisObesityRandomized Controlled Trials as TopicVitamin D25-hydroxyvitamin DC-Reactive ProteinICAM1 protein, humanIntercellular Adhesion Molecule-1Vitamin D25(OH)DBMIinflammationmediationMendelian randomizationobesityvitamin D

Identifiers

PMID32232398
PMCPMC7198294
OpenAlexW3013984341

What OpenQuestion holds

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LicenceCC BY-NC
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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.