Evidence map›Paper›PMID 32556447›Full record

SynthesisEuropean journal of nutrition2021

Individual participant data (IPD)-level meta-analysis of randomised controlled trials with vitamin D-fortified foods to estimate Dietary Reference Values for vitamin D.

Kevin D Cashman, Mairead E Kiely, Rikke Andersen, Ida M Grønborg, Katja H Madsen, Janna Nissen, Inge Tetens, Laura Tripkovic, Susan A Lanham-New, Laura Toxqui and 14 more

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  16. Contribution of Vitamin DCurrent developments in nutrition · 2020
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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

24 authors at 13 institutions in 8 countries.

Kevin D CashmanCork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland. k.cashman@ucc.ie.ORCID http://orcid.org/0000-0002-8185-1039
Mairead E KielyCork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.
Rikke AndersenResearch Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Ida M GrønborgResearch Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Katja H MadsenResearch Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Janna NissenResearch Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Inge TetensResearch Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Laura TripkovicDepartment of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Susan A Lanham-NewDepartment of Nutritional Sciences, School of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Laura ToxquiInstitute of Food Science, Technology and Nutrition (ICTAN-CSIC), Madrid, Spain.
M Pilar VaqueroInstitute of Food Science, Technology and Nutrition (ICTAN-CSIC), Madrid, Spain.
Ulrike TrautvetterInstitute of Nutrition, Friedrich Schiller University of Jena, Dornburger Str, 24, 07743, Jena, Germany.
Gerhard JahreisInstitute of Nutrition, Friedrich Schiller University of Jena, Dornburger Str, 24, 07743, Jena, Germany.
Vikram V MistryDairy Science Department, South Dakota State University, Brookings, 57007, USA.
Bonny L SpeckerEthel Austin Martin Endowed Program in Human Nutrition, South Dakota State University, Brookings, 57007, USA.
Jürgen HowerÜberörtliche Gemeinschaftspraxis für Kinder- und Jugendmedizin Standort Dümpten, Mellinghofer Straße 256, 45475, Mülheim an der Ruhr, Germany.
Anette KnollFreelance Statistician, Kreppe 2, 85276, Pfaffenhofen/Ilm, Germany.
Dennis WagnerDepartment of Nutritional Sciences, University of Toronto, Toronto, M563E2, Canada.
Reinhold ViethDepartment of Nutritional Sciences, University of Toronto, Toronto, M563E2, Canada.
Inger ÖhlundDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Pia Karlsland ÅkesonDepartment of Clinical Sciences, Pediatrics, Lund University, Lund, Sweden.
Neil R BrettSchool of Human Nutrition, McGill University, Sainte Anne de Bellevue, QC, Canada.
Hope A WeilerSchool of Human Nutrition, McGill University, Sainte Anne de Bellevue, QC, Canada.
Christian RitzDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg C, Copenhagen, Denmark.
Technical University of Denmark · DKFriedrich Schiller University Jena · DEInstituto de Ciencia y Tecnología de Alimentos y Nutrición · ESMcGill University · CASouth Dakota State University · USUniversity College Cork · IEUniversity of Copenhagen · DKUniversity of Surrey · GBLund University · SEMount Sinai Hospital · CAStatistisches Bundesamt · DEUmeå University · SEUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

context and purposeIndividual participant data-level meta-regression (IPD) analysis is superior to meta-regression based on aggregate data in determining Dietary Reference Values (DRV) for vitamin D. Using data from randomized controlled trials (RCTs) with vitamin D

methodsIPD analysis using data from 1429 participants (ages 2-89 years) in 11 RCTs with vitamin D-fortified foods identified via a systematic review and predefined eligibility criteria. Outcome measures were vitamin D DRV estimates across a range of serum 25(OH)D thresholds using unadjusted and adjusted models.

resultsOur IPD-derived estimates of vitamin D intakes required to maintain 97.5% of winter 25(OH)D concentrations ≥ 25 and ≥ 30 nmol/L are 6 and 12 µg/day, respectively (unadjusted model). The intake estimates to maintain 90%, 95% and 97.5% of concentrations ≥ 50 nmol/L are 33.4, 57.5 and 92.3 µg/day, respectively (unadjusted) and 17.0, 28.1 and 43.6 µg/day, respectively (adjusted for mean values for baseline serum 25(OH)D, age and BMI).

conclusionsIPD-derived vitamin D intakes required to maintain 90%, 95% and 97.5% of winter 25(OH)D concentrations ≥ 50 nmol/L are much higher than those derived from standard meta-regression based on aggregate data, due to the inability of the latter to capture between person-variability. Our IPD provides further evidence that using food-based approaches to achieve an intake of 12 µg/day could prevent vitamin D deficiency (i.e., serum 25(OH)D < 30 nmol/L) in the general population.

Indexed as

Vitamin DVitamin D DeficiencyAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDietary SupplementsFood, FortifiedHumansMiddle AgedReference ValuesVitaminsYoung AdultVitamin DVitaminsDietary reference valuesIndividual participant data-level meta-regression analysesRecommended dietary allowanceVitamin D-fortified foodsVitamin D recommendations

Identifiers

PMID32556447
OpenAlexW3035877949

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.