Evidence map›Paper›PMID 34705075›Full record

SynthesisEuropean journal of nutrition2022

Individual participant data (IPD)-level meta-analysis of randomised controlled trials to estimate the vitamin D dietary requirements in dark-skinned individuals resident at high latitude.

Kevin D Cashman, Mairead E Kiely, Rikke Andersen, Ida M Grønborg, Inge Tetens, Laura Tripkovic, Susan A Lanham-New, Christel Lamberg-Allardt, Folasade A Adebayo, J Christopher Gallagher and 12 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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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

22 authors at 13 institutions in 6 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 Grønborg *Research Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Inge Tetens *Research Group for Risk-Benefit, Division for Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark.
Laura Tripkovic *Department 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.
Christel Lamberg-AllardtCalcium Research Unit, Department of Food and Nutrition, University of Helsinki, PO Box 66, 00014, Helsinki, Finland.
Folasade A AdebayoCalcium Research Unit, Department of Food and Nutrition, University of Helsinki, PO Box 66, 00014, Helsinki, Finland.
J Christopher GallagherBone Metabolism Unit, Creighton University School of Medicine, Omaha, NE, 68131, USA.
Lynette M SmithCollege of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Jennifer M SacheckMilken Institute School of Public Health, The George Washington University, 950 New Hampshire Ave, NW, Washington, DC, 20052, USA.
Qiushi HuangMilken Institute School of Public Health, The George Washington University, 950 New Hampshire Ave, NW, Washington, DC, 20052, USA.
Kimmie NgDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Chen YuanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Edward L GiovannucciThe Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Kumaravel RajakumarDepartment of Pediatrics, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Charity G PattersonDepartment of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, 15219, USA.
Inger Öhlund *Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Torbjörn LindDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Pia Karlsland ÅkesonDepartment of Clinical Sciences, Pediatrics, Lund University, Malmö/Lund, Sweden.
Christian RitzDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg C, Denmark.
Dana-Farber Cancer Institute · USMilken Institute · USTechnical University of Denmark · DKUmeå University · SEUniversity College Cork · IEUniversity of Copenhagen · DKUniversity of Helsinki · FIUniversity of Pittsburgh · USUniversity of Surrey · GBBrigham and Women's Hospital · USCreighton University · USLund University · SEUniversity of Nebraska Medical Center · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI SHIVDASANI, RAMESH A · 2007 to 2023
$33.2M
Novel randomized controlled trials of vitamin D supplementation in patients with colorectal cancer: Impact on survival and biologyR01CA205406 · NCI · DANA-FARBER CANCER INST · PI Kimmie Ng · 2017 to 2026
$4.9M
Vitamin D and Vascular Function in Obese ChildrenR01HL112985 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAJAKUMAR, KUMARAVEL · 2013 to 2017
$3.7M
Impact of vitamin D supplementation on cardiometabolic risk in schoolchildrenR01HL106160 · NHLBI · TUFTS UNIVERSITY BOSTON · PI SACHECK, JENNIFER · 2011 to 2014
$3.2M
Determination of RDA for Vitamin D in Caucasian and African American WomenR01AG028168 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 2006 to 2009
$1.9M
Vitamin D Insufficiency in Pre- and Early Adolescent ChildrenK23HD052550 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAJAKUMAR, KUMARAVEL · 2007 to 2011
$667k
Biotechnology and Biological Sciences Research Council BB/I006192/division of cancer epidemiology and genetics, national cancer institute P50CA127003fifth framework programme QLK1-CT-2000-00 623foundation for the national institutes of health K23HD052550foundation for the national institutes of health NCI R01CA205406foundation for the national institutes of health R01HL112985NCI NIH HHS P50 CA127003NCI NIH HHS R01 CA205406NCRR NIH HHS UL1 RR024153NHLBI NIH HHS R01 HL106160NHLBI NIH HHS R01HL106160NHLBI NIH HHS R01 HL112985NIA NIH HHS AG28168NIA NIH HHS R01 AG028168NICHD NIH HHS K23 HD052550sixth framework programme 613977u.s. department of defense W81XWH-07-1-201
6 · The paper itself

Abstract

context and purposeThere is an urgent need to develop vitamin D dietary recommendations for dark-skinned populations resident at high latitude. Using data from randomised controlled trials (RCTs) with vitamin D

methodsIPD analysis using data from 677 dark-skinned participants (of Black or South Asian descent; ages 5-86 years) in 10 RCTs with vitamin D supplements/fortified foods identified via a systematic review and predefined eligibility criteria. Outcome measures were vitamin D intake estimates across a range of 25(OH)D thresholds.

resultsTo maintain serum 25(OH)D concentrations ≥ 25 and 30 nmol/L in 97.5% of individuals, 23.9 and 27.3 µg/day of vitamin D, respectively, were required among South Asian and 24.1 and 33.2 µg/day, respectively, among Black participants. Overall, our age-stratified intake estimates did not exceed age-specific Tolerable Upper Intake Levels for vitamin D. The vitamin D intake required by dark-skinned individuals to maintain 97.5% of winter 25(OH)D concentrations ≥ 50 nmol/L was 66.8 µg/day. This intake predicted that the upper 2.5% of individuals could potentially achieve serum 25(OH)D concentrations ≥ 158 nmol/L, which has been linked to potential adverse effects in older adults in supplementation studies.

conclusionsOur IPD-derived vitamin D intakes required to maintain 97.5% of winter 25(OH)D concentrations ≥ 25, 30 and 50 nmol/L are substantially higher than the equivalent estimates for White individuals. These requirement estimates are also higher than those currently recommended internationally by several agencies, which are based predominantly on data from Whites and derived from standard meta-regression based on aggregate data. Much more work is needed in dark-skinned populations both in the dose-response relationship and risk characterisation for health outcomes. TRAIL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews (Registration Number: CRD42018097260).

Indexed as

Vitamin DVitamin D DeficiencyAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDietary SupplementsHumansMiddle AgedNutritional RequirementsSeasonsVitaminsYoung AdultVitamin DVitaminsDark-skinnedDietary reference valuesIndividual participant data-level meta-regression analysesRecommended dietary allowanceVitamin D recommendations

Identifiers

PMID34705075
PMCPMC8857035
OpenAlexW3208676205

What OpenQuestion holds

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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.