Evidence map›Paper›PMID 40314341›Full record

ArticleJournal of the American Heart Association2025

Circulating 25-Hydroxyvitamin D Levels During Pregnancy and Risk of Congenital Heart Diseases: Multivariable and Mendelian Randomization Analyses Using 3 Birth Cohorts.

Karen Christina Walker, Ina O Specht, Vibeke Hjortdal, Henrik T Christesen, Berit L Heitmann, Gillian Santorelli, Jane West, Per Magnus, Pål R Njølstad, Elizabeth C Corfield and 4 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

14 authors.

Karen Christina WalkerThe Parker Institute, Research Unit for Dietary studies Bispebjerg and Frederiksberg Hospital Frederiksberg Denmark.ORCID 0000-0001-9867-1416
Ina O SpechtThe Parker Institute, Research Unit for Dietary studies Bispebjerg and Frederiksberg Hospital Frederiksberg Denmark.ORCID 0000-0002-3114-4715
Vibeke HjortdalDepartment of Cardiothoracic Surgery Rigshospitalet Copenhagen Denmark.ORCID 0000-0002-8047-0015
Henrik T ChristesenInstitute of Clinical Research University of Southern Denmark Odense Denmark.ORCID 0000-0001-5330-6853
Berit L HeitmannThe Parker Institute, Research Unit for Dietary studies Bispebjerg and Frederiksberg Hospital Frederiksberg Denmark.ORCID 0000-0002-6809-4504
Gillian SantorelliBradford Institute for Health Research Bradford UK.ORCID 0000-0003-0427-1783
Jane WestBradford Institute for Health Research Bradford UK.ORCID 0000-0002-5770-8363
Per MagnusCentre for Fertility and Health Norwegian Institute of Public Health Oslo Norway.ORCID 0000-0002-6427-4735
Pål R NjølstadMohn Center for Diabetes Precision Medicine, Department of Clinical Science University of Bergen Norway.ORCID 0000-0003-0304-6728
Elizabeth C CorfieldPsychGen Centre for Genetic Epidemiology and Mental Health Norwegian Institute of Public Health Oslo Norway.ORCID 0000-0002-0119-157X
Alexandra HavdahlPsychGen Centre for Genetic Epidemiology and Mental Health Norwegian Institute of Public Health Oslo Norway.
Maria MagnusCentre for Fertility and Health Norwegian Institute of Public Health Oslo Norway.
Kurt TaylorPopulation Health Science, Bristol Medical School Bristol UK.ORCID 0000-0003-4690-063X
Deborah A LawlorPopulation Health Science, Bristol Medical School Bristol UK.ORCID 0000-0002-6793-2262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying modifiable risk factors for congenital heart disease (CHD) is important for prevention. Previous studies have reported associations between 25-hydroxyvitamin D (25(OH)D) in pregnancy and CHD in the offspring. However, these studies contain important methodological limitations. We aimed to investigate 25(OH)D levels during pregnancy in relation to offspring risk of CHD using both multivariable regression (MVR) analysis and Mendelian randomization (MR) analysis.

methodsData from the ALSPAC (Avon Longitudinal Study of Parents and Children), BiB (Born in Bradford), and MoBa (Norwegian Mother, Father and Child Cohort) studies (N=8722 (77 cases) for MVR analysis, N=74 953 (646 cases) for MR) were used. MVR analysis was adjusted for offspring sex, maternal age, education, body mass index, smoking, alcohol consumption, and parity. One sample MR was performed with weighted genetic risk score for 25(OH)D based on published genome-wide significant genetic variants. Sensitivity analyses explored the relevance and validity of the genetic risk score. Results were pooled across the 3 cohorts in a meta-analysis with random effects and consistency between results from the MVR and MR was examined.

resultsPooled results from the adjusted MVR suggested higher maternal pregnancy 25(OH)D associated with lower CHD risk, though the CIs were wide and included the null (odds ratio [OR], 0.79 [95% CI, 0.53, 1.06] per 1 SD higher 25(OH)D). By contrast precise MR results did not support a causal relationship (OR, 0.99 [95% CI, 0.91, 1.07] per 1 SD higher 25(OH)D genetic risk score).

conclusionsWe did not find robust evidence supporting an effect of maternal pregnancy 25(OH)D levels on offspring CHD.

Indexed as

Heart Defects, CongenitalVitamin DVitamin D DeficiencyAdultBiomarkersBirth CohortFemaleHumansMaleMendelian Randomization AnalysisMultivariate AnalysisPregnancyRisk AssessmentRisk Factors25-hydroxyvitamin DBiomarkersVitamin D25(OH)D; multivariable regression analysisALSPACBiBcongenital heart diseaseMendelian randomizationMoBa

Identifiers

PMID40314341
PMCPMC12184255

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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.