Evidence map›Paper›PMID 41524646›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2026

25-Hydroxyvitamin D Deficiency Elevates the Risk of COPD Incidence and Mortality: A Large Population-Based Prospective Cohort Study.

Ying Zhu, Shengjie Zhao, Chen Zhu, Jianzheng Zhang, Qiang Tong

Abstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ying ZhuSenior Department of Pulmonary and Critical Care Medicine, the Eighth Medical Center of Chinese PLA General Hospital, Beijing, China
Shengjie ZhaoDepartment of Neurology, Capital Medical University School of Rehabilitation Medicine, China Rehabilitation Research Center, Beijing, China
Chen ZhuCollege of Economics and Management, China Agricultural University, Beijing, China
Jianzheng ZhangFaculty of Orthopedics, National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation, Chinese People’s Liberation Army General Hospital, Beijing, China
Qiang TongDepartment of Rheumatology and Immunology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

Funding

2115 Talent Development Program of China Agricultural UniversityBasic Research Project of Shanghai Sixth People's Hospital ynms202408Beijing Natural Science Foundation 355 7232165Beijing Natural Science Foundation Project 7232165Major Project of Eighth Medical Center of Chinese People's Liberation Army General Hospital 2021ZD005National Natural Science Foundation of China 72573164National Natural Science Foundation of China 81700069Pinduoduo-China Agricultural University Research Fund PC2024B02011
6 · The paper itself

Abstract

Background: The association between 25-hydroxyvitamin D (25(OH)D) levels and chronic obstructive pulmonary disease (COPD) remains unclear. The study aims to investigate the association between 25(OH)D concentrations and the incidence and survival of COPD in the U.K. Biobank cohort. Methods: We conducted a cross-sectional analysis using U.K. Biobank data from 328,855 participants with complete 25-Hydroxyvitamin D (25(OH)D). This analysis examined the association between 25(OH)D levels and COPD prevalence via logistic regression. Additionally, we prospectively followed a cohort of 327,871 individuals without baseline COPD. We assessed the risk of incident COPD and survival outcomes in this cohort using multivariable-adjusted Cox proportional hazards models. Kaplan-Meier estimates were used to generate survival curves. Results: The prevalence of COPD was significantly higher in individuals with 25(OH)D deficiency compared to those with a normal level, as evidenced by an adjusted odds ratio (95% confidence interval [CI]) of 1.266(1.206–1.330) for COPD. During the median follow-up period of 15 years (interquartile range: 14–16 years), the overall COPD incidence was 262.3 per 10,000 person years, with higher rates among those with 25(OH)D deficiency (345.2 per 10,000 person years) compared to normal levels (232.6 per 10,000 person years) (p<0.001). In fully adjusted models, 25(OH)D deficiency was significantly associated with increased COPD incidence (hazard ratio [HR] 1.874, 95% CI 1.659 to 2.117) and mortality (HR 1.598, 95% CI 1.406–1.816). Subgroup analyses revealed stronger associations with COPD incidence among men, current smokers, and individuals not taking vitamin D supplements, as well as an increased COPD mortality risk among patients with depression (p for interaction <0.05). Conclusions: Our study suggests that 25(OH)D deficiency is associated with COPD incidence and survival, providing a basis for preventive strategies and interventions.

Indexed as

25(OH)Dchronic obstructive pulmonary diseasecomorbiditiesincidencemortality

Identifiers

PMID41524646
PMCPMC12927269

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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.