Evidence map›Paper›PMID 41901117›Full record

ArticleNutrients2026

Serum Vitamin D, A, and E Concentrations and Their Associations with Chronic Diseases in Adult Patients Referred to Italian General Practitioners' Offices.

Paolo Baron, Diego Bigotto, Elena Brignolo, Gabriella Maria Camusso, Alberto Cannavino, Norberto Carli, Francesco Castronuovo, Carmine Colleluori, Provvidenza Fazio, Roberto Ferroni Nichelino and 14 more

Abstract readMulticenter Study
In one paragraph

Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Paolo BaronHealth District of Udine, Azienda Sanitaria Universitaria Integrata Friuli Centrale, 33100 Udine, Italy.
Diego BigottoHealth District of Udine, Azienda Sanitaria Universitaria Integrata Friuli Centrale, 33100 Udine, Italy.
Elena BrignoloAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Gabriella Maria CamussoAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Alberto CannavinoAzienda Sanitaria Locale (ASL) Roma Lazio, 00193 Roma, Italy.
Norberto CarliAzienda Sanitaria dell'Alto Adige, 39100 Bolzano, Italy.
Francesco CastronuovoAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Carmine ColleluoriHealth District of Udine, Azienda Sanitaria Universitaria Integrata Friuli Centrale, 33100 Udine, Italy.
Provvidenza FazioAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Roberto Ferroni NichelinoAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Giorgio Fiorello ChieriAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Francesco FontanaAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Lino GambardelliAzienda USL di Reggio Emilia, 42122 Reggio Emilia, Italy.
Patrizia MascarelloAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Gabriella MusicaAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Claudio NardoAzienda Sanitaria Universitaria Giuliano Isontina, 34148 Trieste, Italy.
Immacolata PiccirilloAzienda Sanitaria Locale Caserta, 81100 Caserta, Italy.
Herbert RainerAzienda Socio-Sanitaria Territoriale dei Sette Laghi, 21049 Tradate, Italy.
Alberto RolfoAzienda Sanitaria Locale (ASL) TO5, 10023 Torino, Italy.
Stefano VignandoHealth District of Udine, Azienda Sanitaria Universitaria Integrata Friuli Centrale, 33100 Udine, Italy.
Sara CmetClinical Pathology, Azienda Sanitaria Universitaria Integrata, University of Udine, 33100 Udine, Italy.
Annarosa CussighAzienda Sanitaria Universitaria Giuliano Isontina, 34148 Trieste, Italy.ORCID 0009-0003-9934-2528
Edmondo FalletiHepatology and Liver Transplantation Unit, Azienda Sanitaria Universitaria Integrata, Department of Medicine, University of Udine, P.zale S.M. della Misericordia 1, 33100 Udine, Italy.
Pierluigi ToniuttoHepatology and Liver Transplantation Unit, Azienda Sanitaria Universitaria Integrata, Department of Medicine, University of Udine, P.zale S.M. della Misericordia 1, 33100 Udine, Italy.ORCID 0000-0002-2566-3041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin deficiencies remain prevalent worldwide and contribute to chronic disease burden. This study evaluated serum concentrations of vitamins D, A, and E in Italian general practice populations and examined their associations with prevalent chronic diseases.

methodsThis multicenter cross-sectional study enrolled 500 adult patients (median age: 60.7 years; 40.4% male) attending 21 general practice offices across Italy between January 2021 and December 2024. Serum concentrations of 25-hydroxyvitamin D [25(OH)D], vitamin A, and vitamin E were measured alongside demographic, clinical, and biochemical parameters. Statistical analyses included chi-square tests, correlation analyses, and stepwise logistic regression.

resultsThe median 25(OH)D concentration was 20.4 ng/mL, below optimal levels. Vitamin D deficiency was significantly associated with osteoporosis (

conclusionsVitamin D insufficiency is highly prevalent in Italian primary care populations. Vitamin A concentrations show independent associations with multimorbidity and cancer, suggesting a potential negative influence of an animal-based diet, warranting prospective investigation. These findings highlight the importance of comprehensive vitamin assessment in general practice settings.

Indexed as

Vitamin AVitamin DVitamin D DeficiencyVitamin EAdultAgedChronic DiseaseCross-Sectional StudiesFemaleGeneral PracticeGeneral PractitionersHumansItalyMaleMiddle AgedPrevalence25-hydroxyvitamin DVitamin AVitamin DVitamin Echronic diseasegeneral practitionervitamin Avitamin Dvitamin E

Identifiers

PMID41901117
PMCPMC13029338

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.