Evidence map›Paper›PMID 41904142›Full record

ArticleNutrition & diabetes2026

Serum 25-hydroxyvitamin D levels and risk of type 2 diabetes according to glycemic status: a prospective cohort study.

Sihan Song, Mi Kyoung Son, Bo Mi Song, Joong-Yeon Lim, Hyun-Young Park

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Article in Nutrition & diabetes, 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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5 · Who and what money

Authors and funding

5 authors.

Sihan SongDivision of Population Health Research, Department of Precision Medicine, National Institute of Health, Cheongju, 28159, Republic of Korea.ORCID 0000-0003-1634-8004
Mi Kyoung SonDivision of Population Health Research, Department of Precision Medicine, National Institute of Health, Cheongju, 28159, Republic of Korea.
Bo Mi SongDivision of Population Health Research, Department of Precision Medicine, National Institute of Health, Cheongju, 28159, Republic of Korea.
Joong-Yeon LimDivision of Population Health Research, Department of Precision Medicine, National Institute of Health, Cheongju, 28159, Republic of Korea.
Hyun-Young ParkNational Institute of Health, Cheongju, 28159, Republic of Korea. mdhypark@gmail.com.ORCID 0000-0002-6698-7368

Funding

Ministry of Health, Welfare and Family Affairs | Korea National Institute of Health (KNIH) 2024-NI-003-00 and 2024-NI-003-01
6 · The paper itself

Abstract

backgroundEvidence on whether the association between vitamin D levels and diabetes risk differs across glycemic statuses is limited. We investigated the association between circulating vitamin D levels and type 2 diabetes risk according to glycemic status.

methodsThis prospective cohort study included 3604 participants without diabetes (mean age: 56 years) whose serum 25-hydroxyvitamin D (25(OH)D) levels were measured in the community-based Korean Genome Epidemiology Study (2007-2009). Fasting and 2-h post-load glucose and glycated hemoglobin (HbA1c) levels were measured biannually over a 14-year follow-up period. Season-standardized serum 25(OH)D levels were categorized into <25 (deficient), 25-50 (insufficient), and ≥ 50 nmol/L (sufficient). We assessed the association between serum 25(OH)D levels and type 2 diabetes risk using Cox proportional hazards models with time-varying covariates, stratifying by glycemic status and individual glycemic markers.

resultsOver 43,176 person-years of follow-up, 796 participants developed type 2 diabetes. Compared with participants with vitamin D deficiency, the multivariable-adjusted hazard ratios (95% confidence intervals) for type 2 diabetes in those with vitamin D sufficiency were 0.80 (0.62-1.04) overall, 0.55 (0.32-0.97) in participants with normoglycemia, and 0.93 (0.69-1.24) in those with prediabetes (P for interaction by glycemic status = 0.04). The association between serum 25(OH)D levels and diabetes risk differed according to HbA1c level (P for interaction = 0.05); a trend toward a lower risk of type 2 diabetes was observed in participants with HbA1c < 5.7% but not in those with HbA1c 5.7-6.4%.

conclusionsThe association between serum 25(OH)D levels and the risk of type 2 diabetes differed by glycemic status, with a more pronounced inverse association among participants with normoglycemia.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2Vitamin DVitamin D DeficiencyAdultAgedFemaleFollow-Up StudiesGlycated HemoglobinHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRepublic of KoreaRisk Factors25-hydroxyvitamin DBlood GlucoseGlycated HemoglobinVitamin D

Identifiers

PMID41904142
PMCPMC13040020

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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.