Association between the Serum Vitamin D Concentration and All-Cause and Cancer-Specific Mortality in Individuals with Cancer.

We aimed to explore the association between the serum 25-hydroxyvitamin D concentration and all-cause and cancer-specific mortality in 2,463 adult patients with cancer from the National Health and Nutrition Examination Survey 2007–2018. We linked mortality data from the survey to the National Death...

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Published in:Nutrition & Cancer Vol. 76; no. 1; pp. 89 - 98
Main Authors: Bai, Yu, Wen, Yong-qing, Ma, Xu
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2024
Online Access:View this record in EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/01635581.2023.2279233
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        atl: Association between the Serum Vitamin D Concentration and All-Cause and Cancer-Specific Mortality in Individuals with Cancer.
      aug:
        au:
          Bai, Yu
          Wen, Yong-qing
          Ma, Xu
        affil: Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pharmacy, Peking University Cancer Hospital and Institute, Beijing, China
      sug:
        subj:
          Vitamin D Deficiency Complications
          Cause of Death Risk Factors
          Neoplasms Mortality
          Vitamin D Blood
          Cancer Patients Psychosocial Factors
          Risk Assessment Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Multivariate Analysis
          Demography
          Life Style
          Diet
          Confidence Intervals
          Mortality Prevention and Control
          Kruskal-Wallis Test
          Analysis of Variance
          Chi Square Test
          Cox Proportional Hazards Model
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: We aimed to explore the association between the serum 25-hydroxyvitamin D concentration and all-cause and cancer-specific mortality in 2,463 adult patients with cancer from the National Health and Nutrition Examination Survey 2007–2018. We linked mortality data from the survey to the National Death Index records up to December 31, 2019. During a median follow-up period of 70 months, 567 patients died, of whom 194 died due to cancer. Multivariate adjustment was performed for demographic characteristics, lifestyle, dietary factors, 25-hydroxyvitamin D testing period, and cancer site. Higher serum 25-hydroxyvitamin D concentrations up to 75 nmol/L significantly reduced the risk of all-cause and cancer-specific mortality. When 25-hydroxyvitamin D quartiles were compared, the multivariable-adjusted hazard ratios were 0.59 (95% confidence interval: 0.42, 0.84) for all-cause mortality (P for trend <0.001) and 0.48 (95% confidence interval: 0.29, 0.79) for cancer-specific mortality (P for trend = 0.037) in quartile 3 (79.3–99.2 nmol/L). A threshold of 75 nmol/L for serum 25-hydroxyvitamin D may represent an intervention target to reduce mortalities in patients with cancer, and maintaining 25(OH)D concentrations within range (79.3–99.2 nmol/L) is beneficial for reducing all-cause and cancer-specific mortality.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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