Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)

Recent evidence suggests that low vitamin D concentrations are associated with increased levels of inflammatory markers. However, there are limited studies investigating associations between vitamin D levels and inflammatory markers in the general population and much of this evidence in older adults...

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Main Authors: Cesar de Oliveira, Jane P. Biddulph, Vasant Hirani, Ione Jayce Ceola Schneider
Format: Article
Language:English
Published: Cambridge University Press 2017-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679016000379/type/journal_article
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author Cesar de Oliveira
Jane P. Biddulph
Vasant Hirani
Ione Jayce Ceola Schneider
author_facet Cesar de Oliveira
Jane P. Biddulph
Vasant Hirani
Ione Jayce Ceola Schneider
author_sort Cesar de Oliveira
collection DOAJ
description Recent evidence suggests that low vitamin D concentrations are associated with increased levels of inflammatory markers. However, there are limited studies investigating associations between vitamin D levels and inflammatory markers in the general population and much of this evidence in older adults is inconclusive. Therefore, this study investigates the cross-sectional association of serum 25-hydroxyvitamin D (25(OH)D) levels with inflammatory markers in 5870 older English adults from wave 6 (2012–2013) of the English Longitudinal Study of Ageing (ELSA). ELSA is a large prospective observational study of community-dwelling people aged 50 years and over in England. Serum 25(OH)D levels, C-reactive protein (CRP) levels, plasma fibrinogen levels, white blood cell count (WBC), age, season of blood collection, waist circumference, total non-pension household wealth, measures of health and health behaviours that included depression, number of cardiovascular, non-cardiovascular conditions and difficulties in activities of daily living, smoking, and physical activity were measured. There was a significant negative association between low 25(OH)D levels (≤30 nmol/l) and CRP (OR 1·23, 95 % CI 1·00, 1·51) and WBC (OR 1·35, 95 % CI 1·13, 1·60) that remained after adjustment for a wide range of covariates of clinical significance. However, for fibrinogen, the association did not remain significant when waist circumference was entered in the final model. Our findings showed that 25(OH)D levels were associated with two out the three inflammatory markers investigated. The independent and inverse association between serum 25(OH)D levels and inflammation suggests a potential anti-inflammatory role for vitamin D in older English individuals from the general population.
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spelling doaj.art-3e5c38048b3845fcb67c6a8c249076702023-03-09T12:38:57ZengCambridge University PressJournal of Nutritional Science2048-67902017-01-01610.1017/jns.2016.37Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)Cesar de Oliveira0Jane P. Biddulph1Vasant Hirani2Ione Jayce Ceola Schneider3Department of Epidemiology & Public Health, English Longitudinal Study of Ageing, University College London, London, UKDepartment of Epidemiology & Public Health, English Longitudinal Study of Ageing, University College London, London, UKCentre for Education and Research on Ageing, School of Public Health, ARC Centre of Excellence in Population Ageing Research, University of Sydney, Sydney, New South Wales, AustraliaUniversidade Federal de Santa Catarina, Campus Araranguá, Santa Catarina, Brazil Department of Epidemiology & Public Health, University College London, London, UKRecent evidence suggests that low vitamin D concentrations are associated with increased levels of inflammatory markers. However, there are limited studies investigating associations between vitamin D levels and inflammatory markers in the general population and much of this evidence in older adults is inconclusive. Therefore, this study investigates the cross-sectional association of serum 25-hydroxyvitamin D (25(OH)D) levels with inflammatory markers in 5870 older English adults from wave 6 (2012–2013) of the English Longitudinal Study of Ageing (ELSA). ELSA is a large prospective observational study of community-dwelling people aged 50 years and over in England. Serum 25(OH)D levels, C-reactive protein (CRP) levels, plasma fibrinogen levels, white blood cell count (WBC), age, season of blood collection, waist circumference, total non-pension household wealth, measures of health and health behaviours that included depression, number of cardiovascular, non-cardiovascular conditions and difficulties in activities of daily living, smoking, and physical activity were measured. There was a significant negative association between low 25(OH)D levels (≤30 nmol/l) and CRP (OR 1·23, 95 % CI 1·00, 1·51) and WBC (OR 1·35, 95 % CI 1·13, 1·60) that remained after adjustment for a wide range of covariates of clinical significance. However, for fibrinogen, the association did not remain significant when waist circumference was entered in the final model. Our findings showed that 25(OH)D levels were associated with two out the three inflammatory markers investigated. The independent and inverse association between serum 25(OH)D levels and inflammation suggests a potential anti-inflammatory role for vitamin D in older English individuals from the general population.https://www.cambridge.org/core/product/identifier/S2048679016000379/type/journal_articleVitamin DInflammationOlder adultsAgeingProspective studies
spellingShingle Cesar de Oliveira
Jane P. Biddulph
Vasant Hirani
Ione Jayce Ceola Schneider
Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
Journal of Nutritional Science
Vitamin D
Inflammation
Older adults
Ageing
Prospective studies
title Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
title_full Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
title_fullStr Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
title_full_unstemmed Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
title_short Vitamin D and inflammatory markers: cross-sectional analyses using data from the English Longitudinal Study of Ageing (ELSA)
title_sort vitamin d and inflammatory markers cross sectional analyses using data from the english longitudinal study of ageing elsa
topic Vitamin D
Inflammation
Older adults
Ageing
Prospective studies
url https://www.cambridge.org/core/product/identifier/S2048679016000379/type/journal_article
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AT janepbiddulph vitamindandinflammatorymarkerscrosssectionalanalysesusingdatafromtheenglishlongitudinalstudyofageingelsa
AT vasanthirani vitamindandinflammatorymarkerscrosssectionalanalysesusingdatafromtheenglishlongitudinalstudyofageingelsa
AT ionejayceceolaschneider vitamindandinflammatorymarkerscrosssectionalanalysesusingdatafromtheenglishlongitudinalstudyofageingelsa