Volume 21, Issue 2 (7-2021)
ijdld 2021, 21(2): 59-78 |
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Hajhashemy Z, Moslemi E, Saneei P. The Relationship between Serum Vitamin D Levels and Risk of Abdominal Obesity: A Systematic Review and Dose-Response Meta-Analysis of Epidemiologic Studies. ijdld 2021; 21 (2) :59-78
URL: http://ijdld.tums.ac.ir/article-1-6038-en.html
URL: http://ijdld.tums.ac.ir/article-1-6038-en.html
1- Students’ Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2- Department of Biochemistry and Diet Therapy, Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ,saneeip@yahoo.com
2- Department of Biochemistry and Diet Therapy, Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract: (1577 Views)
Background: Although the relation of serum vitamin D levels with abdominal obesity has been investigated by previous observational studies, the results are inconsistent. In the current study, a dose-response meta-analysis was conducted on epidemiologic studies that evaluated this association in adults.
Methods: We performed a systematic search of all published articles, up to May 2020, in five electronic databases. A total of 41 observational studies that reported odds ratios (ORs) or relative risks (RRs) with 95% confidence intervals (CIs) for abdominal obesity in relation to serum vitamin D levels in adults were found.
Results: Meta-analysis on 36 cross-sectional studies (combining 44 effect sizes) with 257699 participants, illustrated that the highest serum vitamin D level in comparison with the lowest serum vitamin D level was significantly related to 23% decreased odds of central obesity (OR=0.77; 95%CI:0.71-0.83). This inverse association was also significant in almost all subgroups based on different covariates. Based on dose-response analysis, each 25 nmol/l increase in serum vitamin D levels, was related to 8% reduced risk of central obesity (OR=0.92;95%CI:0.85,0.99). After limiting the analysis to 23 effect sizes from 17 studies with representative population (242135 participants), the same results were obtained (OR=0.79; 95%CI: 0.71-0.87). Based on dose-response analysis on studies with representative populations, each 25 nmol/l increase in blood vitamin D levels was linked to 10% decreased central adiposity risk(OR=0.90; 95%CI: 0.82, 0.99).
Conclusion: In this meta-analysis of epidemiologic studies, we demonstrated an inverse significant relation between serum vitamin D levels and risk of central obesity in adults, in a dose-response manner. The same findings were obtained in representative populations.
Methods: We performed a systematic search of all published articles, up to May 2020, in five electronic databases. A total of 41 observational studies that reported odds ratios (ORs) or relative risks (RRs) with 95% confidence intervals (CIs) for abdominal obesity in relation to serum vitamin D levels in adults were found.
Results: Meta-analysis on 36 cross-sectional studies (combining 44 effect sizes) with 257699 participants, illustrated that the highest serum vitamin D level in comparison with the lowest serum vitamin D level was significantly related to 23% decreased odds of central obesity (OR=0.77; 95%CI:0.71-0.83). This inverse association was also significant in almost all subgroups based on different covariates. Based on dose-response analysis, each 25 nmol/l increase in serum vitamin D levels, was related to 8% reduced risk of central obesity (OR=0.92;95%CI:0.85,0.99). After limiting the analysis to 23 effect sizes from 17 studies with representative population (242135 participants), the same results were obtained (OR=0.79; 95%CI: 0.71-0.87). Based on dose-response analysis on studies with representative populations, each 25 nmol/l increase in blood vitamin D levels was linked to 10% decreased central adiposity risk(OR=0.90; 95%CI: 0.82, 0.99).
Conclusion: In this meta-analysis of epidemiologic studies, we demonstrated an inverse significant relation between serum vitamin D levels and risk of central obesity in adults, in a dose-response manner. The same findings were obtained in representative populations.
Keywords: Serum 25-Hydroxy Vitamin D, Abdominal Obesity, Waist Circumference, Meta-Analysis, Epidemiologic Studies
Type of Study: Research |
Subject:
General
Received: 2021/02/8 | Accepted: 2021/08/26 | Published: 2021/07/1
Received: 2021/02/8 | Accepted: 2021/08/26 | Published: 2021/07/1
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