Background <p>Evidence 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.</p> Methods <p>This 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 &lt;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.</p> Results <p>Over 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 (<i>P</i> for interaction by glycemic status = 0.04). The association between serum 25(OH)D levels and diabetes risk differed according to HbA1c level (<i>P</i> for interaction = 0.05); a trend toward a lower risk of type 2 diabetes was observed in participants with HbA1c &lt; 5.7% but not in those with HbA1c 5.7–6.4%.</p> Conclusions <p>The 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.</p>

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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

摘要

Background

Evidence 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.

Methods

This 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.

Results

Over 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%.

Conclusions

The 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.