Adiposity, Cardiometabolic Risk, and Vitamin D Status: The Framingham Heart Study

Adiposity, Cardiometabolic Risk, and Vitamin D Status: The Framingham Heart Study

VOL 59, JANUARY 2010 | Susan Cheng, Joseph M. Massaro, Caroline S. Fox, Martin G. Larson, Michelle J. Keyes, Elizabeth L. McCabe, Sander J. Robins, Christopher J. O'Donnell, Udo Hoffmann, Paul F. Jacques, Sarah L. Booth, Ramachandran S. Vasan, Myles Wolf, and Thomas J. Wang
This study investigates the relationship between vitamin D status and cardiometabolic risk factors in a large, community-based sample of 3,890 nondiabetic individuals from the Framingham Heart Study. The primary objectives were to examine the association of serum 25-hydroxyvitamin D (25(OH)D) concentrations with adiposity measures and insulin resistance, and to determine whether these associations were independent of physical activity and vitamin D intake. Key findings include: 1. **Vitamin D and Adiposity**: 25(OH)D was inversely associated with subcutaneous and visceral adipose tissue (SAT and VAT) volumes, even among lean individuals. The prevalence of vitamin D deficiency was significantly higher in individuals with high VAT compared to those with low VAT. 2. **Vitamin D and Insulin Resistance**: The association between 25(OH)D and insulin resistance measures was attenuated after adjusting for VAT, suggesting that excess visceral adiposity may contribute to the observed relationship between vitamin D and metabolic traits. 3. **Clinical Implications**: The study highlights the importance of adiposity, particularly visceral adiposity, in understanding the relationship between vitamin D status and cardiometabolic risk. These findings have implications for the prevention and management of chronic diseases associated with vitamin D deficiency. The study underscores the need for further research to explore the mechanisms by which adiposity promotes vitamin D deficiency and to understand the clinical implications of these findings.This study investigates the relationship between vitamin D status and cardiometabolic risk factors in a large, community-based sample of 3,890 nondiabetic individuals from the Framingham Heart Study. The primary objectives were to examine the association of serum 25-hydroxyvitamin D (25(OH)D) concentrations with adiposity measures and insulin resistance, and to determine whether these associations were independent of physical activity and vitamin D intake. Key findings include: 1. **Vitamin D and Adiposity**: 25(OH)D was inversely associated with subcutaneous and visceral adipose tissue (SAT and VAT) volumes, even among lean individuals. The prevalence of vitamin D deficiency was significantly higher in individuals with high VAT compared to those with low VAT. 2. **Vitamin D and Insulin Resistance**: The association between 25(OH)D and insulin resistance measures was attenuated after adjusting for VAT, suggesting that excess visceral adiposity may contribute to the observed relationship between vitamin D and metabolic traits. 3. **Clinical Implications**: The study highlights the importance of adiposity, particularly visceral adiposity, in understanding the relationship between vitamin D status and cardiometabolic risk. These findings have implications for the prevention and management of chronic diseases associated with vitamin D deficiency. The study underscores the need for further research to explore the mechanisms by which adiposity promotes vitamin D deficiency and to understand the clinical implications of these findings.
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