Abstract

Hypovitaminosis D has been linked to several non-bone diseases. Relation between 25-hydroxyvitamin D [25(OH)D] and lung function and lung diseases has received little attention at the global level. Cross-sectional data from three National Health and Nutrition Examination Surveys, 2007–2008, 2009–2010, and 2011–2012 were used to investigate the relationship between serum 25(OH)D concentrations and lung function makers [forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1)] and lung diseases (asthma, emphysema, and chronic bronchitis) with multivariate regression models (n = 11,983; men, 6,010; women, 5,973). Serum 25(OH)D concentrations were directly associated with FVC and FEV1 (P for trend < 0.01). Individuals in the 4th quartile serum 25(OH)D had significantly higher FVC and FEV1 compared to those in the 1st quartile (P < 0.01). When data were stratified based on gender and smoking status, we found similar associations between serum 25(OH)D concentrations and lung function markers. There was no relation between serum 25(OH)D and prevalence of asthma, chronic bronchitis, and emphysema in US adults. Serum 25(OH)D concentration is associated with improved lung function markers but not with the prevalence of asthma, emphysema, and chronic bronchitis. Controlled studies are needed to determine if the vitamin D supplementation improves lung function in adults and in smokers.

Highlights

  • Hypovitaminosis D has been linked to several non-bone diseases

  • We investigated the relationship between serum 25(OH)D concentrations and lung function markers and a few selected lung diseases such as asthma, emphysema, and chronic bronchitis

  • This is the first study to investigate the association between 25(OH)D concentrations and lung function markers and lung diseases on the US population using the nationally representative data from three cycles of National Health and Nutrition Examination Survey (NHANES) 2007–2012

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Summary

Introduction

Hypovitaminosis D has been linked to several non-bone diseases. Relation between 25-hydroxyvitamin D [25(OH)D] and lung function and lung diseases has received little attention at the global level. Cross-sectional data from three National Health and Nutrition Examination Surveys, 2007–2008, 2009–2010, and 2011–2012 were used to investigate the relationship between serum 25(OH)D concentrations and lung function makers [forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1)] and lung diseases (asthma, emphysema, and chronic bronchitis) with multivariate regression models (n = 11,983; men, 6,010; women, 5,973). A previous study on the US sample reported a direct relation between serum 25(OH)D concentrations and lung function markers and inverse association between 25(OH) D and prevalence of ­asthma[29]. In this current study, we combined three cycles of National Health and Nutrition Examination Survey (NHANES), 2007–2008, 2009–2010, and 2011–2012, into one working database. The objective of this study was to investigate the relationship between serum 25(OH)D concentrations and lung function markers and lung diseases in US adults

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