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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Research Articles

Intraindividual Variation in Plasma 25-Hydroxyvitamin D Measures 5 Years Apart among Postmenopausal Women

Jennifer E. Meng, Kathleen M. Hovey, Jean Wactawski-Wende, Christopher A. Andrews, Michael J. LaMonte, Ronald L. Horst, Robert J. Genco and Amy E. Millen
Jennifer E. Meng
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Kathleen M. Hovey
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Jean Wactawski-Wende
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Christopher A. Andrews
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Michael J. LaMonte
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Ronald L. Horst
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Robert J. Genco
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Amy E. Millen
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DOI: 10.1158/1055-9965.EPI-12-0026 Published June 2012
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  • Figure 1.
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    Figure 1.

    Scatter plot of plasma 25-hydroxvitamin D [25(OH)D] concentrations assessed at follow-up (2002–2005) versus baseline (1997–2000) among participants in the Osteoporosis and Periodontal Disease (OsteoPerio) Study (n = 672) with least squares regression lines representing participants with bloods drawn in the same (n = 444) and different (11 = 228) seasons at baseline and follow-up. Note: Solid regression line and circles (O) represents women with bloods drawn at baseline and follow-up in the same season. Dashed regression line and plus signs (+) represents women with bloods drawn in different seasons at baseline and follow-up. Seasons are defined by the following 4 seasons: winter (January–March), spring (April–June), summer (July–September), and fall (October–December).

  • Figure 2.
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    Figure 2.

    Scatter plot of plasma 25-hydroxvitamin D [25(OH)D] concentrations assessed at follow-up (2002–2005) versus baseline (1997–2000) among participants in the Osteoporosis and Periodontal Disease (OsteoPerio) Study (n = 672) with least squares regression lines representing participants with bloods drawn in the same (n = 444) season and at opposite times of year (n = 49) at baseline and follow-up. Note: Solid regression line and circles (O) represents women with bloods drawn at baseline and follow-up in the same season. Dashed regression line and plus signs (+) represents women with bloods drawn at opposite times of year at baseline and follow-up. Seasons are defined by the following 4 seasons: winter (January–March), spring (April–June), summer (July–September), and fall (October–December). There were 444 women with bloods drawn at baseline and follow-up in the same season and 49 women with bloods drawn at baseline and follow-up at opposite times of year (January–March compared with July–September or April–June compared with October–December).

  • Figure 3.
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    Figure 3.

    Scatter plot of plasma 25-hydroxvitamin D [25(OH)D] concentrations assessed at follow-up (2002–2005) versus baseline (1997–2000) among participants in the Osteoporosis and Periodontal Disease (OsteoPerio) Study (n = 672) with least squares regression lines representing participants with similar (n = 517) and different (n = 151) self-reported vitamin D supplement use at baseline and follow-up. Note: Solid regression line and circles (O) represents women with similar self-reported vitamin D supplement use at baseline and follow-up. Dashed regression line and plus signs (+) represents women with different self-reported vitamin D supplement use at baseline and follow-up. Similar self-reported vitamin D supplement use included women who reported use at both baseline and follow-up or no use at both time points. Different self-reported vitamin D supplement use included women who reported use at baseline but no use at follow-up or no use at baseline and use at follow-up.

Tables

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  • Table 1.

    Descriptive characteristics of participants with plasma 25(OH)D concentrations at Osteoporosis and Periodontal Disease (OsteoPerio) Study baseline (1997–2000) and follow-up (2002–2005; n = 672)

    Age at visit (y), mean ± SD65.7 ± 6.7
    Race/Ethnicity, n (%)
     Caucasian663 (98.7)
     African American4 (0.6)
     American Indian/Alaskan Native4 (0.6)
     Asian/Pacific Islander1 (0.2)
    Education level, n (%)
     Some high school11 (1.6)
     High school diploma/GEDa121 (18.0)
     School after high school211 (31.4)
     College degree or higher321 (47.8)
     N Missing8 (1.2)
    Smoking status, n (%)
     Current14 (2.1)
     Former288 (42.9)
     Never370 (55.1)
    Hormone therapy use, n (% any use)b344 (51.2)
    BMI (kg/m2)c, mean ± SD26.6 ± 4.9
    Physical activity (METd–h/wk), mean ± SD14.5 ± 14.4
    • ↵aGeneral Equivalency Diploma.

    • ↵bCurrent use of estrogen and/or progestin.

    • ↵cKilograms/meters2.

    • ↵dMetabolic equivalents task.

  • Table 2.

    Plasma 25(OH)D concentrations, season of blood draw, and vitamin D intake from foods and supplements at Osteoporosis and Periodontal Disease (OsteoPerio) Study baseline (1997–2000) and follow-up (2002–2005) among women with plasma 25(OH)D concentrations at both time points (n = 672)

    BaselineFollow-up
    Plasma 25(OH)D concentrations (nmol/L), mean ± SD60.0 ± 22.267.8 ± 22.2a
    Plasma 25(OH)D concentrations (nmol/L), range5.9–147.213.0–185.8
    Clinical 25(OH)D levels, n (%)
     At risk for deficiency (<30 nmol/L)58 (8.6)22 (3.7)a
     At risk for inadequacy (≥30–<50 nmol/L)157 (23.4)108 (16.1)
     Adequate (≥50–<75 nmol/L)305 (45.4)317 (47.2)
     Adequate (≥75 nmol/L)152 (22.6)225 (33.5)
    Season of blood draw, n (%)
     January–March143 (21.3)160 (23.8)a
     April–June163 (24.3)180 (26.8)
     July–September182 (27.1)168 (25.0)
     October–December184 (27.4)164 (24.4)
    Vitamin D intake from foods (IU/d), mean ± SD200.5 ± 130.3246.4 ± 245.2a
    Vitamin D supplement usage, n (%)
     None189 (28.1)72 (10.7)a
     ≤400 IU/d324 (48.2)237 (35.3)
     >400 IU/d159 (23.7)359 (53.4)
     N Missing04 (0.6)
    Total vitamin D intake from foods and supplements (IU/d), mean ± SD536.9 ± 319.7775.7 ± 439.1a
    • ↵aP value less than 0.05 for paired t test when comparing means of continuous variables or Bowker test of symmetry when comparing proportions of categorical variables at baseline versus follow-up.

  • Table 3.

    Spearman correlation coefficients (r) and 95% CIs, intraindividual CV and ICC, and 95% CIs are presented for repeat measures of plasma 25(OH)D at baseline (1997–2000) and follow-up (2002–2005) among postmenopausal women from the Osteoporosis and Periodontal Disease (OsteoPerio) Study (n = 672) with and without stratification by season of blood draw and supplement use patterns

    SampleNSpearman r (95% CI)CVICC (95% CI)
    All participants6720.61 (0.56–0.66)24.6%0.59 (0.54–0.64)
    Same seasona at baseline and follow-up4440.68 (0.63–0.73)23.8%0.64 (0.58–0.69)
    Same season: Winter at baseline and follow-up980.59 (0.44–0.71)27.7%0.60 (0.45–0.71)
    Same season: Spring at baseline and follow-up1160.66 (0.54–0.75)26.5%0.62 (0.50–0.72)
    Same season: Summer at baseline and follow-up1220.75 (0.66–0.82)19.3%0.63 (0.51–0.72)
    Same season: Fall at baseline and follow-up1080.68 (0.56–0.77)21.2%0.67 (0.56–0.77)
    Different seasons at baseline and follow-up2280.49 (0.38–0.58)26.0%0.48 (0.37–0.57)
    Six months apart at baseline and follow-up490.58 (0.35–0.74)30.1%0.59 (0.38–0.74)
    No vitamin D supplement useb at baseline or follow-up540.72 (0.56–0.73)25.5%0.65 (0.47–0.78)
    Vitamin D supplement use at baseline but not follow-up180.72 (0.36–0.88)21.8%0.78 (0.52–0.91)
    Vitamin D supplement use at follow-up but not baseline1330.57 (0.45–0.68)33.7%0.48 (0.34–0.60)
    Vitamin D supplement use at baseline and follow-up4630.59 (0.52–0.64)21.3%0.55 (0.49–0.61)
    No changec in vitamin D supplement use between baseline and follow-up5170.62 (0.56–0.67)21.8%0.60 (0.55–0.66)
    Vitamin D supplement use changed between baseline and follow-up1510.57 (0.45–0.67)32.5%0.51 (0.39–0.62)
    • ↵aSeasons are defined by the following 4 seasons: winter (January–March), spring (April–June), summer (July–September), and fall (October–December).

    • ↵bFour participants (2 users, 2 were nonusers) who reported vitamin D supplements use at baseline and are missing follow-up data are excluded. Use of vitamin D supplements is defined as any use of a vitamin D supplement.

    • ↵cChange in vitamin D supplement use is defined as a person who reported using any amount of vitamin D supplements at baseline and reported using no vitamin D supplements at follow-up and vice versa.

  • Table 4.

    Concordance of classification of clinical categories of plasma 25-hydroxvitmain D [25(OH)D] concentrations at follow-up (2002–2005) based on clinical categories at baseline (1997–2000) among 672 participants in the Osteoporosis and Periodontal Disease (OsteoPerio) Study

    Follow-up: At risk for deficiency (<30 nmol/L)Follow-up: At risk for inadequacy (≥30–<50 nmol/L)Follow-up: Adequate (≥50–<75 nmol/L)Follow-up: Adequate (≥75 nmol/L)
    Baseline: At risk for deficiency (<30 nmol/L)14 (24.1%)22 (37.9%)20 (34.5%)2 (3.5%)
    Baseline: At risk for inadequacy (≥30–<50 nmol/L)6 (3.8%)52 (33.1%)80 (51.0%)19 (12.1%)
    Baseline: Adequate (≥50–<75 nmol/L)1 (0.3%)30 (9.8%)176 (57.7%)98 (32.1%)
    Baseline: Adequate (≥75 nmol/L)1 (0.7%)5 (3.3%)41 (27.0%)106 (69.7%)

    NOTE: N and row percent presented.

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    Cancer Epidemiology Biomarkers & Prevention: 21 (6)
    June 2012
    Volume 21, Issue 6
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    Intraindividual Variation in Plasma 25-Hydroxyvitamin D Measures 5 Years Apart among Postmenopausal Women
    Jennifer E. Meng, Kathleen M. Hovey, Jean Wactawski-Wende, Christopher A. Andrews, Michael J. LaMonte, Ronald L. Horst, Robert J. Genco and Amy E. Millen
    Cancer Epidemiol Biomarkers Prev June 1 2012 (21) (6) 916-924; DOI: 10.1158/1055-9965.EPI-12-0026

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    Intraindividual Variation in Plasma 25-Hydroxyvitamin D Measures 5 Years Apart among Postmenopausal Women
    Jennifer E. Meng, Kathleen M. Hovey, Jean Wactawski-Wende, Christopher A. Andrews, Michael J. LaMonte, Ronald L. Horst, Robert J. Genco and Amy E. Millen
    Cancer Epidemiol Biomarkers Prev June 1 2012 (21) (6) 916-924; DOI: 10.1158/1055-9965.EPI-12-0026
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