Vitamin D status, liver enzymes, and incident liver disease and mortality: a general population study
Research output: Contribution to journal › Journal article › peer-review
Vitamin D deficiency is common among patients with liver diseases. Both cholestatic and non-cholestatic liver diseases can cause vitamin D deficiency. Whether vitamin D status can also affect liver function is poorly understood. To investigate the association between vitamin D status, liver enzymes, and incident liver disease, we included a total of 2,649 individuals from the Monica10 study conducted in 1993-1994. Vitamin D status as assessed by serum 25-hydroxyvitamin, serum alanine transaminase (ALT), aspartate transaminase (AST), and gamma glutamyl transferase (GGT) were measured at baseline. Information on fatal and non-fatal liver disease was obtained from the Danish National Patient Register and The Danish Registry of Causes of Death, respectively. Median follow-up time was 16.5 years, and there were 62 incident cases of fatal and non-fatal liver disease. Multivariable Cox regression analyses with age as underlying time axis and delayed entry showed a statistically significant inverse association between vitamin D status and incident liver disease with a hazard ratio = 0.88 (95 % confidence interval 0.79-0.99) per 10 nmol/l higher vitamin D status at baseline (adjusted for gender, season, alcohol consumption, smoking, physical activity, dietary habits, education, body mass index, and ALT). The risk of having a high level of ALT, AST, or GGT tended to be higher for lower vitamin D levels, although not statistically significant. In this general population study, vitamin D status was inversely associated with incident liver disease. Further studies are needed to determine whether patients in risk of developing impaired liver function should be screened for vitamin D deficiency for preventive purposes.
Original language | English |
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Journal | Endocrine |
Volume | 47 |
Issue number | 1 |
Pages (from-to) | 213-220 |
Number of pages | 8 |
ISSN | 1355-008X |
DOIs | |
Publication status | Published - Sep 2014 |
- Adult, Aged, Denmark, Female, Humans, Incidence, Liver, Liver Diseases, Liver Function Tests, Male, Middle Aged, Mortality, Vitamin D, Vitamin D Deficiency
Research areas
ID: 138776930