Osteoporosis, bone & mineral

Does the Combination of Abdominal Obesity and Vitamin D Deficiency Increase the Risk of Death in Individuals Aged 50 or Older? Evidence From the ELSA Study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

AO combined with 25(OH)D deficiency increases mortality risk in older adults.

Study context

Population
Adults aged ≥ 50 years from the ELSA Study
Participants
5,520 adults
Exposure
Combinations of abdominal obesity status and 25D status vs NAO/VDS
Outcome
Mortality (risk of death)
Follow-up
6 years
Methodological details6-year follow-up, Cox regression adjusted for sociodemographic, behavioural and clinical characteristics
  • 6-year follow-up
  • Cox regression adjusted for sociodemographic, behavioural and clinical characteristics

Main finding

As reported in the abstract

Risk of death
Each group vs NAO/VDSHazard ratio (95% CI)
NAO/VDI
1.91(1.37–2.66)
NAO/VDD
1.81(1.25–2.62)
AO/VDS
1.47(1.02–2.14)
AO/VDI
1.50(1.01–2.23)
AO/VDDhighest mortality risk
2.23(1.50–3.33)

Observational data: associations, not effects.

Original publication

Does the Combination of Abdominal Obesity and Vitamin D Deficiency Increase the Risk of Death in Individuals Aged 50 or Older? Evidence From the ELSA Study. Diabetes Obes Metab. Published 6 May 2026. doi:10.1111/dom.70839

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