Serum 25-Hydroxyvitamin D, Genetic Susceptibility, and Abdominal Aortic Aneurysm Risk

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · Incident AAA (2042 cases)Result — go to the resultHazard ratio 0.92 95% CI 0.88–0.96

Authors' conclusion

There was a significant inverse association between serum 25(OH)D and AAA incidence, particularly among individuals with higher genetic risk for AAA, older age, and without diabetics.

Study context

Population
UK Biobank participants without prevalent aortic aneurysm or aortic dissection at baseline
Participants
447,529 participants
Exposure
Serum 25D concentration and genetic variants vs incident abdominal aortic aneurysm (AAA)
Outcome
Incident abdominal aortic aneurysm (AAA)
Follow-up
Median 12.5 years
Methodological detailsUK Biobank
  • UK Biobank

Main finding

Incident AAA (2042 cases)

Hazard ratio

0.92

95% CI 0.88–0.96

Per SD increment in serum 25(OH)D
HR 0.92 (95% CI 0.88–0.96)

Per SD increment in serum 25, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
ApaI SNP and incident AAA (371 621 with genetics assessment)ApaI AA allelesvs ApaI CC alleles1.16 (1.02–1.32)

Effect modification of 25(OH)D–AAA association by age and diabetes

Inverse association more pronounced in older individuals and those without diabetes
both P for interaction < .05

Effect modification by genetic risk for AAA

Inverse association stronger with intermediate or high genetic risk for AAA
P for interaction = 0.048

Original publication

Serum 25-Hydroxyvitamin D, Genetic Susceptibility, and Abdominal Aortic Aneurysm Risk. J Clin Endocrinol Metab. Published 4 October 2024. doi:10.1210/clinem/dgae692

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