Vitamin D assessment in population-based studies: a review of the issues

Am J Clin Nutr. 2008 Apr;87(4):1102S-5S. doi: 10.1093/ajcn/87.4.1102S.

Abstract

In the past decade, research on the relation between vitamin D exposure and disease in population-based studies has increased exponentially. These studies have involved measurement of vitamin D exposure by means of several methods: blood assays, self-reported dietary and supplemental intakes, and sunlight exposure questionnaires or diaries. As with all exposure measurements, researchers must consider the validity of their assessment tools for capturing vitamin D exposure. The purpose of this article is to summarize our current understanding of the various approaches to measuring vitamin D status within populations as reviewed at the 2007 Experimental Biology symposium, "Assessment of Vitamin D in Population-Based Studies." In summary, serum 25-hydroxyvitamin D is the accepted biomarker for short-term vitamin D status, but estimates of long-term dietary and supplemental intakes of vitamin D and long-term sunlight exposure may be the most logistically feasible indicators of lifetime vitamin D exposure in population-based studies. Also discussed are issues investigators should consider when analyzing relations between vitamin D exposure and disease outcomes in population-based studies as well as research avenues that need further exploration. The best method for assessing vitamin D status in population-based studies will depend primarily on the research question asked and the critical window of vitamin D exposure hypothesized to be most important.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomarkers / blood
  • Bone Density Conservation Agents / blood
  • Diet*
  • Dietary Supplements
  • Humans
  • Nutrition Assessment*
  • Nutritional Status*
  • Sunlight*
  • Vitamin D / administration & dosage
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood*
  • Vitamin D / physiology
  • Vitamin D Deficiency / diagnosis
  • Vitamin D Deficiency / prevention & control

Substances

  • Biomarkers
  • Bone Density Conservation Agents
  • Vitamin D
  • 25-hydroxyvitamin D