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Levels of 25-hydroxyvitamin D in familial longevity: the Leiden Longevity Study - 11/01/13

Doi : 10.1503/cmaj.120233 
Raymond Noordam, MSc a, Anton J.M. de Craen, PhD a, e, Pardis Pedram, MD MSc a, Andrea B. Maier, MD PhD a, e, Simon P. Mooijaart, MD PhD a, e, Johannes van Pelt, PhD b, Edith J. Feskens, PhD c, Martinette T. Streppel, PhD c, P. Eline Slagboom, PhD d, e, Rudi G.J. Westendorp, MD PhD a, e, Marian Beekman, PhD d, e, Diana van Heemst, PhD a, e,
a Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden 
b Laboratory of Clinical Chemistry, Hematology and Immunology, Medical Center Alkmaar, Alkmaar 
c Division of Human Nutrition, Wageningen University, Wageningen 
d Section of Molecular Epidemiology, Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden 
e Netherlands Consortium for Healthy Ageing, the Netherlands 

* Correspondence to: Diana van Heemst

Contributors: Anton De Craen, Diana van Heemst, Simon Mooijaart, Andrea Maier, Rudi Westendorp, and Eline Slagboom designed the Leiden Longevity Study and recruited the participants. Raymond Noordam, Anton de Craen, Pardis Pedram and Diana van Heemst performed the data analyses, interpreted the initial analyses and drafted the first version of the manuscript. Marian Beekman, Eline Slagboom, Johannes van Pelt, Martinette Streppel and Edith Feskens acquired the data. All authors critically commented on the initial versions of the manuscript and approved the final version submitted for publication.

Abstract

Background

Low levels of 25(OH) vitamin D are associated with various age-related diseases and mortality, but causality has not been determined. We investigated vitamin D levels in the offspring of nonagenarians who had at least one nonagenarian sibling; these offspring have a lower prevalence of age-related diseases and a higher propensity to reach old age compared with their partners.

Methods

We assessed anthropometric characteristics, 25(OH) vitamin D levels, parathyroid hormone levels, dietary vitamin D intake and single nucleotide polymorphisms (SNPs) associated with vitamin D levels. We included offspring (n = 1038) of nonagenarians who had at least one nonagenarian sibling, and the offsprings’ partners (n = 461; controls) from the Leiden Longevity Study. We included age, sex, body mass index, month during which blood sampling was performed, dietary and supplemental vitamin D intake, and creatinine levels as possible confounding factors.

Results

The offspring had significantly lower levels of vitamin D (64.3 nmol/L) compared with controls (68.4 nmol/L; p = 0.002), independent of possible confounding factors. There was no difference in the levels of parathyroid hormone between groups. Compared with controls, the offspring had a lower frequency of a genetic variant in the CYP2R1 gene (rs2060793) (p = 0.04). The difference in vitamin D levels between offspring and controls persisted over the 2 most prevalent genotypes of this SNP.

Interpretation

Compared with controls, the offspring of nonagenarians who had at least one nonagenarian sibling had a reduced frequency of a common variant in the CYP2R1 gene, which predisposes people to high vitamin D levels; they also had lower levels of vitamin D that persisted over the 2 most prevalent genotypes. These results cast doubt on the causal nature of previously reported associations between low levels of vitamin D and age-related diseases and mortality.

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 Competing interests: None declared.
This article has been peer reviewed.
Funding: This study was supported by the Innovation Oriented Research Program on Genomics (SenterNovem; IGE1014 and IGE5007), the Centre for Medical Systems Biology and the Netherlands Genomics Initiative/Netherlands Organisation for Scientific Research (05040202 Netherlands Consortium for Healthy Ageing).


© 2012  Canadian Medical Association. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 184 - N° 18

P. E963-E968 - décembre 2012 Regresar al número
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