Polymorphisms in the Vitamin D System and Health

NCT ID: NCT01395303

Last Updated: 2016-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

9700 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-04-30

Study Completion Date

2016-08-31

Brief Summary

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Polymorphisms in the vitamin D system appear to affect the serum 25(OH)D levels. If so one would expect these polymorphisms to be associated with vitamin D related conditions and diseases, which will be tested in the present study including DNA analyses in 9700 subjects

Detailed Description

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Vitamin D, which is essential in calcium metabolism, is produced in the skin after sun exposure or obtained from food, mainly fatty fish or vitamin D supplements. For activation vitamin D must be hydroxylated in the liver to 25(OH)D and thereafter in the kidney to 1,25(OH)2D. In the circulation 25(OH)D and 1,25(OH)2D are bound to a carrier protein (DBP), and for 1,25(OH)2D to exert its effect it has to bind to the vitamin D receptor (VDR).

The serum level of 25(OH)D, which is the metabolite used to evaluate a person's vitamin D status, is in part genetically determined and several polymorphisms with effects on serum 25(OH)D have been identified. These polymorphisms, where the minor allele frequencies vary between 16 and 40 %, appear as important for the serum 25(OH)D level as the effect of season, physical activity or vitamin D supplementation.

Vitamin D is not only vital for the skeleton, but appears to be related to a number of health outcomes, including mortality as previously demonstrated in the Tromsø study. However, as the serum level of 25(OH)D is strongly influenced by life-style factors that are also related to health outcomes, it is difficult to decide whether the relation between vitamin D and health is causal or not.

On the other hand, the polymorphisms are not influenced by life-style, and the effect of the polymorphisms will be life-long. Accordingly, they may be a better marker of vitamin D status than a single serum 25(OH)D measurement. Furthermore, there are a number of polymorphisms regarding the vitamin D receptor (VDR) that may be associated with health.

In the present study we will therefore relate the polymorphisms affecting the serum 25(OH)D level and the function of the VDR, with anthropometric and biochemical measures, mortality, diseases and risk factors for disease. DNA will be obtained from the 4th Tromsø study.

If we find the expected associations between the polymorphisms and diseases, this will further strengthen the role of vitamin D in human health, and may be important for recommendations regarding vitamin D supplementation. Considering the high prevalence of vitamin D deficiency world wide, this may potentially have huge consequences for public health.

The main purpose of the present study is the vitamin D system, but in the Tromsø study we have previously also found a number of associations between thyroid and androgen function and health. Obtaining DNA for analysis will be the major cost in the project, whereas analyses of individual polymorphisms are relatively cheap. We will therefore also include polymorphisms regarding thyroid and androgen function.

Conditions

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Infarction Stroke Diabetes Fracture Aortic Stenosis Cancer Death

Keywords

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infarction stroke diabetes fracture aortic stenosis cancer death vitamin D androgens thyroid hormones

Study Design

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Study Time Perspective

RETROSPECTIVE

Study Groups

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myocardial infarction

subjects with myocardial infarction in the Tromsø study end point registry

No interventions assigned to this group

type 2 diabetes

subjects with type 2 diabetes in the Tromsø study end point registry

No interventions assigned to this group

stroke

subjects with stroke in the Tromsø study end point registry

No interventions assigned to this group

fracture

subjects with fracture in the Tromsø study end point registry

No interventions assigned to this group

cancer

subjects with cancer in the Tromsø study end point registry

No interventions assigned to this group

death

subjects registered as dead in the Tromsø study end point registry

No interventions assigned to this group

aortic stenosis

subjects with aortic stenosis in the Tromsø study end point registry

No interventions assigned to this group

control group

randomly selected controls from the Tromsø study

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* participated in the fourth Tromsø study, later registered in our end point registry or selected as a control subject

Exclusion Criteria

* lacking DNA sample
Minimum Eligible Age

30 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Tromso

OTHER

Sponsor Role lead

Responsible Party

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Rolf Jorde

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rolf Jorde, Professor

Role: PRINCIPAL_INVESTIGATOR

University of Tromso

Locations

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University of Tromsø

Tromsø, Tromsø, Norway

Site Status

Countries

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Norway

References

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Jorde R, Schirmer H, Wilsgaard T, Joakimsen RM, Mathiesen EB, Njolstad I, Lochen ML, Figenschau Y, Berg JP, Svartberg J, Grimnes G. Polymorphisms related to the serum 25-hydroxyvitamin D level and risk of myocardial infarction, diabetes, cancer and mortality. The Tromso Study. PLoS One. 2012;7(5):e37295. doi: 10.1371/journal.pone.0037295. Epub 2012 May 23.

Reference Type DERIVED
PMID: 22649517 (View on PubMed)

Other Identifiers

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UIT-ENDO-2011-2

Identifier Type: -

Identifier Source: org_study_id