Table 5. Hazard ratios and 95% confidence intervals for the prospective associations between serum 25-OH vitamin D status and incident fatal and non-fatal COPD stratified by FEV1% predicted.
Fatal and non-fatal COPD¤ | Number of events (total number) | Model 1$ HR (95% CI) | Model 2& HR (95% CI) | Model 3% HR (95% CI) |
FEV1% predicted<60% | 68 (145) | |||
per 10 nmol/l higher 25-OH-D | 0.96 (0.87, 1.1) | 0.95 (0.86, 1.1) | 0.96 (0.85, 1.1) | |
P = 0.408 | P = 0.344 | P = 0.501 | ||
1st vitamin D quartile | 1 (reference) | 1 (reference) | 1 (reference) | |
2nd vitamin D quartile | 0.95 (0.52, 1.7) | 0.97 (0.52, 1.8) | 1.4 (0.66, 2.9) | |
3rd vitamin D quartile | 1.1 (0.55, 2.2) | 0.94 (0.46, 1.9) | 1.0 (0.49, 2.2) | |
4th vitamin D quartile | 0.62 (0.29, 1.3) | 0.59 (0.26, 1.3) | 0.59 (0.24, 1.4) | |
Ptrend = 0.349 | Ptrend = 0.235 | Ptrend = 0.277 | ||
FEV1% predicted 60–80% | 136 (885) | |||
per 10 nmol/l higher 25-OH-D | 0.97 (0.90, 1.0) | 0.97 (0.90, 1.0) | 0.98 (0.91, 1.1) | |
P = 0.367 | P = 0.442 | P = 0.650 | ||
1st vitamin D quartile | 1 (reference) | 1 (reference) | 1 (reference) | |
2nd vitamin D quartile | 0.58 (0.36, 0.93) | 0.59 (0.37, 0.96) | 0.56 (0.34, 0.92) | |
3rd vitamin D quartile | 0.67 (0.42, 1.1) | 0.69 (0.43, 1.1) | 0.74 (0.45, 1.2) | |
4th vitamin D quartile | 0.74 (0.47, 1.2) | 0.75 (0.47, 1.2) | 0.78 (0.47, 1.3) | |
Ptrend = 0.176 | Ptrend = 0.221 | Ptrend = 0.392 | ||
FEV1% predicted >80% | 171 (9493) | |||
per 10 nmol/l higher 25-OH-D | 0.92 (0.87, 0.98) | 0.92 (0.86, 0.98) | 0.96 (0.90, 1.0) | |
P = 0.011 | P = 0.013 | P = 0.222 | ||
1st vitamin D quartile | 1 (reference) | 1 (reference) | 1 (reference) | |
2nd vitamin D quartile | 0.55 (0.35, 0.84) | 0.55 (0.35, 0.84) | 0.63 (0.41, 0.98) | |
3rd vitamin D quartile | 0.79 (0.54, 1.2) | 0.81 (0.55, 1.2) | 1.0 (0.70, 1.6) | |
4th vitamin D quartile | 0.51 (0.33, 0.79) | 0.52 (0.33, 0.81) | 0.68 (0.43, 1.1) | |
Ptrend = 0.018 | Ptrend = 0.025 | Ptrend = 0.405 |
Persons with a diagnosis of COPD before baseline were excluded. Complete case analysis.
Adjusted for study population.
Further adjusted for gender, education, and season.
Further adjusted for alcohol consumption, smoking, leisure time physical activity, intake of fish, and BMI.
Abbreviations: CI, confidence interval; COPD, chronic obstructive pulmonary disease; BMI, body mass index; HR, hazard ratio; 25-OH-D, 25-hydroxyvitamin D; FEV1% predicted, forced expiratory volume in one second in % of predicted.