Low serum vitamin D is not associated with an increase in mortality in oldest old subjects: the Octabaix three-year follow-up study

Gerontology. 2014;60(1):10-5. doi: 10.1159/000351024. Epub 2013 May 15.

Abstract

Background: Poor vitamin D status, i.e. low serum levels of 25-hydroxyvitamin D [25(OH)D], is common in the general population. Prospective epidemiologic data on the association between vitamin D and mortality in oldest old subjects are limited.

Objective: This study aimed to determine whether 25(OH)D concentrations were prospectively and independently associated with cardiovascular disease (CVD) mortality and all-cause mortality in oldest old subjects.

Methods: A total of 312 subjects aged 85 years old at baseline (Octabaix study) were followed for 3 years. Sociodemographic and overall geriatric assessment data were collected. Serum 25(OH)D concentrations were used to assess vitamin D status. Data on overall and cardiovascular mortality were collected.

Results: The mean serum 25(OH)D levels were 28 ± 30 ng/ml. During the follow-up period, 58 subjects (18.5%) died. Twenty-five of the deaths (8%) were related to CVD. There were no differences in mortality rates according to the different quartiles of vitamin D (p = 0.41 for total mortality and p = 0.86 for CVD mortality).

Conclusion: In community-dwelling oldest old subjects, serum 25(OH)D levels were not associated with overall or CVD mortality after a 3-year follow-up.

MeSH terms

  • Aged, 80 and over
  • Aging / blood
  • Cardiovascular Diseases / blood
  • Cardiovascular Diseases / complications
  • Cardiovascular Diseases / mortality
  • Female
  • Follow-Up Studies
  • Geriatric Assessment
  • Humans
  • Male
  • Prospective Studies
  • Spain / epidemiology
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood*
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / mortality*

Substances

  • Vitamin D
  • 25-hydroxyvitamin D