Serum 25-Hydroxyvitamin D3 and Mammography Density among Mexican Women

PLoS One. 2016 Aug 26;11(8):e0161686. doi: 10.1371/journal.pone.0161686. eCollection 2016.

Abstract

Low circulating levels of vitamin D and high mammographic density (MD) have been associated with higher risk of breast cancer. Although some evidence suggested an inverse association between circulating vitamin D and MD, no studies have investigated this association among Mexican women. We examined whether serum 25-hydroxyvitamin D3 [25(OH)D3] levels were associated with MD in a cross-sectional study nested within the large Mexican Teacher's Cohort. This study included 491 premenopausal women with a mean age of 42.9 years. Serum 25(OH)D3 levels were measured by liquid chromatography/tandem mass spectrometry. Linear regression and non-linear adjusted models were used to estimate the association of MD with serum 25(OH)D3. Median serum 25(OH)D3 level was 27.3 (23.3-32.8) (ng/ml). Forty one (8%) women had 25(OH)D3 levels in the deficient range (< 20 ng/ml). Body mass index (BMI) and total physical activity were significantly correlated with 25(OH)D3 (r = -0.109, P = 0.019 and r = 0.095, P = 0.003, respectively). In the multivariable linear regression, no significant association was observed between 25(OH)D3 levels and MD overall. However, in stratified analyses, higher serum 25(OH)D3 levels (≥27.3 ng/ml) were significantly inversely associated with percent MD among women with BMI below the median (β = -0.52, P = 0.047). Although no significant association was observed between serum 25(OH)D3 and percent MD in the overall population, specific subgroups of women may benefit from higher serum 25(OH)D3 levels.

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • Breast Density*
  • Calcifediol / blood*
  • Cross-Sectional Studies
  • Exercise
  • Female
  • Homocysteine / blood*
  • Humans
  • Longitudinal Studies
  • Male
  • Mammography
  • Mexico / epidemiology
  • Middle Aged
  • Regression Analysis
  • Risk Factors
  • Vitamin D Deficiency / blood

Substances

  • Homocysteine
  • Calcifediol