Vitamin D levels showed no significant correlation with most metabolic variables in univariate or multivariate analysis, but PCA revealed that vitamin D and BMI were represented as opposing vectors, suggesting distinct but potentially interacting influences on cardiometabolic risk.
Key Findings
Results
Significant differences in cardiometabolic parameters emerged across weight categories but vitamin D levels showed no significant correlation with most metabolic variables.
Cross-sectional analysis conducted on 130 adults categorized into normal weight, overweight, and obesity groups.
Participants were also grouped based on serum vitamin D levels using a threshold of 20 ng/mL.
Significant differences in cardiometabolic parameters across weight categories were found (p < 0.05).
Vitamin D levels showed no significant correlation with most metabolic variables in either univariate or multivariate analysis.
Results
Principal component analysis revealed that vitamin D and BMI were consistently represented as opposing vectors, suggesting distinct but potentially interacting influences on metabolic risk.
PCA was applied to explore underlying patterns of association among metabolic, atherogenic, and adiposity-related markers.
BMI was associated with indices such as TG/HDL, atherogenic index of plasma, and cardiometabolic risk index.
Vitamin D correlated more closely with HDL, total cholesterol, and Triglyceride-Cholesterol Body Index.
The opposing vector representation of vitamin D and BMI in PCA suggests possible interaction effects between the two variables.
Discussion
Vitamin D may influence cardiometabolic profiles through mechanisms that are at least partially independent of adiposity.
Despite the lack of direct correlations between vitamin D and most metabolic variables, divergent associations were observed in PCA.
The study assessed a wide range of metabolic, atherogenic, and adiposity-related markers in adults stratified by weight status.
Authors concluded that the findings suggest possible interaction effects between BMI and vitamin D on cardiometabolic risk.
The authors call for further longitudinal studies to evaluate vitamin D's role as a 'context-dependent modulator of metabolic risk.'
Methods
The study population of 130 adults was stratified by both weight status and serum vitamin D levels for comparative analysis.
Participants were categorized into three weight groups: normal weight, overweight, and obesity.
A secondary grouping was based on serum vitamin D levels with a threshold of 20 ng/mL.
Clinical, metabolic, and anthropometric variables were compared across groups.
Both univariate and multivariate analyses were performed in addition to PCA.
Colombo C, Fabiano V, Labati L, Loiodice M, Ceruti D, Campi I, et al.. (2026). Vitamin D, adiposity, and cardiometabolic risk: Insights from a multivariable cross-sectional study.. Obesity research & clinical practice. https://doi.org/10.1016/j.orcp.2025.12.005