Body Composition

Vitamin D, adiposity, and cardiometabolic risk: Insights from a multivariable cross-sectional study.

TL;DR

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

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.

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.

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.'

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.

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Citation

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 &amp; clinical practice. https://doi.org/10.1016/j.orcp.2025.12.005