The associations between serum vitamin D, calcium and uterine fibroids in Chinese women: a case-controlled study

J Int Med Res. 2020 May;48(5):300060520923492. doi: 10.1177/0300060520923492.

Abstract

Objective: To investigate the associations between serum vitamin D, calcium and uterine fibroids in a Chinese female population.

Methods: In this case-control study, adult female patients with fibroids (cases) were compared with females without fibroids (controls) in terms of serum 25-hydroxyvitamin D (25OHD) and calcium levels.

Results: Out of 546 total participants (mean age, 41.68 ± 5.99 years; 279 with fibroids and 267 without fibroids), only 232 had serum 25OHD levels above the sufficient threshold (>20 ng/ml). In addition, females with fibroids had lower serum 25OHD levels versus those without fibroids. The prevalence of fibroids in females with deficient (<12 ng/ml) and insufficient (12-20 ng/ml) 25OHD levels were significantly higher than in females with sufficient (>20 ng/ml) 25OHD levels. Serum calcium levels were within normal range in both groups.

Conclusion: Hypovitaminosis D was highly prevalent among a population of Chinese females of reproductive-age, and serum 25OHD levels were lower in female patients with fibroids.

Keywords: Asian women; calcium; uterine fibroids; vitamin D.

MeSH terms

  • Adult
  • Asian People
  • Calcifediol / analysis
  • Calcifediol / blood
  • Calcium / analysis*
  • Calcium / blood
  • Case-Control Studies
  • China / epidemiology
  • Female
  • Humans
  • Leiomyoma / epidemiology
  • Leiomyoma / metabolism*
  • Leiomyoma / physiopathology
  • Middle Aged
  • Parathyroid Hormone / blood
  • Vitamin D / analogs & derivatives
  • Vitamin D / analysis*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood

Substances

  • Parathyroid Hormone
  • Vitamin D
  • 25-hydroxyvitamin D
  • Calcifediol
  • Calcium