Table 2.

Development of nonalcoholic fatty liver disease by 25-hydroxyvitamin D levels among participants without nonalcoholic fatty liver disease at baseline (n = 139 599)

25(OH)D levels, ng/mLPerson-yearsIncident casesIncidence density/103 PYAge sex-adjusted HR (95% CI)Multivariable-adjusted HRa (95% CI)HR (95% CI)b in a model with time-dependent variables
Model 1Model 2
<10114 688.6431037.61.00 (reference)1.00 (reference)1.00 (reference)1.00 (reference)
10-19343 136.616 48748.00.95 (0.92-0.99)0.91 (0.88-0.94)0.89 (0.86-0.92)0.86 (0.83-0.89)
20-29102 627.3574055.90.91 (0.88-0.95)0.85 (0.81-0.88)0.81 (0.78-0.85)0.74 (0.71-0.77)
≥3020 569.099448.30.76 (0.71-0.82)0.75 (0.70-0.81)0.72 (0.67-0.77)0.60 (0.56-0.64)
P-trend<0.001<0.001<0.001<0.001
25(OH)D levels, ng/mLPerson-yearsIncident casesIncidence density/103 PYAge sex-adjusted HR (95% CI)Multivariable-adjusted HRa (95% CI)HR (95% CI)b in a model with time-dependent variables
Model 1Model 2
<10114 688.6431037.61.00 (reference)1.00 (reference)1.00 (reference)1.00 (reference)
10-19343 136.616 48748.00.95 (0.92-0.99)0.91 (0.88-0.94)0.89 (0.86-0.92)0.86 (0.83-0.89)
20-29102 627.3574055.90.91 (0.88-0.95)0.85 (0.81-0.88)0.81 (0.78-0.85)0.74 (0.71-0.77)
≥3020 569.099448.30.76 (0.71-0.82)0.75 (0.70-0.81)0.72 (0.67-0.77)0.60 (0.56-0.64)
P-trend<0.001<0.001<0.001<0.001

Abbreviations: 25(OH)D, 25-hydroxyvitamin D; BMI, body mass index; HR, hazard ratio; PY, person-years.

aEstimated from Cox proportional hazards models. Multivariable Model 1 was adjusted for age, sex, center, year of screening examination, alcohol consumption, smoking, physical activity, total energy intake, education level, season and BMI; Model 2: Model 1 plus adjustment for medication for hyperlipidemia, glucose-lowering medication, multivitamin supplements, vitamin D supplements, and calcium supplements.

bEstimated from Cox proportional hazard models with vitamin D categories, smoking, alcohol consumption, physical activity, total energy intake, BMI, medication for hyperlipidemia, glucose-lowering medication, multi-vitamin supplements, season, vitamin D supplements, and calcium supplements as time-dependent variables, baseline age, center, year of screening exam, and education level as time-fixed variables.

Table 2.

Development of nonalcoholic fatty liver disease by 25-hydroxyvitamin D levels among participants without nonalcoholic fatty liver disease at baseline (n = 139 599)

25(OH)D levels, ng/mLPerson-yearsIncident casesIncidence density/103 PYAge sex-adjusted HR (95% CI)Multivariable-adjusted HRa (95% CI)HR (95% CI)b in a model with time-dependent variables
Model 1Model 2
<10114 688.6431037.61.00 (reference)1.00 (reference)1.00 (reference)1.00 (reference)
10-19343 136.616 48748.00.95 (0.92-0.99)0.91 (0.88-0.94)0.89 (0.86-0.92)0.86 (0.83-0.89)
20-29102 627.3574055.90.91 (0.88-0.95)0.85 (0.81-0.88)0.81 (0.78-0.85)0.74 (0.71-0.77)
≥3020 569.099448.30.76 (0.71-0.82)0.75 (0.70-0.81)0.72 (0.67-0.77)0.60 (0.56-0.64)
P-trend<0.001<0.001<0.001<0.001
25(OH)D levels, ng/mLPerson-yearsIncident casesIncidence density/103 PYAge sex-adjusted HR (95% CI)Multivariable-adjusted HRa (95% CI)HR (95% CI)b in a model with time-dependent variables
Model 1Model 2
<10114 688.6431037.61.00 (reference)1.00 (reference)1.00 (reference)1.00 (reference)
10-19343 136.616 48748.00.95 (0.92-0.99)0.91 (0.88-0.94)0.89 (0.86-0.92)0.86 (0.83-0.89)
20-29102 627.3574055.90.91 (0.88-0.95)0.85 (0.81-0.88)0.81 (0.78-0.85)0.74 (0.71-0.77)
≥3020 569.099448.30.76 (0.71-0.82)0.75 (0.70-0.81)0.72 (0.67-0.77)0.60 (0.56-0.64)
P-trend<0.001<0.001<0.001<0.001

Abbreviations: 25(OH)D, 25-hydroxyvitamin D; BMI, body mass index; HR, hazard ratio; PY, person-years.

aEstimated from Cox proportional hazards models. Multivariable Model 1 was adjusted for age, sex, center, year of screening examination, alcohol consumption, smoking, physical activity, total energy intake, education level, season and BMI; Model 2: Model 1 plus adjustment for medication for hyperlipidemia, glucose-lowering medication, multivitamin supplements, vitamin D supplements, and calcium supplements.

bEstimated from Cox proportional hazard models with vitamin D categories, smoking, alcohol consumption, physical activity, total energy intake, BMI, medication for hyperlipidemia, glucose-lowering medication, multi-vitamin supplements, season, vitamin D supplements, and calcium supplements as time-dependent variables, baseline age, center, year of screening exam, and education level as time-fixed variables.

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