Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004

BackgroundPrevious studies have reported inconsistent associations between serum vitamin D levels and bacterial vaginosis (BV). Therefore, this study aimed to comprehensively investigate the relationship between serum vitamin D concentrations and BV risk among adult women in the United States.Method...

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Main Authors: Ming Liu, Jingyu Xiang, Miao Zhang, Yifang Zhang, Jian Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1606246/full
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author Ming Liu
Jingyu Xiang
Miao Zhang
Yifang Zhang
Jian Liu
author_facet Ming Liu
Jingyu Xiang
Miao Zhang
Yifang Zhang
Jian Liu
author_sort Ming Liu
collection DOAJ
description BackgroundPrevious studies have reported inconsistent associations between serum vitamin D levels and bacterial vaginosis (BV). Therefore, this study aimed to comprehensively investigate the relationship between serum vitamin D concentrations and BV risk among adult women in the United States.MethodsData from the National Health and Nutrition Examination Survey (NHANES) 2001–2004 were analyzed. Multivariate logistic regression was used to assess the association between serum vitamin D levels and BV. Additionally, smoothing curve fitting and subgroup analyses were performed to explore potential non-linear relationships and effect modifications.ResultsA total of 1,397 adult women were included. After adjusting for multiple covariates, serum vitamin D levels showed a significant non-linear negative association with BV risk. Subgroup analyses revealed that this association was not statistically significant among certain ethnic groups and women with lower body mass index (BMI).ConclusionSerum vitamin D levels were non-linearly and negatively associated with the risk of bacterial vaginosis in adult women in the United States. Notably, the association was no longer present at serum vitamin D concentrations ≥63.1 nmol/L, which may inform future research.
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publishDate 2025-05-01
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spelling doaj-art-d1fb7fe8d81243ef962d8ea15e4a71e62025-08-20T02:33:14ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-05-011210.3389/fnut.2025.16062461606246Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004Ming LiuJingyu XiangMiao ZhangYifang ZhangJian LiuBackgroundPrevious studies have reported inconsistent associations between serum vitamin D levels and bacterial vaginosis (BV). Therefore, this study aimed to comprehensively investigate the relationship between serum vitamin D concentrations and BV risk among adult women in the United States.MethodsData from the National Health and Nutrition Examination Survey (NHANES) 2001–2004 were analyzed. Multivariate logistic regression was used to assess the association between serum vitamin D levels and BV. Additionally, smoothing curve fitting and subgroup analyses were performed to explore potential non-linear relationships and effect modifications.ResultsA total of 1,397 adult women were included. After adjusting for multiple covariates, serum vitamin D levels showed a significant non-linear negative association with BV risk. Subgroup analyses revealed that this association was not statistically significant among certain ethnic groups and women with lower body mass index (BMI).ConclusionSerum vitamin D levels were non-linearly and negatively associated with the risk of bacterial vaginosis in adult women in the United States. Notably, the association was no longer present at serum vitamin D concentrations ≥63.1 nmol/L, which may inform future research.https://www.frontiersin.org/articles/10.3389/fnut.2025.1606246/fullserum vitamin Dbacterial vaginosisnutrientsNHANEScross-sectional study
spellingShingle Ming Liu
Jingyu Xiang
Miao Zhang
Yifang Zhang
Jian Liu
Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
Frontiers in Nutrition
serum vitamin D
bacterial vaginosis
nutrients
NHANES
cross-sectional study
title Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
title_full Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
title_fullStr Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
title_full_unstemmed Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
title_short Non-linear association between serum vitamin D and bacterial vaginosis in U.S. women: analysis from NHANES 2001–2004
title_sort non linear association between serum vitamin d and bacterial vaginosis in u s women analysis from nhanes 2001 2004
topic serum vitamin D
bacterial vaginosis
nutrients
NHANES
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1606246/full
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