PMID- 35565728 OWN - NLM STAT- MEDLINE DCOM- 20220517 LR - 20220716 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 14 IP - 9 DP - 2022 Apr 22 TI - Vitamin D and Chronic Diseases among First-Generation Immigrants: A Large-Scale Study Using Canadian Health Measures Survey (CHMS) Data. LID - 10.3390/nu14091760 [doi] LID - 1760 AB - Background: Nearly 22% of the Canadian population are first-generation immigrants. We investigated immigrants' health status and health deterioration over time in terms of the prevalence of chronic diseases (CDs) and their relationship to vitD status. Methods: We used cycles three (2012-2013) and four (2014-2015) of the Canadian Health Measures Survey. These data contained unique health information and direct physical/blood measures, including serum 25-hydroxyvitamin D (S-25(OH)D). Indicators of health status and deterioration were the prevalence of CDs diagnosed by healthcare professionals, self-reported general and mental health, and CD-related biomarkers. Results: The data (n = 11,579) included immigrants from more than 153 countries. Immigrants were healthier than non-immigrants for most health status measures. The prevalence of CDs was higher among those who migrated to Canada aged >/= 18 years. A longer time in Canada after immigration was associated with a higher risk for CDs. The mean S-25(OH)D was lower among immigrants, higher among patients with CDs, and inversely associated with glycated hemoglobin, total cholesterol/high-density lipoprotein ratio, immunoglobulin E, serum ferritin, and blood hemoglobin. After adjusting for covariates, no association was found between S-25(OH)D and the prevalence of CDs. Conclusions: Lower levels of accumulated S-25(OH)D among immigrants may impact their health profile in terms of CD-related biomarkers, which partially explains immigrants' health deterioration over time. We recommend further longitudinal research to investigate immigrants' vitD and health deterioration. FAU - Yousef, Said AU - Yousef S AD - Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada. AD - Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, Ottawa, ON K1Y 4W7, Canada. FAU - Colman, Ian AU - Colman I AD - Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada. FAU - Papadimitropoulos, Manny AU - Papadimitropoulos M AD - Eli Lilly Canada Inc., Toronto, ON M5X 1B1, Canada. AD - Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada. FAU - Manuel, Douglas AU - Manuel D AD - Ottawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada. AD - Institute for Clinical Evaluative Sciences, Ottawa, ON K1Y 4E9, Canada. AD - Department of Family Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada. FAU - Hossain, Alomgir AU - Hossain A AUID- ORCID: 0000-0002-7614-0072 AD - Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada. AD - Institute for Clinical Evaluative Sciences, Ottawa, ON K1Y 4E9, Canada. FAU - Faris, MoezAlIslam AU - Faris M AUID- ORCID: 0000-0002-7970-2616 AD - Department of Clinical Nutrition and Dietetics, Research Institute of Medical and Health Sciences (RIMHS), College of Health Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates. FAU - Wells, George A AU - Wells GA AD - Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada. AD - Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, Ottawa, ON K1Y 4W7, Canada. LA - eng PT - Journal Article DEP - 20220422 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Biomarkers) RN - 0 (CHM protein, human) RN - 0 (Vitamins) RN - 1406-16-2 (Vitamin D) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Biomarkers MH - Canada/epidemiology MH - Chronic Disease MH - *Emigrants and Immigrants MH - Humans MH - *Vitamin D MH - Vitamins PMC - PMC9099619 OTO - NOTNLM OT - chronic diseases OT - immigrants' health deterioration OT - serum 25-hydroxyvitamin D OT - vitamin D COIS- The authors declare no conflict of interest. EDAT- 2022/05/15 06:00 MHDA- 2022/05/18 06:00 PMCR- 2022/04/22 CRDT- 2022/05/14 01:21 PHST- 2022/03/16 00:00 [received] PHST- 2022/04/13 00:00 [revised] PHST- 2022/04/18 00:00 [accepted] PHST- 2022/05/14 01:21 [entrez] PHST- 2022/05/15 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2022/04/22 00:00 [pmc-release] AID - nu14091760 [pii] AID - nutrients-14-01760 [pii] AID - 10.3390/nu14091760 [doi] PST - epublish SO - Nutrients. 2022 Apr 22;14(9):1760. doi: 10.3390/nu14091760.