The association between low vitamin D and depressive disorders

Y. Milaneschi, W.J.G. Hoogendijk, P.T.A.M. Lips, A.C. Heijboer, R. Schoevers, A.M. van Hemert, A.T.F. Beekman, J.H. Smit, B.W.J.H. Penninx

    Research output: Contribution to JournalArticleAcademicpeer-review


    It has been hypothesized that hypovitaminosis D is associated with depression but epidemiological evidence is limited. We investigated the association between depressive disorders and related clinical characteristics with blood concentrations of 25-hydroxyvitamin D 25(OH)D in a large cohort. The sample consisted of participants (aged 18-65 years) from the Netherlands Study of Depression and Anxiety (NESDA) with a current (N=1102) or remitted (N=790) depressive disorder (major depressive disorder, dysthymia) defined according to DSM-IV criteria, and healthy controls (N=494). Serum levels of 25(OH)D measured and analyzed in multivariate analyses adjusting for sociodemographics, sunlight, urbanization, lifestyle and health. Of the sample, 33.6% had deficient or insufficient serum 25(OH)D (<50 nmol l -1). As compared with controls, lower 25(OH)D levels were found in participants with current depression (P=0.001, Cohen's d=0.21), particularly in those with the most severe symptoms (P=0.001, Cohen's d=0.44). In currently depressed persons, 25(OH)D was inversely associated with symptom severity (β=-0.19, s.e.=0.07, P=0.003) suggesting a dose-response gradient, and with risk (relative risk=0.90, 95% confidence interval=0.82-0.99, P=0.03) of having a depressive disorders at 2-year follow-up. This large cohort study indicates that low levels of 25(OH)D were associated to the presence and severity of depressive disorder suggesting that hypovitaminosis D may represent an underlying biological vulnerability for depression. Future studies should elucidate whether - the highly prevalent - hypovitaminosis D could be cost-effectively treated as part of preventive or treatment interventions for depression. © 2014 Macmillan Publishers Limited.
    Original languageEnglish
    Pages (from-to)444-451
    JournalMolecular Psychiatry
    Issue number4
    Publication statusPublished - 2014


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