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Associations may differ by baseline 25-hydroxyvitamin D (25(OH)D) and race. We assessed the odds of OA and joint pain according to vitamin D status in Korean adults\u2009\u2265\u200950\u00a0years of age in the nationally representative Korea National Health and Nutrition Examination Survey (<jats:italic>n<\/jats:italic>\u2009=\u20098575). Agreement between radiologic OA (ROA) and self-reported OA were also assessed. Multivariate logistic regression was performed and participants were stratified by sex. Adults with serum 25(OH)D\u2009&lt;\u200912\u00a0ng\/mL and 12 to\u2009&lt;\u200920\u00a0ng\/mL had 26% and 18% lower odds of knee ROA, respectively, compared to those with 25(OH)D\u2009\u2265\u200920\u00a0ng\/mL. Similar results were observed in men, but not women. No associations were found between 25(OH)D and knee ROA severity, lumbar spine ROA, symptomatic OA, or knee pain. Sensitivity of self-reported OA was low (27%), indicating a weak possibility of reverse causation. Prospective studies are required to identify the possible causality of vitamin D on OA in Korean men.<\/jats:p>","DOI":"10.1038\/s41598-022-15025-9","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T17:17:26Z","timestamp":1657041446000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Older Korean men with inadequate vitamin D status have lower odds of radiologic osteoarthritis"],"prefix":"10.1038","volume":"12","author":[{"given":"Seunghee","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gun-Woo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara Y.","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,5]]},"reference":[{"key":"15025_CR1","unstructured":"OARSI. 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