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The relationship between WC values and combined serum vitamin\u2009D deficiency and insufficiency (&amp;lt;30\u2009ng\/mL) or vitamin\u2009D deficiency (&amp;lt;20\u2009ng\/mL) was evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Analysis<\/jats:title><jats:p>Combining 8 effect sizes from 5 investigations, including 7997 individuals, illustrated that the highest category of WC, compared with the lowest category of WC, was related to 82% increased odds of combined serum vitamin\u2009D deficiency and insufficiency (&amp;lt;30\u2009ng\/mL) (OR: 1.82; 95% CI: 1.34, 2.49). Moreover, in studies that investigated both genders together, the highest category of WC, compared with the lowest category of WC, was associated with 61% increased odds of serum vitamin\u2009D deficiency (&amp;lt;20\u2009ng\/mL) (OR: 1.61; 95% CI: 1.12, 2.31). The same results were obtained for almost all subgroups for several covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This meta-analysis of cross-sectional studies confirmed that increased WC was related to the elevated risk of combined vitamin\u2009D deficiency and insufficiency in adults. More prospective studies are needed to confirm causality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Systematic Review Registration<\/jats:title><jats:p>PROSPERO registration no. CRD42020190485.<\/jats:p><\/jats:sec>","DOI":"10.1093\/nutrit\/nuab070","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T11:20:25Z","timestamp":1628767225000},"page":"1105-1117","source":"Crossref","is-referenced-by-count":27,"title":["Relationship between abdominal obesity (based on waist circumference) and serum vitamin D levels: a systematic review and meta-analysis of epidemiologic studies"],"prefix":"10.1093","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-0294","authenticated-orcid":false,"given":"Zahra","family":"Hajhashemy","sequence":"first","affiliation":[{"name":"Students\u2019 Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran"},{"name":"Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, 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