Vitamin D and cardiovascular disease prevention

Vitamin D is a precursor of the steroid hormone calcitriol that is crucial for bone and mineral metabolism. Both the high prevalence of vitamin D deficiency in the general population and the identification of the vitamin D receptor in the heart and blood vessels raised interest in the potential card...

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Hauptverfasser: Pilz, Stefan (VerfasserIn) , Verheyen, Nicolas (VerfasserIn) , Grübler, Martin R. (VerfasserIn) , Tomaschitz, Andreas (VerfasserIn) , März, Winfried (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 06 May 2016
In: Nature reviews. Cardiology
Year: 2016, Jahrgang: 13, Heft: 7, Pages: 404-417
ISSN:1759-5010
DOI:10.1038/nrcardio.2016.73
Online-Zugang:Verlag, Volltext: https://doi.org/10.1038/nrcardio.2016.73
Verlag, Volltext: https://www.nature.com/articles/nrcardio.2016.73
Volltext
Verfasserangaben:Stefan Pilz, Nicolas Verheyen, Martin R. Grübler, Andreas Tomaschitz and Winfried März
Beschreibung
Zusammenfassung:Vitamin D is a precursor of the steroid hormone calcitriol that is crucial for bone and mineral metabolism. Both the high prevalence of vitamin D deficiency in the general population and the identification of the vitamin D receptor in the heart and blood vessels raised interest in the potential cardiovascular effects of vitamin D. Experimental studies have demonstrated various cardiovascular protective actions of vitamin D, but vitamin D intoxication in animals is known to induce vascular calcification. In meta-analyses of epidemiological studies, vitamin D deficiency is associated with an increased cardiovascular risk. Findings from Mendelian randomization studies and randomized, controlled trials (RCTs) do not indicate significant effects of a general vitamin D supplementation on cardiovascular outcomes. Previous RCTs, however, were not adequately designed to address extraskeletal events, and did not focus on vitamin D-deficient individuals. Therefore, currently available evidence does not support cardiovascular benefits or harms of vitamin D supplementation with the commonly used doses, and whether vitamin D has cardiovascular effects in individuals with overt vitamin D deficiency remains to be evaluated. Here, we provide an update on clinical studies on vitamin D and cardiovascular risk, discuss ongoing vitamin D research, and consider the management of vitamin D deficiency from a cardiovascular health perspective.
Beschreibung:Gesehen am 09.07.2019
Beschreibung:Online Resource
ISSN:1759-5010
DOI:10.1038/nrcardio.2016.73