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J Am Soc Hypertens. 2015 Mar;9(3):176-83. doi: 10.1016/j.jash.2014.12.019. Epub 2014 Dec 31.

The effect of vitamin D supplementation on arterial stiffness in an elderly community-based population.

Author information

1
Department of Stroke and Geriatric Medicine, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland. coramcgreevy@rcsi.ie.
2
Department of Stroke and Geriatric Medicine, Beaumont Hospital, Dublin, Ireland.
3
Department of Endocrinology, Beaumont Hospital, Dublin, Ireland.
4
Department of Chemical Pathology, Beaumont Hospital, Dublin, Ireland.
5
Department of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St James' Hospital, Dublin, Ireland.

Erratum in

  • J Am Soc Hypertens. 2015 Dec;9(12):1001.

Abstract

Vitamin D deficiency may lead to impaired vascular function and abnormalities in central arterial stiffness. We compared the effects of two different doses of vitamin D3 on arterial stiffness in an elderly population with deficient serum 25-hydroxy-vitamin D levels. A total of 119 known vitamin D deficient (<50 nmol/L) subjects were randomized to receive either 50,000 international units (IU) or 100,000 IU single intramuscular vitamin D3. In the group that received 100,000 IU vitamin D, median pulse wave velocity decreased from 12.2 m/s (range, 5.1-40.3 m/s) to 11.59 m/s (range, 4.3-14.9 m/s) after 8 weeks (P = .22). A mean decrease of 3.803 ± 1.7 (P = .032) in augmentation index (a measure of systemic stiffness) was noted. Only 3/51 (5.8%) who received 100,000 IU vitamin D reached levels of sufficiency (>75 nmol/L). A significant decrease in augmentation index was seen in the group that received 100,000 IU vitamin D. Serum levels of 25-hydroxy-vitamin D were still deficient at 8 weeks in the majority of patients, which may be attributable to impaired bioavailability.

KEYWORDS:

Older patients; arterial stiffness; cholecalciferol; pulse wave velocity

PMID:
25681237
DOI:
10.1016/j.jash.2014.12.019
[Indexed for MEDLINE]

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