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Published on: May 31, 2016
Calcium, vitamin D and cardiovascular disease
Idris Guessous1, Murielle Bochud, Olivier Bonny
1Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland. idris.guessous@chuv.ch
Insights
Calcium intake affects blood pressure and stroke risk, while vitamin D may lower cardiovascular disease risk. More research is needed to confirm the effects of calcium and vitamin D supplementation on heart health.
Area of Science:
- Nutritional science
- Cardiovascular medicine
- Epidemiology
Background:
- The link between calcium intake and cardiovascular diseases (CVD) is long-established.
- Low calcium intake is associated with increased systolic blood pressure and stroke risk.
- Calcium supplementation may increase myocardial infarction risk, but its effect on stroke is unclear.
Purpose of the Study:
- To review the current understanding of calcium and vitamin D's impact on cardiovascular health.
- To highlight the inconsistencies and gaps in existing research regarding supplementation effects.
- To emphasize the need for robust clinical trials to clarify these relationships.
Main Methods:
- Review of existing studies on calcium and vitamin D intake and supplementation.
- Analysis of observational data linking nutrient levels to cardiovascular events.
- Identification of a lack of high-quality randomized clinical trials.
Main Results:
- Calcium intake influences systolic blood pressure and stroke risk.
- Vitamin D levels show negative correlations with hypertension, myocardial infarction, and stroke risk.
- Evidence for the benefits of calcium and vitamin D supplementation on CVD outcomes is limited and often conflicting.
Conclusions:
- The precise impact of calcium and vitamin D on cardiovascular outcomes requires further investigation.
- Current evidence is insufficient to definitively recommend calcium or vitamin D supplementation for CVD prevention.
- Well-designed randomized clinical trials are essential to document the true effects of these nutrients on cardiovascular health.
Abstract:
The relationship between calcium and cardiovascular diseases (CVD) has been explored for a long time. Studies exploring the effect of calcium intake or calcium supplementation on cardiovascular risk suggest that systolic blood pressure increases under low calcium intake and decreases with calcium supplementation. A lower calcium intake has been associated with an increased risk of stroke. However, the impact of calcium supplementation on stroke risk remains unclear. Calcium supplementation may increase the risk of myocardial infarction. The relationship between vitamin D and CVD has been explored more recently. Negative correlations between vitamin D levels and the risk of hypertension, myocardial infarction, and stroke have been reported in several observational studies. The effect of vitamin D supplementation on blood pressure is still unclear and no effect of vitamin D supplementation on coronary heart disease or stroke has been clearly demonstrated. There is a lack of randomized clinical trials primarily addressing the effect of these parameters on CVD. Therefore, the real impact of calcium and vitamin D on cardiovascular outcomes remains to be documented by appropriate experimental data.
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