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Vitamin D and cardiovascular risk
Shweta R Motiwala1, Thomas J Wang
1Cardiology Division, GRB-800, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Insights
Vitamin D deficiency is linked to cardiovascular disease through various biological pathways. More research is needed to confirm if vitamin D supplements can improve heart health.
Area of Science:
- Endocrinology
- Cardiology
- Nutritional Science
Background:
- Vitamin D deficiency commonly affects musculoskeletal health.
- Emerging evidence suggests a link between vitamin D deficiency and cardiovascular disease (CVD).
- Potential mechanisms include effects on hypertension, diabetes, inflammation, and cardiac remodeling.
Purpose of the Study:
- To review current literature on the relationship between vitamin D and cardiovascular health.
- To explore the biological mechanisms underlying this association.
- To identify the need for further research.
Main Methods:
- Review of experimental, animal, and small interventional studies.
- Analysis of proposed biological mechanisms linking vitamin D to CVD risk factors.
- Evaluation of existing controlled trial results.
Main Results:
- Experimental and animal studies suggest plausible links between vitamin D status and CVD.
- Small interventional studies have yielded inconclusive results regarding vitamin D's cardiovascular benefits.
- The precise role of vitamin D in cardiovascular health remains uncertain.
Conclusions:
- The association between vitamin D deficiency and cardiovascular disease requires further investigation.
- Current evidence from controlled trials is insufficient to establish vitamin D's role in CVD prevention or treatment.
- Well-designed, prospective randomized controlled trials are essential to clarify the benefits of vitamin D supplementation for cardiovascular health.
Abstract:
Vitamin D deficiency is a common condition that has well-documented effects on musculoskeletal health. A growing body of literature has related vitamin D deficiency to other chronic disorders, including cardiovascular disease. Several plausible biological mechanisms have been postulated to explain this association, including the effect of poor vitamin D status on intermediate risk factors (eg, hypertension and diabetes), neurohormonal activation, inflammation, and cardiac remodeling. These mechanisms have been explored in experimental and animal studies, as well as several small interventional studies. The results of the controlled trials have not been conclusive to date. In this review, we summarize the existing studies investigating the effects of vitamin D on cardiovascular health, and propose that additional well-designed, prospective, randomized controlled trials are necessary to delineate the appropriate role of vitamin D supplementation in reducing the burden of cardiovascular disease.
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