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Vitamin D concentrations in familial combined hyperlipidemia: effects of lipid lowering treatment
Inka Miñambres, Jose Luis Sánchez-Quesada, Joan Sánchez-Hernández
1Endocrinology and Nutrition Department, Hospital de la Santa Creu i Sant Pau, C/Sant Antoni Maria Claret 167, 08025 Barcelona, Spain. aperez@santpau.cat.
Insights
Familial combined hyperlipidemia (FCHL) is associated with lower vitamin D levels. Lipid-lowering therapy improved vitamin D status in FCHL patients, suggesting a link between dyslipidemia and vitamin D.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Nutritional Science
Background:
- Vitamin D deficiency is linked to cardiovascular risk factors.
- Limited data exists on vitamin D levels in familial combined hyperlipidemia (FCHL).
Purpose of the Study:
- To investigate vitamin D concentrations in FCHL patients.
- To assess the impact of lipid-lowering therapy on vitamin D levels in FCHL.
Main Methods:
- Cross-sectional study comparing 59 FCHL patients to 48 controls.
- Analysis of 25-hydroxyvitamin D (25(OH)D) and its association with lipid profiles, anthropometrics, CRP, and HOMA.
- Longitudinal study of 23 FCHL patients before and after dyslipidemia treatment.
Main Results:
- FCHL patients had significantly lower vitamin D concentrations than controls after adjustments.
- Hypovitaminosis D in FCHL correlated with atherogenic dyslipidemia features.
- Lipid-lowering therapy increased vitamin D levels in FCHL patients (P=0.022).
Conclusions:
- FCHL is associated with reduced vitamin D concentrations.
- Dyslipidemia treatment appears to improve vitamin D status in FCHL patients.
- Further research is needed to confirm findings and understand underlying mechanisms.
Background:
Vitamin D deficiency has been linked to several cardiovascular risk factors but information regarding vitamin D concentrations in familial combined hyperlipidemia (FCHL) is lacking. Our objective was to examine vitamin D concentrations in patients with FCHL and to study the effects of lipid-lowering therapy.
Methods:
We conducted a cross sectional study on 59 patients with FCHL and 48 healthy controls. We analyzed 25-hydroxyvitamin D (25(OH)D) concentrations and their association with lipid parameters, anthropometric measures, C-reactive protein and homeostasis model assessment (HOMA) index. Twenty-three patients with FCHL were also included in a longitudinal study conducted to analyze 25-hydroxyvitamin D concentrations before and after treatment for dyslipidemia.
Results:
After adjustment for body mass index and seasonality, patients with FCHL had lower vitamin D concentrations than controls. Adjusted means (standard error of the mean (S.E.M)) for 25(OH)D according to the presence or absence of FCHL were 62.8 (3.6) nmol/L for patients with FCHL and 74.8 (4.1) nmol/L for controls (p = 0.021). In FCHL, hypovitaminosis D was associated with features of atherogenic dyslipidemia. After lipid-lowering therapy, vitamin D concentrations increased (51.0 ± 31.3 to 58.9 ± 24.6 nmol/L (P = 0.022)). However, changes in 25(OH)D concentrations did not correlate with changes in other parameters.
Conclusions:
Our findings suggest that FCHL is associated with decreased vitamin D concentrations and that treatment for dyslipidemia improves vitamin D status through an unknown mechanism. Further studies are needed to replicate these data in larger populations and to elucidate the mechanisms involved in this association.
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