Vitamin D, parathyroid hormone, and heart failure in a Chinese elderly population

Yi Li1, Chen Chen2, Hui Liang Liu3

  • 1Chinese PLA General Hospital at Beijing.

Insights

Low vitamin D and high parathyroid hormone (PTH) levels are linked to increased heart failure (HF) risk in Chinese elders. Maintaining adequate vitamin D may be crucial for cardiovascular health in this population.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Endocrinology

Background:

  • Heart failure (HF) is a significant global health concern.
  • Low vitamin D status is increasingly recognized as a risk factor for cardiovascular disease.
  • Understanding the interplay between vitamin D, parathyroid hormone (PTH), and HF is crucial for preventative strategies.

Purpose of the Study:

  • To investigate the association between serum vitamin D and parathyroid hormone (PTH) levels and the risk of heart failure (HF).
  • To examine these associations within a population-based sample of elderly Chinese individuals.

Main Methods:

  • A cross-sectional study involving 2,047 healthy community-dwelling individuals aged 60-101 years.
  • Measurement of serum 25-hydroxyvitamin D (25[OH]D) and PTH levels using validated assays.
  • Statistical analyses included multivariate linear and logistic regression to assess associations with HF risk.

Main Results:

  • The median serum 25(OH)D level was 16.1 ng/mL and PTH was 41.5 pg/mL.
  • Both vitamin D and PTH levels showed associations with cardiac biomarkers and left ventricular ejection fraction.
  • Lower vitamin D levels (less than 10 ng/mL) were significantly associated with a higher risk of HF (HR 2.88).

Conclusions:

  • Serum 25(OH)D and PTH levels are independently associated with the risk of heart failure in the Chinese elderly.
  • These findings highlight the potential role of vitamin D and PTH in HF pathogenesis in older adults.
  • Further research may explore targeted interventions to optimize vitamin D status for cardiovascular health.
Abstract

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