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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.
Objective:
Heart failure (HF) is a major cause of morbidity and mortality worldwide. Low vitamin D status has been shown to be associated with increased risk of developing cardiovascular disease. In this study, we examined the association between vitamin D and parathyroid hormone (PTH) levels and HF in and elderly population in China.
Methods:
A population-based cross-sectional study was conducted in the spring of 2013 among 2,047 community-dwelling healthy individuals, aged 60 to 101 years. 25-Hydroxyvitamin D (25[OH]D) was measured using a chemiluminescence assay. PTH levels were measured with an electrochemiluminescence immunoassay.
Results:
A total of 2,047 participants, including 1,121 women (54.7%), were evaluated in 2013. The median concentrations of serum 25(OH)D and PTH for the entire group were 16.1 ng/mL and 41.5 pg/mL, respectively. Serum 25(OH)D and PTH levels were associated with serum N-terminal pro-brain natriuretic peptide levels and left ventricular ejection fraction in a multivariate adjusted linear regression analysis (P<.05). In logistic regression analyses, serum 25(OH)D and PTH levels were associated with a risk of HF in single and multiple regression models (P<.05). Compared with patients with 25(OH)D levels between 30.0 and 44.9 ng/mL, patients with 25(OH)D levels less than 10 ng/mL had a higher mean hazard ratio for HF (2.88; 95% confidence interval, 1.59 to 4.38).
Conclusion:
Serum 25(OH)D and PTH levels are independently associated with risk of HF in a Chinese elderly population.
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