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Updated: Feb 7, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Vitamin D and cardiovascular disease
Michail Apostolakis1, Eleni Armeni1, Panagiotis Bakas1
1Menopause Clinic, 2nd Department of Obstetrics and Gynaecology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Vitamin D status is linked to cardiovascular disease risk, but supplementation trials show mixed results. Factors like patient health and vitamin D levels may explain these discrepancies.
Area of Science:
- Endocrinology
- Cardiology
- Nutritional Science
Background:
- Vitamin D, a steroid hormone synthesized from sun exposure, is vital for calcium metabolism.
- Emerging evidence suggests vitamin D's involvement in cardiovascular pathophysiology.
- Low vitamin D levels are frequently observed in patients with cardiovascular disease.
Purpose of the Study:
- To review the association between vitamin D status and cardiovascular disease.
- To evaluate the impact of vitamin D supplementation on cardiovascular outcomes.
Main Methods:
- Systematic review of observational studies and randomized controlled trials.
- Analysis of data on vitamin D levels, cardiovascular disease incidence, and supplementation effects.
Main Results:
- Most observational studies indicate an inverse association between vitamin D levels and cardiovascular outcomes.
- Randomized controlled trials on vitamin D supplementation have yielded inconsistent results regarding cardiovascular benefits.
- Conflicting findings may stem from variations in population characteristics, comorbidities (e.g., diabetes), baseline vitamin D status, and supplementation protocols.
Conclusions:
- While low vitamin D status is associated with increased cardiovascular risk, supplementation trials do not consistently confirm a protective effect.
- Further research is needed to clarify the role of vitamin D in cardiovascular health and to identify optimal supplementation strategies.
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