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A study of serum Vitamin D level and its association with hypertension
1Department of General Medicine, Malda Medical College, Malda, West Bengal, India.
Insights
Low Vitamin D levels are linked to hypertension, particularly systolo-diastolic hypertension. This study found significantly lower Vitamin D in hypertensive patients compared to non-hypertensives, suggesting a potential role in cardiovascular health.
Area of Science:
- Cardiology
- Endocrinology
- Nutritional Science
Background:
- Emerging evidence links low Vitamin D levels to adverse cardiovascular (CV) effects.
- While research exists on Vitamin D's role in CV disorders, studies are limited in certain regions.
- This study investigates Vitamin D levels in relation to hypertension in North Bengal.
Purpose of the Study:
- To examine the relationship between serum Vitamin D levels and hypertension.
- To compare Vitamin D levels across different hypertension subtypes (ISH, IDH, SDH) and non-hypertensive individuals.
Main Methods:
- A cross-sectional study involving 154 patients from a tertiary care hospital in North Bengal.
- Serum Vitamin D levels were quantified using direct ELISA.
- Blood pressure was measured, and statistical analyses were performed using SPSS.
Main Results:
- Mean Vitamin D levels were significantly lower in the overall hypertensive group, isolated diastolic hypertension (IDH), and systolo-diastolic hypertension (SDH) groups compared to non-hypertensives (P < 0.05).
- A trend towards lower Vitamin D was observed in isolated systolic hypertension (ISH) compared to non-hypertensives (P = 0.074).
- A significant negative correlation was found between systolic blood pressure (SBP) and serum Vitamin D (P = 0.044), particularly in Vitamin D deficient/insufficient populations (P = 0.010).
Conclusions:
- Systolo-diastolic hypertension is associated with significantly lower serum Vitamin D levels.
- A trend suggests lower Vitamin D levels in isolated systolic hypertension compared to non-hypertensives, though not statistically significant.
- The findings indicate a potential link between low Vitamin D and hypertension, warranting further investigation.
Background:
Evidence suggests that low levels of Vitamin D may adversely affect the cardiovascular (CV) system. Several studies have been done regarding the relation and possible causative role of Vitamin D in CV disorders and its well-known risk factors; however, there are limited studies in this part of the world. The aims were as follows: (1) To study the relation between serum Vitamin D level between nonhypertensive and hypertensive patients. (2) To study the relation of serum Vitamin D levels in patients with isolated systolic hypertension (ISH), isolated diastolic hypertension, systolo-diastolic hypertension, and their comparison vis-à-vis nonhypertensives.
Materials And Methods:
A cross-sectional study was conducted with 154 patients attending medicine outpatient department of a tertiary care hospital of North Bengal from June 2012 to May 2013. The Vitamin D was measured by direct ELISA method. Blood pressure (BP) measurements were done. Statistical analysis was done by using SPSS 16.0 for Windows.
Results:
The Vitamin D level in the hypertensive group was 22.36 ± 12.64; ISH Group was 22.04 ± 14.26; the isolated diastolic hypertension (IDH) Group was 18.82 ± 0.00; and the systolo-diastolic hypertensives (SDH) Group was 22.67 ± 12.51. Then, the mean value of Vitamin D in nonhypertensive Group (27.47 ± 13.43) was significantly (P < 0.05) higher than IDH, SDH, and the hypertensive as a whole groups. The relation with ISH Group also reached near significance (P = 0.074). There was a negative correlation with BP and serum Vitamin D. This remained statistically significant (P = 0.044) for systolic BP (SBP) and near significant (P = 0.075) for mean arterial pressure. In population having serum Vitamin D <30 ng/ml (deficient or insufficient), the negative correlation relationship between SBP and serum Vitamin D remains statistically significant (P = 0.010).
Conclusion:
Among the hypertensives, SDH shows significantly lower levels of serum Vitamin D. The patients with ISH show a trend, though not statistically significant, toward a lower level of Vitamin D compared to the nonhypertensive population.
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