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Published on: October 12, 2017
Serum 25-hydroxyvitamin D3 is associated with homocysteine more than with apolipoprotein B
Nam-Kyu Kim1, Min-Ah Jung1, Beom-Hee Choi2
1Department of Family Practice and Community Health, Ajou University School of Medicine, Suwon 16499, Korea.
Insights
Low vitamin D levels are linked to higher homocysteine, a risk factor for cardiovascular disease. This study confirms vitamin D
Area of Science:
- Cardiovascular Health
- Endocrinology
- Nutritional Science
Background:
- Cardiovascular diseases (CVDs) represent a growing global health concern.
- Low serum vitamin D levels are implicated in CVD risk, but underlying mechanisms require elucidation.
- Understanding the relationship between vitamin D and CVD biomarkers is crucial for preventative strategies.
Purpose of the Study:
- To investigate the association between serum 25-hydroxyvitamin D (25[OH]D) levels and key cardiovascular risk factors.
- To determine the specific relationship of 25[OH]D with serum homocysteine and apolipoprotein B (ApoB).
- To clarify the role of vitamin D in the metabolic pathways contributing to cardiovascular risk.
Main Methods:
- Analysis of serum 25(OH)D, homocysteine, and ApoB in 518 subjects undergoing routine health examinations.
- Application of simple, partial, and multivariate regression analyses to assess correlations.
- Comparison of homocysteine concentrations across different tertiles of serum 25(OH)D.
Main Results:
- Serum 25(OH)D demonstrated significant negative correlations with both homocysteine and ApoB after adjustments.
- Multivariate analysis revealed a stronger independent association between serum 25(OH)D and homocysteine.
- Individuals with the lowest serum 25(OH)D levels exhibited significantly higher homocysteine concentrations.
Conclusions:
- Serum 25(OH)D concentration is more strongly associated with serum homocysteine than with ApoB.
- This finding suggests a potential mechanistic link between vitamin D status and homocysteine metabolism in cardiovascular health.
- Maintaining adequate vitamin D levels may be important for mitigating cardiovascular risk through homocysteine regulation.
Background/Objectives:
The incidence of cardiovascular diseases (CVDs) has increased worldwide. Although a low serum vitamin D level is known to be associated with the risk of CVD, the mechanism is not well understood yet. The aim of this study was to determine the relationship of serum 25-hydroxyvitamin D3 (25[OH]D) with homocysteine and apolipoprotein B (ApoB).
Subjects/Methods:
Of 777 subjects recruited from one health promotion center for routine heath exam from January 2010 to December 2016, 518 subjects were included in this study. Serum 25(OH)D, serum homocysteine, and other metabolic parameters including ApoB were analyzed. Simple and partial correlations were carried out after adjustments. Simple linear regression analysis was used for precise correlation of parameters. Multivariate regression analysis was done to know which factor (serum homocysteine or ApoB) was more related to serum 25(OH)D after adjustments. Finally, logarithms of homocysteine concentrations according to tertiles of serum 25(OH)D were compared.
Results:
After sex and age adjustments, serum 25(OH)D showed negative correlations with serum homocysteine (r' = -0.114) and ApoB (r' = -0.098). In simple linear regression analysis, serum 25(OH)D showed a significant negative correlation with ApoB (P = 0.035). However, in multivariate regression analysis, serum 25(OH)D was significantly associated with serum homocysteine after adjustments (P = 0.022). In addition, serum homocysteine concentration was significantly high in the lowest 25(OH)D group (P = 0.046).
Conclusion:
Serum 25(OH)D concentration showed a stronger negative association with serum homocysteine than with ApoB.
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