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Published on: August 25, 2017
Low Vitamin K Status and Risk of Chronic Obstructive Pulmonary Disease
Daniel Alexander Ackermann1, Allan Linneberg2,3, Ema Rastoder1
1Respiratory Medicine Section, Department of Medicine, Copenhagen University Hospital-Herlev and Gentofte, 2730 Copenhagen, Denmark.
Low vitamin K status significantly increases the odds of developing chronic obstructive pulmonary disease (COPD). However, vitamin K levels were not linked to COPD severity, smoking history, or mortality in this study.
Area of Science:
- Pulmonary Medicine
- Nutritional Science
- Biomarker Research
Background:
- Vitamin K is crucial for Matrix Gla Protein (MGP) activity, which inhibits calcification and supports lung health.
- Low vitamin K status is investigated as a potential factor in chronic obstructive pulmonary disease (COPD).
Purpose of the Study:
- To determine if low vitamin K status is associated with the presence of COPD.
- To examine the relationship between vitamin K levels and COPD severity, smoking exposure, and mortality.
Main Methods:
- Utilized plasma dephosphorylated uncarboxylated MGP (dp-ucMGP) as an inverse biomarker for vitamin K status.
- Compared vitamin K status in 98 COPD patients and 986 controls, defining low status as the upper quartile of dp-ucMGP.
- Employed logistic regression for COPD association and t-tests/log-rank tests for secondary analyses.
Main Results:
- Low vitamin K status was significantly associated with increased odds of having COPD (OR 9.7, p < 0.001).
- No significant associations were found between low vitamin K status and COPD severity, smoking exposure (packyears), or all-cause mortality.
Conclusions:
- A substantial association exists between low vitamin K status and higher odds of COPD.
- Current evidence does not link low vitamin K status to COPD severity, smoking, or mortality.
- Further research is warranted to explore vitamin K's role in COPD pathophysiology and potential therapeutic benefits.
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