Vitamin D status, gender and cardiovascular diseases

A systematic review of prospective epidemiological studies

Matina Kouvari, Demosthenes B. Panagiotakos

Research output: Contribution to journalArticle

Abstract

Introduction: Vitamin D deficiency is highly suggested as an emerging risk factor in primary and secondary cardiovascular disease (CVD) prevention. However, there remains controversy regarding the need for vitamin D supplementation in high CVD risk individuals to prevent cardiac episodes and to achieve a better prognosis. Another literature gap is the potential existence of sex-specific associations of this factor with major CVD events or surrogate markers. The interaction of vitamin D and its metabolites with gene-mediated paths as well as lifestyle parameters sets the hypothesis for different effect of this factor on vascular health between men and women. Areas covered: The aim of the systematic review was to summarize the hitherto data on the association of vitamin D with CVD prevention or progression, separately for men and women. Studies were eligible if they were published research epidemiological studies evaluating the gender-specific effect of vitamin D metabolic serum concentrations on CVD onset, progression or mortality. Expert opinion: An unequivocal association between vitamin D deficiency and CVD has been demonstrated by large-scale epidemiological studies yet with inconclusive remarks from the standpoint of sex-specific highlights. Epidemiological and experimental studies designed to draw conclusions specified in men and women are demanded.

Original languageEnglish
Pages (from-to)545-555
Number of pages11
JournalExpert Review of Cardiovascular Therapy
Volume17
Issue number7
DOIs
Publication statusPublished - 2019

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Vitamin D
Epidemiologic Studies
Cardiovascular Diseases
Prospective Studies
Vitamin D Deficiency
Deficiency Diseases
Men's Health
Expert Testimony
Women's Health
Disease Progression
Life Style
Biomarkers
Mortality
Serum
Research
Genes

Cite this

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abstract = "Introduction: Vitamin D deficiency is highly suggested as an emerging risk factor in primary and secondary cardiovascular disease (CVD) prevention. However, there remains controversy regarding the need for vitamin D supplementation in high CVD risk individuals to prevent cardiac episodes and to achieve a better prognosis. Another literature gap is the potential existence of sex-specific associations of this factor with major CVD events or surrogate markers. The interaction of vitamin D and its metabolites with gene-mediated paths as well as lifestyle parameters sets the hypothesis for different effect of this factor on vascular health between men and women. Areas covered: The aim of the systematic review was to summarize the hitherto data on the association of vitamin D with CVD prevention or progression, separately for men and women. Studies were eligible if they were published research epidemiological studies evaluating the gender-specific effect of vitamin D metabolic serum concentrations on CVD onset, progression or mortality. Expert opinion: An unequivocal association between vitamin D deficiency and CVD has been demonstrated by large-scale epidemiological studies yet with inconclusive remarks from the standpoint of sex-specific highlights. Epidemiological and experimental studies designed to draw conclusions specified in men and women are demanded.",
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Vitamin D status, gender and cardiovascular diseases : A systematic review of prospective epidemiological studies. / Kouvari, Matina; Panagiotakos, Demosthenes B.

In: Expert Review of Cardiovascular Therapy, Vol. 17, No. 7, 2019, p. 545-555.

Research output: Contribution to journalArticle

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