Relation of Vitamin D and Parathyroid Hormone to Cardiac Biomarkers and to Left Ventricular Mass (from the Cardiovascular Health Study)
Open accessAbstract
Vitamin D and parathyroid hormone (PTH) may affect cardiovascular health in patients with kidney disease and in the general population. The aim of this study was to investigate associations of serum 25-hydroxyvitamin D (25(OH)D) and PTH concentrations with a comprehensive set of biochemical, electrocardiographic, and echocardiographic measurements of cardiac structure and function in the Cardiovascular Health Study. A total of 2,312 subjects who were free of cardiovascular disease at baseline were studied. Serum 25(OH)D and intact PTH concentrations were measured using mass spectrometry and a 2-site immunoassay. Outcomes were N-terminal pro-B-type natriuretic peptide, cardiac troponin T, electrocardiographic measures of conduction, and echocardiographic measures of left ventricular mass and diastolic dysfunction. At baseline, subjects had a mean age of 73.9 ± 4.9 years, 69.7% were women, and 21% had chronic kidney disease (glomerular filtration rate <60 ml/min). Mean 25(OH)D was 25.2 ± 10.2 ng/ml, and median PTH was 51 pg/ml (range 39 to 65). After adjustment, 25(OH)D was not associated with any of the biochemical, conduction, or echocardiographic outcomes. Serum PTH levels ≥65 pg/ml were associated with greater N-terminal pro-B-type natriuretic peptide, cardiac troponin T, and left ventricular mass in patients with chronic kidney disease. The regression coefficients were: 120 pg/ml (95% confidence interval 36.1 to 204), 5.2 pg/ml (95% confidence interval 3.0 to 7.4), and 17 g (95% confidence interval 6.2 to 27.8) (p <0.001). In subjects with normal kidney function, PTH was not associated with the outcomes. In conclusion, in older adults with chronic kidney disease, PTH excess is associated with higher N-terminal pro-B-type natriuretic peptide, cardiac troponin T, and left ventricular mass. These findings suggest a role for PTH in cardiovascular health and the prevention of cardiac diseases.
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Delistathi, T., Markogiannakis, H., Tsamis, D., Manouras, A., Giotakis, I., & ZOGRAFOS, G. C. (2015) · Nova Journal of Medical and Biological Sciences · doi:10.20286/nova-jmbs-040263 · Cited by 1 · see citing works
Mohamed, H., Youssef, M., Abdel-Salam, M., & Mohammed, S. A. (2021) · Open Journal of Nephrology · doi:10.4236/ojneph.2021.112015 · Cited by 1 · see citing works
Parathyroid Hormone Dysfunction
Sánchez, R. M., & Wägner, A. M. (2015) · Springer eBooks · doi:10.1007/978-3-642-37078-6_175 · Cited by 1 · see citing works
Vitamin D and heart: A not so sunny pathway
Marra, A. (2015) · The Anatolian Journal of Cardiology · doi:10.5152/anatoljcardiol.2015.16052
6. Vitamin D and cardiovascular disease and heart failure prevention
Wannamethee, S. G. (2017) · Wageningen Academic Publishers eBooks · doi:10.3920/978-90-8686-853-7_6
Vitamin D, Cardiovascular Disease, and Hypertension
Pilz, S. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-809963-6.00111-5
The role of Vitamin D and Parathyroid Hormone in Cardiovascular Health
van Ballegooijen, A. J. (2014) · Data Archiving and Networked Services (DANS)
Parathyroid Hormone and the Vascular System
Sánchez, R. M., & Wägner, A. M. (2013) · Springer eBooks · doi:10.1007/978-3-642-37393-0_175-1
- Authors
- van Ballegooijen, A. J., Visser, M., Kestenbaum, B., Siscovick, D. S., de Boer, I. H., Gottdiener, J. S., deFilippi, C. R., & Brouwer, I. A.
- Affiliations
- Amsterdam Public Health (NL)
- University of Washington (US)
- University of Maryland, Baltimore (US)
- ORCID
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 111
- Issue
- 3
- Pages
- 418-424
- ISSN
- 0002-9149 (ISSN-L)
- PMC
- PMC3546140
- OpenAlex
- W2038212628
- Cited by
- 60
- References
- 31
- Citations by year
- 2024: 3 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 4 · 2015: 11 · 2014: 14 · 2013: 7
- FWCI
- 7.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- National Institutes of Health (n01hc085082-026, n01hc085081-021, n01hc045133-001, n01hc085079-024, n01hc015103-009, n01hc085084-005, n01hc085085-011, n01hc085083-027, n01hc085080-026, n01hc085086-022, n01hc55222-0-0-0, n01hc075150-004, n01hc035129-010)
- National Institute on Aging (AG 20098, R56AG023629, R01AG020098, AG023629, AG027058, R56AG020098, R01AG023629, R01AG015928, R01AG027058)
- National Heart, Lung, and Blood Institute (N01-HC-85081, N01HC85085, N01 HC085086, N01HC-85083, N0-1-HC-85239, N01 HC085079, N01HC85082, N01HC‐75150, N01 HC85086, N01 HC035129, N01HC85080, N01 HC015103, N01 HC55222, U01HL080295, N01 HC055222, R01HL084443, HL080295, R01HL080295, N01 HC075150, N01 HC045133, N01-HC85079, N01-HC85084)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK035816)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- vitamin D, 25-hydroxyvitamin D, parathyroid hormone, chronic kidney disease, left ventricular mass, N-terminal pro-brain natriuretic peptide, cardiac troponin T, diastolic dysfunction, cardiovascular health, older adults
- MeSH terms
- Adult, Aged, Cardiovascular Diseases, Echocardiography, Electrocardiography, Female, Follow-Up Studies, Heart Ventricles, Humans, Male, Middle Aged, Parathyroid Hormone, Prospective Studies, Mass Spectrometry, United States, Vitamin D, Biomarkers, Incidence
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