Cardiovascular disease and vitamin D supplementation: trial analysis, systematic review, and meta-analysis , , ,
Open accessAbstract
Background Low 25-hydroxyvitamin D status has been associated with increased cardiovascular events in epidemiologic studies.Objective We assessed whether vitamin D supplementation reduces cardiac failure, myocardial infarction (MI), and stroke through an analysis of the Randomised Evaluation of Calcium Or vitamin D (RECORD) randomized controlled trial (RCT), a systematic review, and a meta-analysis.Design Two analyses were undertaken. The first analysis was a trial analysis. The RECORD was a factorial RCT that compared vitamin D₃ (800 IU/d), calcium (1000 mg/d), vitamin D plus calcium, and a placebo. Cardiovascular events were collected throughout the trial and 3-y posttrial follow-up. Data were analyzed by using Cox regression. The second analysis was a systematic review. MEDLINE, EMBASE, CENTRAL, conference abstracts, and ongoing trials were searched for RCTs that evaluated vitamin D from 1980 to 2013. RCTs with ≥1 y of follow-up and participants mean or median age ≥60 y were included. Meta-analyses were based on a Bayesian fixed-effects model by using a complementary log-log link function to account for varying lengths of follow-up.Results In the trial analysis, we showed that, for the 5292 participants in the RECORD trial, HRs (95% CIs) for vitamin D compared with no vitamin D for cardiac failure, MI, and stroke were 0.75 (0.58, 0.97), 0.97 (0.75,1.26), and 1.06 (0.8, 1.32), respectively. Twenty-one studies met the inclusion criteria for the systematic review (n = 13,033). Estimated HRs (credible intervals) for vitamin D compared with the placebo or control for on-study events for cardiac failure, MI, and stroke were 0.82 (0.58, 1.15), 0.96 ( 0.83, 1.10), and 1.07 (0.91, 1.29), respectively.Conclusion Vitamin D supplementation might protect against cardiac failure in older people but does not appear to protect against MI or stroke.
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Certain supplements including beta-carotene, calcium, and vitamin E may even be harmful.
“Evidence has accrued that most of these supplements have little CVD benefit, and that certain supplements including beta-carotene, calcium, and vitamin E may even be harmful.105-108, 111-113”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [105]
Many supplements have been evaluated in observational studies and controlled trials as potential therapies to prevent CVD or other conditions.
“Many supplements have been evaluated in observational studies and controlled trials as potential therapies to prevent CVD or other conditions (Table 4).104-110”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [104]
Many supplements have been evaluated in observational studies and controlled trials as potential therapies to prevent CVD or other conditions.
“Many supplements have been evaluated in observational studies and controlled trials as potential therapies to prevent CVD or other conditions (Table 4).104-110”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [105]
Most of these supplements have little CVD benefit.
“Evidence has accrued that most of these supplements have little CVD benefit, and that certain supplements including beta-carotene, calcium, and vitamin E may even be harmful.105-108, 111-113”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [105]
Observational studies demonstrate links between higher plasma vitamin D, which is largely driven by sun exposure, and CVD risk; however, large trials of vitamin D supplements have shown no benefits.
“Observational studies demonstrate links between higher plasma vitamin D, which is largely driven by sun exposure, and CVD risk; however, large trials of vitamin D supplements have shown no benefits.104”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [104]
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- Authors
- Ford, J. A., MacLennan, G. S., Avenell, A., Bolland, M., Grey, A., & Witham, M.
- Affiliations
- University of Auckland (NZ)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 100
- Issue
- 3
- Pages
- 746-755
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2119675809
- Cited by
- 268
- References
- 50
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 13 · 2023: 10 · 2022: 11 · 2021: 13 · 2020: 27 · 2019: 25 · 2018: 37 · 2017: 44 · 2016: 36 · 2015: 27 · 2014: 7
- FWCI
- 5.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- Glasgow Caledonian University
- Scottish Government
- National Institute for Health and Care Research (ACF-2012-15-002)
- University of Southampton
- Newcastle University
- University of Aberdeen
- Shire
- Chief Scientist Office, Scottish Government Health and Social Care Directorate
- Medical Research Council
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- vitamin D supplementation, cardiovascular disease, heart failure, myocardial infarction, stroke, 25-hydroxyvitamin D, calcium supplementation, RECORD trial, older adults, vitamin D3
- MeSH terms
- Heart Failure, Humans, Myocardial Infarction, Risk Factors, Vitamin D, Vitamin D Deficiency, Reproducibility of Results, Randomized Controlled Trials as Topic, Evidence-Based Medicine, Dietary Supplements, Stroke
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