Cited by 268Vitamin D Research StudiesNutritional Studies and DietNutrition and Health Studies

Cardiovascular disease and vitamin D supplementation: trial analysis, systematic review, and meta-analysis , , ,

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Ford, John A, MacLennan, Graeme S, Avenell, Alison, Bolland, Mark, Grey, Andrew, Witham, Miles·2014·The American Journal of Clinical Nutrition

Abstract

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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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
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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