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一项关于补充维生素D对美国原住民女性动脉僵硬度和主动脉血压影响的随机对照试验。

A randomized controlled trial of the effects of vitamin D supplementation on arterial stiffness and aortic blood pressure in Native American women.

作者信息

Gepner Adam D, Haller Irina V, Krueger Diane C, Korcarz Claudia E, Binkley Neil, Stein James H

机构信息

University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Essentia Institute of Rural Health, Duluth, MN, USA.

出版信息

Atherosclerosis. 2015 Jun;240(2):526-8. doi: 10.1016/j.atherosclerosis.2015.04.795. Epub 2015 Apr 25.

Abstract

OBJECTIVE

It is unclear if vitamin D supplementation improves central blood pressure or arterial stiffness in Native American (NA) women.

METHODS

Healthy postmenopausal NA women were randomized to receive 400 IU or 2500 IU of vitamin D for 6 months. Central systolic blood pressure (cSBP), central pulse pressure (cPP) and aortic augmentation index (AIx) were estimated by tonometry at baseline and after 6 months.

RESULTS

Study volunteers (n = 98) were 61 (7.3) years old. 25(OH)D was 26.4 (11.0) ng/mL. 25(OH)D was similar between the two treatment groups (p = 0.291), as were baseline cSBP, cPP, and CVD risk factors (all p > 0.1). Treatment with 2500 IU of daily vitamin D3 did not affect cSBP, cPP, or AIx (all p > 0.1) compared to 400 IU daily.

CONCLUSIONS

Despite low serum 25(OH)D at baseline, 6 months of vitamin D supplementation did not improve central blood pressure parameters or arterial stiffness in NA women. CLINICAL TRIALS.

GOV IDENTIFIER

NCT01490333.

摘要

目的

尚不清楚补充维生素D是否能改善美国原住民(NA)女性的中心血压或动脉僵硬度。

方法

将健康的绝经后NA女性随机分为两组,分别接受400 IU或2500 IU维生素D治疗6个月。在基线和6个月后通过眼压测量法估算中心收缩压(cSBP)、中心脉压(cPP)和主动脉增强指数(AIx)。

结果

研究志愿者(n = 98)年龄为61(7.3)岁。25(OH)D为26.4(11.0)ng/mL。两个治疗组之间的25(OH)D相似(p = 0.291),基线cSBP、cPP和心血管疾病风险因素也相似(所有p>0.1)。与每日400 IU相比,每日2500 IU维生素D3治疗对cSBP、cPP或AIx均无影响(所有p>0.1)。

结论

尽管基线时血清25(OH)D水平较低,但补充6个月维生素D并未改善NA女性的中心血压参数或动脉僵硬度。临床试验。

政府标识符

NCT01490333。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bda/4441558/e338955be2da/nihms684831f1.jpg

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