van Ballegooijen Adriana J, Pilz Stefan, Tomaschitz Andreas, Grübler Martin R, Verheyen Nicolas
Department of Health Sciences, Vrije Universiteit Amsterdam and the Amsterdam Public Health Research Institute, Amsterdam, Netherlands.
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Int J Endocrinol. 2017;2017:7454376. doi: 10.1155/2017/7454376. Epub 2017 Sep 12.
Vitamins D and K are both fat-soluble vitamins and play a central role in calcium metabolism. Vitamin D promotes the production of vitamin K-dependent proteins, which require vitamin K for carboxylation in order to function properly. The purpose of this review is to summarize available evidence of the synergistic interplay between vitamins D and K on bone and cardiovascular health. Animal and human studies suggest that optimal concentrations of both vitamin D and vitamin K are beneficial for bone and cardiovascular health as supported by genetic, molecular, cellular, and human studies. Most clinical trials studied vitamin D and K supplementation with bone health in postmenopausal women. Few intervention trials studied vitamin D and K supplementation with cardiovascular-related outcomes. These limited studies indicate that joint supplementation might be beneficial for cardiovascular health. Current evidence supports the notion that joint supplementation of vitamins D and K might be more effective than the consumption of either alone for bone and cardiovascular health. As more is discovered about the powerful combination of vitamins D and K, it gives a renewed reason to eat a healthy diet including a variety of foods such as vegetables and fermented dairy for bone and cardiovascular health.
维生素D和维生素K均为脂溶性维生素,在钙代谢中起核心作用。维生素D可促进维生素K依赖蛋白的生成,这些蛋白需要维生素K进行羧化才能正常发挥功能。本综述的目的是总结维生素D和维生素K在骨骼和心血管健康方面协同相互作用的现有证据。动物和人体研究表明,维生素D和维生素K的最佳浓度对骨骼和心血管健康有益,这得到了基因、分子、细胞和人体研究的支持。大多数临床试验研究了绝经后女性补充维生素D和维生素K对骨骼健康的影响。很少有干预试验研究补充维生素D和维生素K与心血管相关结局的关系。这些有限的研究表明,联合补充可能对心血管健康有益。目前的证据支持这样一种观点,即联合补充维生素D和维生素K可能比单独服用其中任何一种对骨骼和心血管健康更有效。随着对维生素D和维生素K强大组合的更多发现,这为食用包括蔬菜和发酵乳制品等各种食物的健康饮食以促进骨骼和心血管健康提供了新的理由。