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Schwetz, V; Scharnagl, H; Trummer, C; Stojakovic, T; Pandis, M; Grübler, MR; Verheyen, N; Gaksch, M; Zittermann, A; Aberer, F; Lerchbaum, E; Obermayer-Pietsch, B; Pieber, TR; März, W; Tomaschitz, A; Pilz, S.
Vitamin D supplementation and lipoprotein metabolism: A randomized controlled trial.
J Clin Lipidol. 2018; 12(3):588-596.e4
Doi: 10.1016/j.jacl.2018.03.079
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Scharnagl Hubert
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Theiler-Schwetz Verena
- Co-Autor*innen der Med Uni Graz
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Aberer Felix
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Grübler Martin
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Keppel Martin
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Lerchbaum Elisabeth
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März Winfried
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Obermayer-Pietsch Barbara
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Pandis Marlene
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Pieber Thomas
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Pilz Stefan
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Stojakovic Tatjana
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Tomaschitz Andreas
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Trummer Christian
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Verheyen Nicolas Dominik
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- Abstract:
- BACKGROUND: Vitamin D deficiency is associated with an unfavorable lipid profile, but whether and how vitamin D supplementation affects lipid metabolism is unclear. OBJECTIVE: To examine the effects of vitamin D supplementation on lipid and lipoprotein parameters. METHODS: This is a post hoc analysis of the single-center, double-blind, randomized, placebo-controlled Styrian Vitamin D Hypertension Trial (2011-2014). Two hundred individuals with arterial hypertension and 25-hydroxyvitamin D concentrations of <75 nmol/L were randomized to 2800 IU of vitamin D daily or placebo for 8 weeks. RESULTS: One hundred sixty-three participants (62.2 [53.1-68.4] years of age; 46% women) had available lipid data and were included in this analysis. Vitamin D supplementation significantly increased total cholesterol, triglycerides, very-low-density lipoprotein (VLDL) triglycerides, low-density lipoprotein (LDL) triglycerides, high-density lipoprotein (HDL) triglycerides, apolipoprotein B (ApoB), LDL-ApoB, ApoCII, ApoCIII, phospholipids, and ApoE (P < .05 for all). Except for ApoCII and ApoCIII and HDL-triglycerides, all other treatment effects remained statistically significant after adjustment for multiple testing with the Benjamini and Hochberg false discovery rate method. There was a nonsignificant increase in LDL cholesterol. Furthermore, no significant effects were seen on free fatty acids, lipoprotein (a), ApoAI, ApoAII, VLDL cholesterol, VLDL-ApoB, HDL cholesterol, LDL diameter, and VLDL diameter. CONCLUSIONS: The effects of vitamin D on lipid metabolism are potentially unfavorable. They require further investigation in view of the wide use of vitamin D testing and treatment.
- Find related publications in this database (using NLM MeSH Indexing)
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Aged - administration & dosage
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Dietary Supplements - administration & dosage
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Female - administration & dosage
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Humans - administration & dosage
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Lipoproteins - metabolism
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Male - administration & dosage
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Middle Aged - administration & dosage
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Vitamin D - pharmacology
- Find related publications in this database (Keywords)
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Vitamin D supplementation
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Lipids
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Lipid composition
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Apolipoprotein
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Triglycerides
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Total cholesterol
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Low-density lipoproteins
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High-density lipoproteins