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Serum vitamin D levels, heart attack and stroke: Vitamin D
can save your life!
It has been some time since I posted
anything about heart disease, and since I have been asked to
send my agent something to present to Larry King, I thought
I might as well post it as a blog, too.
Suffice it to say that there is no blood
test more important than vitamin D [calcidiol or 25(OH)D].
Two 2008 studies show the dramatic influence of blood
vitamin D levels and the risk of heart attack.
Dr. Thomas Wang and colleagues compared
the risk of stroke and heart attack with serum-vitamin D
levels and found a 62% increased risk in those with lowest
levels compared to those with highest levels and also showed
that those with low D levels and high blood pressure had
double the risk.[1]
Dr. Edward Giovannucci, of Harvard
University, and his colleagues reported even more impressive
results.[2]
They found that men whose serum levels of
vitamin D were less than 15 ng/ml had nearly 2.5 times the
rate of heart attack as those whose levels were above 30.
Their research also showed that mid-range
vitamin D levels showed a mid-range risk of heart attack and
stroke, meaning that vitamin D levels directly predicted the
risk of heart attack at all levels.
The researchers stated, “Low levels of
25(OH)D are associated with higher risk of myocardial
infarction in a graded manner, even after controlling for
factors known to be associated with coronary artery
disease.”
Still other research showed that classic risk factors for
cardiovascular disease were higher in those who ranked in
the lowest quartile (fourth) of vitamin D levels compared to
those whose levels were in the highest quartile.[3]
Hypertension was 30% higher, diabetes 98%
higher, obesity 129% higher and triglycerides 47% higher.
This idea is not really that new; it has simply been
ignored. In 1990, a study in New Zealand found that those
below the median level of serum vitamin D suffered 57% more
heart attacks than those whose levels were above the
median.[4]
They also noted that the greatest number
occurred in winter and spring, and that the reduced risk
among those with higher levels pertained to all seasons. All
of this indicates vitamin D deficiency as a major cause of
heart disease.
Do not ignore this information if you have
a heart!
[1] Wang, T. et al. Vitamin D deficiency and risk of
cardiovascular disease. Circulation 2008;117 pre-publication
copy.
[2] Giovannucci, E. et al. 25-hydroxy-vitamin D and risk of
myocardial infarction in men. Ann Intern Med
2008;168:1174-80.
[3] Martins, D. et al. Prevalence of cardiovascular risk
factors and the serum levels of 25-Hydroxyvitamin D in the
United States. Arch Intern Med 2007;167:1159-65.
[4] Scragg, R. et al. Myocardial Infarction is inversely
associated with plasma 25-hydroxy vitamin D3 levels: a
community-based study. Int J Epidemiol 1990;19:559-63.
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