Incremental cholecalciferol supplementation up to 15 μg/d throughout winter at 51-55° N has no effect on biomarkers of cardiovascular risk in healthy young and older adults

  • Siobhan Muldowney
  • , Alice J. Lucey
  • , Tom R. Hill
  • , Kelly M. Seamans
  • , Nicola Taylor
  • , Julie M.W. Wallace
  • , Geraldine Horigan
  • , Maria S. Barnes
  • , Maxine P. Bonham
  • , Emeir M. Duffy
  • , J. J. Strain
  • , Kevin D. Cashman
  • , Mairead Kiely

Research output: Contribution to journalArticlepeer-review

Abstract

Two separate, identical, double-blind, randomized, placebo-controlled intervention studies were carried out in the south and north of Ireland (51-557deg;N). Men and women aged 20-40 y (n = 202) and ≥64 y (n = 192) received cholecalciferol at doses of 0 (P), 5 (D3-5), 10 (D3-10), or 15 (D3-15) μg/d (0-600 IU) during wintertime. Serum 25-hydroxyvitamin D [s25(OH)D], intact parathyroid hormone, systolic and diastolic blood pressure, fasting lipids, glucose and insulin, HOMA-IR, high-sensitivity CRP, matrix metalloproteinase-9, and its inhibitor (tissue inhibitor metalloproteinase-1) were measured at baseline (October) and 22wk later at endpoint (March). Vitamin D receptor Fok I and Taq I genotypes were analyzed and dietary intakes of vitamin D and calcium were assessed. In young adults, s25(OH)D decreased from baseline to endpoint (P < 0.001), except in the D3-15 group, who maintained the baseline concentration of ̃70 nmol/L. Older adults had lower s25(OH)D at baseline (median, 54.2 nmol/L) and concentrations increased in the D3-10 and D3-15 groups (P < 0.001). There were no significant effects of supplementation on cardiovascular disease (CVD) risk biomarkers in either age group. Fasting glucose and total and HDL cholesterolwere lower (P,<0.05) in older adults with the Fok 1 ff genotype than in thosewith FF or Ff. Putative effects of vitamin D on cardio-metabolic health will only be evident at higher intakes than the current RDA and possibly in individuals at particular risk of low s25(OH)D and/or CVD risk.

Original languageEnglish
Pages (from-to)1519-1525
Number of pages7
JournalJournal of Nutrition
Volume142
Issue number8
DOIs
Publication statusPublished - Aug 2012

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