Abstract
The aetiology of CVD is still not completely understood. The present review article summarises data supporting the hypothesis that an insufficient vitamin D status may contribute to the worldwide high prevalence of CVD. Human vitamin D status primarily depends on skin exposure to the UVB spectrum of the sunlight. Epidemiological data indicate that geographic latitude, altitude, season, and the place of residence (urban or rural) are associated with CVD mortality. Interestingly, all these factors also have an influence on human UVB exposure and thus on vitamin D status. Several mechanisms might be responsible for a protective role of vitamin D in CVD. These mechanisms include the inhibition of vascular smooth muscle proliferation, the suppression of vascular calcification, the down regulation of pro-inflammatory cytokines, the up regulation of anti-inflammatory cytokines, and the action of vitamin D as a negative endocrine regulator of the renin–angiotensin system. The first intervention trials indicate that vitamin D may suppress cardiovascular risk markers. However, more controlled clinical trials are needed to investigate whether optimal oral vitamin D supplementation is able to reduce CVD morbidity and mortality.
References
134
Referenced
306
10.1016/S8756-3282(02)00692-0
10.1038/sj.ejcn.1601275
{'key': 'S0007114505002060_ref051', 'first-page': '395', 'article-title': 'An experimental histologic study of hypervitaminosis D', 'volume': '34', 'author': 'Hass', 'year': '1958', 'journal-title': 'Am J Pathol'}
/ Am J Pathol / An experimental histologic study of hypervitaminosis D by Hass (1958)10.1056/NEJM200003233421202
10.1161/01.RES.85.8.e17
10.1093/ije/22.4.632
10.1093/ajcn/45.4.755
10.1007/s00198-003-1566-1
10.1016/B978-012252687-9/50065-6
10.1093/ajcn/72.3.690
10.1111/j.1751-1097.1996.tb01839.x
/ Photochem Photobiol / Significant reduction of UVB caused by smoke from biomass burning in Brazil by Mims (1996)10.1097/01.hjr.0000114706.27531.01
10.1016/1043-4666(92)90012-G
{'key': 'S0007114505002060_ref007', 'first-page': 'H540', 'article-title': 'Vascular Ca overload produced by vitamin D3 plus nicotine diminishes arterial distensibility in rats', 'volume': '266', 'author': 'Atkinson', 'year': '1994', 'journal-title': 'Am J Physiol'}
/ Am J Physiol / Vascular Ca overload produced by vitamin D3 plus nicotine diminishes arterial distensibility in rats by Atkinson (1994)10.1016/0140-6736(92)91277-F
10.1016/S0140-6736(96)07493-4
10.1111/j.1365-2362.1994.tb02024.x
10.1093/qjmed/93.11.745
10.1161/01.CIR.0000049205.35749.00
{'key': 'S0007114505002060_ref082', 'first-page': 'E405', 'article-title': 'Parathyroid hormone induces hepatic production of bioactive interleukin-6 and its soluble receptor', 'volume': '280', 'author': 'Mitnick', 'year': '2001', 'journal-title': 'Am J Physiol'}
/ Am J Physiol / Parathyroid hormone induces hepatic production of bioactive interleukin-6 and its soluble receptor by Mitnick (2001)10.1111/j.1365-2265.1981.tb00191.x
10.1359/JBMR.040511
10.1172/JCI0215219
10.1007/s001250100627
10.1016/S0140-6736(05)60827-6
10.1210/jc.2003-030358
10.1016/S0140-6736(89)91722-4
10.1016/0895-7061(95)00154-H
10.1038/sj.ejcn.1600697
10.1542/peds.112.2.e132
10.1046/j.1523-1755.1999.0550031019.x
10.1161/01.CIR.96.6.1755
10.1210/jc.2003-030515
10.1016/S0190-9622(99)70542-6
10.1093/ajcn/77.1.204
10.1093/qjmed/89.8.579
10.1053/ajkd.1998.v31.pm9531176
10.1038/sj.ejcn.1600844
{'key': 'S0007114505002060_ref049', 'first-page': '275', 'article-title': 'Cholesterol lipoproteins, triglycerides, rural-urban differences and prevalence of dyslipidaemia among males in Rajasthan', 'volume': '45', 'author': 'Gupta', 'year': '1997', 'journal-title': 'J Assoc Physicians India'}
/ J Assoc Physicians India / Cholesterol lipoproteins, triglycerides, rural-urban differences and prevalence of dyslipidaemia among males in Rajasthan by Gupta (1997)10.1210/jcem-59-6-1063
10.1161/01.ATV.18.3.333
10.1097/00060793-200202000-00011
10.1136/adc.87.2.111
10.1093/ajcn/61.3.638S
10.1056/NEJM197703172961101
10.1161/01.ATV.20.2.317
10.7326/0003-4819-124-4-199602150-00003
10.1093/ajcn/72.2.472
10.1016/S0140-6736(04)15712-7
{'key': 'S0007114505002060_ref003', 'first-page': 'S233', 'article-title': 'Epidemiology of cardiovascular disease in developing countries', 'volume': '8', 'author': 'Akinkugbe', 'year': '1990', 'journal-title': 'J Hypertens'}
/ J Hypertens / Epidemiology of cardiovascular disease in developing countries by Akinkugbe (1990)10.1016/B978-012252687-9/50107-8
{'key': 'S0007114505002060_ref086', 'first-page': '125', 'article-title': 'Cardiovascular disorders in Africa', 'volume': '46', 'author': 'Muna', 'year': '1993', 'journal-title': 'World Health Stat Q'}
/ World Health Stat Q / Cardiovascular disorders in Africa by Muna (1993)10.1136/jech.49.6.575
10.1007/s002239900419
{'key': 'S0007114505002060_ref048', 'first-page': '689', 'article-title': 'Lifestyle risk factors and coronary heart disease prevalence in Indian men', 'volume': '44', 'author': 'Gupta', 'year': '1996', 'journal-title': 'J Assoc Physicians India'}
/ J Assoc Physicians India / Lifestyle risk factors and coronary heart disease prevalence in Indian men by Gupta (1996)10.1038/386078a0
10.1079/BJN19980055
{'key': 'S0007114505002060_ref030', 'first-page': '469', 'article-title': 'Autre pays, autres coeurs? Dietary patterns, risk factors and ischaemic heart disease in Belfast and Toulouse (WHO MONICA project)', 'volume': '88', 'author': 'Evans', 'year': '1995', 'journal-title': 'QJM'}
/ QJM / Autre pays, autres coeurs? Dietary patterns, risk factors and ischaemic heart disease in Belfast and Toulouse (WHO MONICA project) by Evans (1995){'key': 'S0007114505002060_ref031', 'volume-title': 'Statistical Yearbook 2003 for Foreign Countries', 'year': '2003'}
/ Statistical Yearbook 2003 for Foreign Countries (2003)10.1016/S0002-9343(02)01091-4
{'key': 'S0007114505002060_ref008', 'first-page': '865', 'article-title': 'Calcification in the coronary arteries and its relationship to artheriosclerosis and myocardial infarction', 'volume': '92', 'author': 'Baedenkopf', 'year': '1964', 'journal-title': 'Am J Roentgenol'}
/ Am J Roentgenol / Calcification in the coronary arteries and its relationship to artheriosclerosis and myocardial infarction by Baedenkopf (1964)10.1007/s00198-004-1757-4
10.1007/s003920170043
- Global Cardiovascular Infobase (2003) WHO Collaborating Centre for Surveillance of Cardiovascular Diseases. www.cvinfobase.a (Accessed 23 September 2003).
10.1530/eje.0.1450351
10.1016/S0140-6736(97)08347-5
10.1161/01.CIR.85.3.1012
10.1046/j.1523-1755.63.s85.11.x
10.2169/internalmedicine.38.31
{'key': 'S0007114505002060_ref017', 'first-page': '1129', 'article-title': 'Healthy elderly French women living at home have secondary hyperparathyroidism and high bone turnover in winter. EPIDOS Study Group', 'volume': '81', 'author': 'Chapuy', 'year': '1996', 'journal-title': 'J Clin Endocrinol Metab'}
/ J Clin Endocrinol Metab / Healthy elderly French women living at home have secondary hyperparathyroidism and high bone turnover in winter. EPIDOS Study Group by Chapuy (1996)10.1359/jbmr.1998.13.4.544
10.1016/S0021-9258(19)35439-0
/ J Biol Chem / 1,25-Dihydroxyvitamin D3 stimulates the synthesis of matrix gamma-carboxyglutamic acid protein by osteosarcoma cells. Mutually exclusive expression of vitamin K-dependent bone proteins by clonal osteoblastic cell lines by Fraser (1988)10.1111/j.1532-5415.1984.tb05852.x
10.1079/BJN2003837
10.1159/000387634
10.1080/07315724.1992.10718263
10.1007/BF00301683
10.1161/01.CIR.85.3.1083
10.1093/ageing/23.6.478
{'key': 'S0007114505002060_ref099', 'first-page': '1517', 'article-title': 'Vitamin D insufficiency in a population of healthy western canadians', 'volume': '166', 'author': 'Rucker', 'year': '2002', 'journal-title': 'CMAJ'}
/ CMAJ / Vitamin D insufficiency in a population of healthy western canadians by Rucker (2002)10.1056/NEJM197707072970119
/ N Engl J Med / Coronary heart disease at high altitudes by Gordan (1977)10.1161/01.HYP.30.2.150
10.1046/j.1523-1755.1999.00575.x
10.1093/ije/10.4.337
10.1007/s002230001132
10.1111/j.1753-6405.1982.tb00361.x
{'key': 'S0007114505002060_ref103', 'first-page': '640', 'article-title': 'Effect of winter oral vitamin D3 supplementation on cardiovascular risk factors in elderly adults', 'volume': '49', 'author': 'Scragg', 'year': '1995', 'journal-title': 'Eur J Clin Nutr'}
/ Eur J Clin Nutr / Effect of winter oral vitamin D3 supplementation on cardiovascular risk factors in elderly adults by Scragg (1995)10.1177/003693309103600304
{'key': 'S0007114505002060_ref105', 'first-page': '229', 'article-title': 'Role of mild excess of vitamin D3 in arteriosclerosis: a study in squirrel monkeys', 'volume': '4', 'author': 'Shi-Kuang', 'year': '1976', 'journal-title': 'Arterial Wall'}
/ Arterial Wall / Role of mild excess of vitamin D3 in arteriosclerosis: a study in squirrel monkeys by Shi-Kuang (1976)10.1093/ndt/gfg513
10.1093/ajcn/39.4.625
10.1016/0143-4160(88)90009-7
10.1080/07315724.1998.10718773
10.1681/ASN.V1271516
/ J Am Soc Nephrol / Prevalence and clinical correlates of coronary artery disease among new dialysis patients in the United States: a cross-sectional study by Stack (2001){'key': 'S0007114505002060_ref109', 'volume-title': 'Die Zusammensetzung der Lebensmittel - Nährwerttabellen (The Composition of Food – Tables of Nutritional Values)', 'author': 'Souci', 'year': '1994'}
/ Die Zusammensetzung der Lebensmittel - Nährwerttabellen (The Composition of Food – Tables of Nutritional Values) by Souci (1994)10.1001/archinte.1932.00150160094011
10.1016/0021-9150(89)90079-8
10.1186/1475-2891-3-8
10.1359/jbmr.2000.15.12.2443
10.1093/qjmed/95.12.787
10.1161/01.HYP.29.1.171
10.1210/jc.2002-021064
10.1161/hc4601.099487
10.1038/sj.ejcn.1600591
10.1007/s001980170040
10.1359/jbmr.2001.16.11.2066
10.2307/4590913
10.1148/radiology.137.3.7444045
10.1056/NEJMoa031633
10.1359/jbmr.2000.15.9.1856
{'key': 'S0007114505002060_ref090', 'first-page': '1633', 'article-title': 'Effects of a short-term vitamin D(3) and calcium supplementation on blood pressure and parathyroid hormone levels in elderly women', 'volume': '86', 'author': 'Pfeifer', 'year': '2001', 'journal-title': 'J Clin Endocrinol Metab'}
/ J Clin Endocrinol Metab / Effects of a short-term vitamin D(3) and calcium supplementation on blood pressure and parathyroid hormone levels in elderly women by Pfeifer (2001)10.1042/bj2650621
10.1016/S0009-8981(99)00236-3
10.1161/01.ATV.17.11.2692
{'key': 'S0007114505002060_ref063', 'first-page': '37', 'article-title': 'Hypervitaminosis D in monkeys: a clinical and pathological study', 'volume': '34', 'author': 'Kent', 'year': '1958', 'journal-title': 'Am J Pathol'}
/ Am J Pathol / Hypervitaminosis D in monkeys: a clinical and pathological study by Kent (1958)10.1046/j.1365-2796.2000.00595.x
10.1136/bmj.4.5623.76
{'key': 'S0007114505002060_ref002', 'first-page': '547', 'article-title': 'Time trends in the prevalence of hypertension and associated risk factors in Chandigarh', 'volume': '100', 'author': 'Ahlawat', 'year': '2002', 'journal-title': 'J Indian Med Assoc'}
/ J Indian Med Assoc / Time trends in the prevalence of hypertension and associated risk factors in Chandigarh by Ahlawat (2002)10.1210/jc.2002-020978
10.1016/S0140-6736(89)91634-6
10.1016/S0008-6363(02)00641-7
10.1093/qjmed/93.6.375
10.3109/00365518009095571
10.1046/j.1523-1755.2001.060002472.x
10.1097/00001721-200107000-00004
- Zittermann A (1987) Vitamin D Status von Patienten mit hereditären Aminosäurestoffwechselstörungen und von Patienten mit Phenylketonurie (Vitamin D status in patients with hereditary disturbances in amino acid metabolism and in patients with phenylketonuria). PhD Thesis, Bonn, Germany.
10.1007/978-3-642-55580-0_27
10.1016/S0735-1097(02)02624-4
10.1111/j.1399-3038.2004.00140.x
10.1016/0002-9343(92)90682-2
10.1093/ajcn/78.3.496a
10.1136/hrt.78.3.273
10.1093/ajcn/79.5.820
10.2337/diacare.22.2.363
Dates
Type | When |
---|---|
Created | 19 years, 11 months ago (Sept. 29, 2005, 5:07 p.m.) |
Deposited | 4 years, 1 month ago (July 18, 2021, 12:49 a.m.) |
Indexed | 1 week, 1 day ago (Aug. 28, 2025, 8:30 a.m.) |
Issued | 19 years, 11 months ago (Oct. 1, 2005) |
Published | 19 years, 11 months ago (Oct. 1, 2005) |
Published Online | 18 years, 5 months ago (March 8, 2007) |
Published Print | 19 years, 11 months ago (Oct. 1, 2005) |
@article{Zittermann_2005, title={Putting cardiovascular disease and vitamin D insufficiency into perspective}, volume={94}, ISSN={1475-2662}, url={http://dx.doi.org/10.1079/bjn20051544}, DOI={10.1079/bjn20051544}, number={4}, journal={British Journal of Nutrition}, publisher={Cambridge University Press (CUP)}, author={Zittermann, Armin and Schleithoff, Stefanie S. and Koerfer, Reiner}, year={2005}, month=oct, pages={483–492} }