A study of difference in serum 25-hydroxyvitamin D concentrations in patients with angiographically-defined coronary disease and healthy subjects

Diabetes Metab Syndr. 2018 Sep;12(5):683-687. doi: 10.1016/j.dsx.2018.04.006. Epub 2018 Apr 12.

Abstract

Background: Cardiovascular disease (CVD) is one of the most important causes of death in developing countries. The current study evaluates the serum 25-hydroxyvitamin D (25OHD), phosphate and calcium levels in patients with angiographically-defined coronary artery disease (CAD) and healthy subjects in a sample population in northeastern Iran.

Methods: There were 566 subjects aged between 20-80 years out of whom283 subjects with CAD were divided into two study groups based on their angiogram results; those with > 50% stenosis of one or more coronary arteries and those with ≤ 50% stenosis. Serum 25OHD levels and anthropometric parameters were measured for all subjects.

Results: There were approximately 53% (n = 303) males and 47% (n = 269) females in the population sample. We found that crude serum 25OHD concentrations were significantly higher in both the Angio- (21.6 ± 11.8 ng/ml) and Angio+ (21.3 ± 10.2 ng/ml) groups compared to the control subjects (16.4 ± 9.5 ng/ml) (P < 0.001).

Conclusion: The findings show that 25OHD state could be a risk factor for CAD, although this would need to be explored further, taking the potential confounding effects of diet into account in future studies.

Keywords: 25OHD; Angiography; Calcium; Coronary artery disease; Phosphate.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Coronary Angiography* / methods
  • Coronary Artery Disease / blood*
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / epidemiology
  • Female
  • Healthy Volunteers
  • Humans
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Risk Factors
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Young Adult

Substances

  • Biomarkers
  • Vitamin D
  • 25-hydroxyvitamin D