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December 30, 2016Journal of HypertensionOpen Access

The effect of vitamin D on renin–angiotensin system activation and blood pressure

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Key result

Ergocalciferol supplementation for 8 weeks in vitamin D deficient individuals did not improve renal plasma flow response to captopril compared to placebo (35.7 vs 35.9 ml/min per 1.73 m2).

Why the study?

Does ergocalciferol improve renin-angiotensin system activity and blood pressure in vitamin D deficient, overweight individuals without hypertension?

Population

84 vitamin D deficient (25(OH)D ≤20 ng/ml), overweight individuals without hypertension

Comparison

Ergocalciferol for 8 weeks vs Placebo for 8 weeks

Design

RCT, randomized, double-blind, placebo-controlled

Follow-up

8 weeks

Authors

CMCiaran J. McMullanLBLea BorgiGCGary C. Curhan

Discussion

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Overview

Ergocalciferol does not improve RAS activity or BP in vitamin D-deficient overweight non-hypertensives; challenges observational hypotheses.

Study Design

Type

RCT (n=84)

Blinding

Double-blind

Randomization

randomized

Structured PICO

Does ergocalciferol improve renin-angiotensin system activity and blood pressure in vitamin D deficient, overweight individuals without hypertension?

P
Population
84 overweight individuals without hypertension and with vitamin D deficiency (≤20 ng/ml) followed for 8 weeks.
I
Intervention
Ergocalciferol for 8 weeks
C
Comparator
Placebo for 8 weeks
O
Outcome
Kidney-specific RAS activity (measured using renal plasma flow response to captopril in high sodium balance) at 8 weekssurrogate

Main Result

Absolute Event Rate: 35.7% vs 35.9%

Correcting vitamin D deficiency with ergocalciferol for 8 weeks does not improve renin-angiotensin system activity or lower blood pressure in overweight, non-hypertensive individuals.

Cite This Study

McMullan et al. (2016) conducted an RCT in Vitamin D deficiency in overweight individuals without hypertension (n=84). Ergocalciferol vs. Placebo was evaluated on Kidney-specific RAS activity (renal plasma flow response to captopril in high sodium balance). Ergocalciferol supplementation for 8 weeks in vitamin D deficient individuals did not improve renal plasma flow response to captopril compared to placebo (35.7 vs 35.9 ml/min per 1.73 m2).

synapsesocial.com/papers/6a94d5ea1fe04514d10f2bbahttps://doi.org/10.1097/hjh.0000000000001220
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cholecalciferol administration blunts the systemic renin–angiotensin system in essential hypertensives with hypovitaminosis D2013 · 56 citations
  2. 2A randomized intervention study to evaluate the effect of calcitriol therapy on the renin-angiotensin system in diabetes2018 · 14 citations
  3. 3The Impact of Vitamin D in the Treatment of Essential Hypertension2018 · 100 citations
  4. 41,25-Dihydroxyvitamin D3 is a negative endocrine regulator of the renin-angiotensin system2002 · 1,832 citations
  5. 5Effect of Vitamin D on Endothelial Function: A Randomized, Double-Blind, Placebo-Controlled Trial2016 · 29 citations