Key result
Vitamin D supplementation reduces carotid-femoral pulse wave velocity by ~9% in deficient diabetic patients.
Why the study?
Vitamin D levels have an inverse association with cardiovascular disease risk, but the effect of Vitamin D supplementation on vascular functions and oxidative stress in type 2 diabetic patients with deficiency was unclear.
Does oral Vitamin D3 supplementation improve vascular functions and oxidative stress in type 2 diabetic patients with Vitamin D deficiency?
Does oral Vitamin D3 supplementation improve vascular functions and oxidative stress in type 2 diabetic patients with Vitamin D deficiency?
Absolute Event Rate: 899.29% vs 991.6%
p-value: p=<0.001
High-dose Vitamin D supplementation for 8 weeks significantly improves arterial stiffness and reduces oxidative stress in type 2 diabetic patients with Vitamin D deficiency.
Vitamin D repletion may improve vascular markers in deficient T2DM; leaves open need for RCTs on clinical events.
Background: Vitamin D levels are reported to have an inverse liaison with the risk of cardiovascular diseases. Hence, we aimed to evaluate the effect of Vitamin D supplementation on changes in vascular functions and oxidative stress in type 2 diabetic patients with Vitamin D deficiency. Subjects and Methods: One hundred and three patients with type 2 diabetes attending endocrinology outpatients department in a tertiary care hospital were screened for Vitamin D deficiency. Patients with serum 25-hydroxy Vitamin D levels <20 ng/ml were considered as deficient and were administered 60,000 IU of oral Vitamin D3 weekly for 8 weeks. In these patients, parameters of vascular functions (carotid-femoral pulse wave velocity, brachial-ankle pulse wave velocity, and arterial stiffness index) and oxidative stress (serum malondialdehyde levels and total antioxidant status) were measured at baseline and after 8 weeks of oral Vitamin D supplementation. Results: Among 103 patients with type 2 diabetes, 75 (72.82%) were found to have Vitamin D deficiency. Amidst these patients, carotid-femoral pulse wave velocity (991.6 ± 161.82 vs. 899.29 ± 151.86, P < 0.001), right brachial-ankle pulse wave velocity (1446.16 ± 204.33 vs. 1350.8 ± 178.39, P < 0.001), and left brachial-ankle pulse wave velocity (1493.81 ± 219.65 vs. 1367.61 ± 220.64, P < 0.001) showed a significant reduction following Vitamin D supplementation. Further, these patients were found to have significant fall in serum malondialdehyde levels with rise in total antioxidant status ensuing Vitamin D supplementation. Conclusion: The present study shows that oral Vitamin D supplementation of 60,000 IU/week for 8 weeks significantly improves vascular functions and reduces oxidative stress in type 2 diabetic patients with Vitamin D deficiency.
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Selvarajan et al. (2017) studied Type 2 diabetes with Vitamin D deficiency (n=75). Oral Vitamin D3 vs. Baseline was evaluated on carotid-femoral pulse wave velocity (p=<0.001). Oral Vitamin D supplementation (60,000 IU/week for 8 weeks) significantly reduced carotid-femoral pulse wave velocity from 991.6 to 899.29 (P<0.001) in type 2 diabetics with Vitamin D deficiency.
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