Efficacy of single-dose cholecalciferol in the blood pressure of patients with type 2 diabetes, hypertension and hypovitaminoses D

Autor: Luiza Ferreira Sperb, Juliano Soares Rabello Moreira, Luciana Verçoza Viana, Maria Elisa P. Muller, Thais Steemburgo, Tatiana Pedroso de Paula
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Vitamin
Male
medicine.medical_specialty
Ambulatory blood pressure
Vitamina D
lcsh:Medicine
Blood Pressure
Type 2 diabetes
030204 cardiovascular system & hematology
Placebo
Gastroenterology
Article
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Pressão sanguínea
Endocrinology
Double-Blind Method
Internal medicine
medicine
Vitamin D and neurology
Humans
030212 general & internal medicine
lcsh:Science
Aged
Cholecalciferol
Multidisciplinary
business.industry
lcsh:R
Health care
Type 2 Diabetes Mellitus
Blood Pressure Monitoring
Ambulatory

Middle Aged
medicine.disease
Vitamin D Deficiency
Blood pressure
Diabetes mellitus tipo 2
Treatment Outcome
chemistry
Diabetes Mellitus
Type 2

Dietary Supplements
Hypertension
Female
lcsh:Q
Colecalciferol
business
Hipertensão
Zdroj: Scientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
Scientific Reports
Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
ISSN: 2045-2322
Popis: Observational and experimental data reinforce the concept that vitamin D is associated with the pathogenesis of arterial hypertension. We investigated the effect of a single dose of 100,000 IU of cholecalciferol, in office blood pressure (BP), and 24-h ambulatory blood pressure monitoring (ABPM) in patients with type 2 diabetes mellitus (DM), hypertension, and hypovitaminosis D. Forty-three patients were randomized to a placebo or cholecalciferol group. BP was assessed by office measurements and 24-h ABPM, before and after intervention. At week 8, a greater decrease in median ABPM values was observed in cholecalciferol supplementation than in the placebo group for systolic 24-h (− 7.5 vs. − 1; P = 0.02), systolic daytime (− 7 vs. − 1; P = 0.007), systolic nighttime (− 7.0 vs. 3; P = 0.009), diastolic 24-h (− 3.5 vs. − 1; P = 0.037), and daytime DBP (− 5 vs. 0; P = 0.01). Office DBP was also reduced after vitamin D supplementation. A single dose of vitamin D3 improves BP in patients with type 2 diabetes, hypertension, and vitamin D insufficiency, regardless of vitamin D normalization. Vitamin D supplementation could be a valuable tool to treat patients with type 2 DM, hypertension, and hypovitaminosis D.Trial registration: Clinicaltrials.gov NCT 02204527.
Databáze: OpenAIRE
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