Different vitamin K forms in hemodialysis patients: a simple dietary supplement to battle vascular calcification—randomized controlled trial

Autor: Howaida Abdelhameed Elshinnawy, Tamer Wahid El-Said, Sarah Farid Fahmy, Ahmed Shamseldin, Sherin Ibrahim, Reem Mohsen Elsharabasy
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Egyptian Journal of Internal Medicine, Vol 35, Iss 1, Pp 1-7 (2023)
Druh dokumentu: article
ISSN: 2090-9098
DOI: 10.1186/s43162-022-00181-1
Popis: Abstract Background and aim Vascular calcification is a significant risk factor for cardiovascular diseases in patients with end-stage renal disease, particularly those on hemodialysis. Previous research on vitamin K found that it had a positive on calcification markers. However, clinical data is still limited. This study aimed to compare the efficacy and safety of vitamin K2 versus vitamin k1 on a calcification regulator in hemodialysis patients. Methods A prospective randomized placebo-controlled trial was conducted on 120 patients, who were divided into three groups; group 1: administered 10 mg of vitamin K1 (phytomenadione thrice weekly); group 2: administered 90 μg of vitamin k2 (MK-7); group 3: administered placebo for 3 months. Matrix Gla protein (MGP), calcium, phosphorous, and intact parathyroid hormone levels were measured. Results MK-7 significantly increased active MGP levels compared to phytomenadione and placebo groups (p
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