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Deficiency of 25-Hydroxyvitamin D and Dyslipidemia in Indian Subjects

DOI: 10.1155/2013/623420

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Abstract:

Background. Vitamin D deficiency is widespread throughout the world. Several reports have incriminated vitamin D deficiency as the cause of rickets, osteomalacia, and other chronic diseases. Recent studies have suggested a possible link between deficiency of 25-hydroxyvitamin D and dyslipidemia. Aim. To investigate the association between 25-hydroxyvitamin D deficiency and dyslipidemia in Indian subjects. Methodology. We recruited 150 asymptomatic consecutive subjects from patients’ attendees at the Departments of Neurology and Medicine in Yashoda Hospital, Hyderabad, India. Study period was from October 2011 to March 2012. All subjects underwent 25-hydroxyvitamin D assay by chemiluminescent microparticle immunoassay, fasting blood sugar and lipid profile, calcium, phosphorus, alkaline phosphatase, and C-reactive protein (CRP). Results. Out of 150 subjects, men were 82 (54.6%), and mean age was 49.4 (±15.6) years. Among risk factors, hypertension was noted in 63/150 (42%), 25-hydroxyvitamin D deficiency in 59/150 (39.3%), diabetes in 45/150 (30%), dyslipidemia in 60 (40%), smoking in 35/150 (23.3%), and alcoholism in 27/150 (18%). Deficiency of 25-hydroxyvitamin D was significantly associated with dyslipidemia ( ), mean serum glucose ( ) mean CRP ( ), and mean alkaline phosphatase ( ). Multivariate analysis showed that 25-hydroxyvitamin D deficiency was independently associated with dyslipidemia (odds ratio: 1.9; 95%?CI?:?1.1–3.5). Conclusions. We found that deficiency of 25-hydroxyvitamin D was independently associated with dyslipidemia in Indian subjects. 1. Introduction Vitamin D deficiency is a common disorder, found in all age groups and in both genders [1, 2]. It is prevalent in various parts of the world including India [1–3] with an increased occurrence in high and low latitude countries [4]. Worldwide, the prevalence of vitamin D deficiency is 50% in elderly [5] and within Europe in 2%–30% of adults [6]. Serum 25-hydroxyvitamin D level is a sensitive measure of vitamin D status of an individual [1], and the prevalence of inadequate 25-hydroxyvitamin D is around 30% to 50% in the general population [7]. Recent reports have found that hypo 25-hydroxyvitamin D is associated with atherosclerosis [8], obesity [9], diabetes [10], hypertension [11], myocardial infarction [12], and stroke [13]. Dyslipidemia is a an independent risk factor for cardiovascular and cerebrovascular diseases in individuals [14, 15]. Current studies have observed that low 25-hydroxyvitamin D is associated with dyslipidemia [16, 17]. We aim to investigate the relationship of

References

[1]  M. F. Hollick, “Vitamin D deficiency,” The New England Journal of Medicine, vol. 357, no. 3, pp. 266–281, 2007.
[2]  P. Lips, “Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications,” Endocrine Reviews, vol. 22, no. 4, pp. 477–501, 2001.
[3]  C. V. Harinarayan and S. R. Joshi, “Vitamin D status in India—its implications and remedial measures,” Journal of Association of Physicians of India, vol. 57, pp. 40–48, 2009.
[4]  M. Z. Islam, M. Akhtaruzzaman, and C. Lamberg-Allardt, “Hypovitaminosis D is common in both veiled and nonveiled Bangladeshi women,” Asia Pacific Journal of Clinical Nutrition, vol. 15, no. 1, pp. 81–87, 2006.
[5]  S. Pilz, W. M?rz, B. Wellnitz et al., “Association of vitamin D deficiency with heart failure and sudden cardiac death in a large cross-sectional study of patients referred for coronary angiography,” Journal of Clinical Endocrinology and Metabolism, vol. 93, no. 10, pp. 3927–3935, 2008.
[6]  Z. Kashi, F. S. Saeedian, O. Akha, M. A. H. Gorgi, S. F. Emadi, and H. Zakeri, “Vitamin D deficiency prevalence in summer compared to winter in a city with high humidity and a sultry climate,” Endokrynologia Polska, vol. 62, no. 3, pp. 249–251, 2011.
[7]  K. C. Maki, M. R. Rubin, L. G. Wong et al., “Serum 25-hydroxyvitamin D is independently associated with high-density lipoprotein cholesterol and the metabolic syndrome in men and women,” Journal of Clinical Lipidology, vol. 3, no. 4, pp. 289–296, 2009.
[8]  I. H. de Boer, B. Kestenbaum, A. B. Shoben, E. D. Michos, M. J. Sarnak, and D. S. Siscovick, “25-Hydroxyvitamin D levels inversely associate with risk for developing coronary artery calcification,” Journal of the American Society of Nephrology, vol. 20, no. 8, pp. 1805–1812, 2009.
[9]  J. Wortsman, L. Y. Matsuoka, T. C. Chen, Z. Lu, and M. F. Holick, “Decreased bioavailability of vitamin D in obesity,” American Journal of Clinical Nutrition, vol. 72, no. 3, pp. 690–693, 2000.
[10]  R. Scragg, M. Sowers, and C. Bell, “Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey,” Diabetes Care, vol. 27, no. 12, pp. 2813–2818, 2004.
[11]  J. P. Forman, E. Giovannucci, M. D. Holmes et al., “Plasma 25-hydroxyvitamin D levels and risk of incident hypertension,” Hypertension, vol. 49, no. 5, pp. 1063–1069, 2007.
[12]  R. Scragg, R. Jackson, I. M. Holdaway, T. Lim, and R. Beaglehole, “Myocardial infarction is inversely associated with plasma 25-hydroxyvitamin D3 levels: a community-based study,” International Journal of Epidemiology, vol. 19, no. 3, pp. 559–563, 1990.
[13]  K. E. S. Poole, N. Loveridge, P. J. Barker et al., “Reduced vitamin D in acute stroke,” Stroke, vol. 37, no. 1, pp. 243–245, 2006.
[14]  P. Amarenco, J. Bogousslavsky, A. Callahan III et al., “High-dose atorvastatin after stroke or transient ischemic attack,” The New England Journal of Medicine, vol. 355, no. 6, pp. 549–559, 2006.
[15]  M. Paciaroni, M. Hennerici, G. Agnelli, and J. Bogousslavsky, “Statins and stroke prevention,” Cerebrovascular Diseases, vol. 24, no. 2-3, pp. 170–182, 2007.
[16]  P. Karhap??, J. Pihlajam?ki, I. P?rsti et al., “Diverse associations of 25-hydroxyvitamin D and 1,25-dihydroxy-vitamin D with dyslipidaemias,” Journal of Internal Medicine, vol. 268, no. 6, pp. 604–610, 2010.
[17]  J. Auwerx, R. Bouillon, and H. Kesteloot, “Relation between 25-hydroxyvitamin D3, apolipoprotein A-I, and high density lipoprotein cholesterol,” Arteriosclerosis and Thrombosis, vol. 12, no. 6, pp. 671–674, 1992.
[18]  E. M. Gentry, W. D. Kalsbeek, and G. C. Hogelin, “The behavioral risk factor surveys: II. Design, methods, and estimates from combined state data,” American Journal of Preventive Medicine, vol. 1, no. 6, pp. 9–14, 1985.
[19]  R. L. Sacco, J. K. Roberts, B. Boden-Albala et al., “Race-ethnicity and determinants of carotid atherosclerosis in a multiethnic population: the Northern Manhattan Stroke Study,” Stroke, vol. 28, no. 5, pp. 929–935, 1997.
[20]  A. N. Britov and M. M. Bystrova, “New guidelines of the Joint National Committee (USA) on Prevention, Diagnosis and Management of Hypertension. From JNC VI to JNC VII,” Kardiologiia, vol. 43, no. 11, pp. 93–97, 2003.
[21]  T. Kuzuya, S. Nakagawa, J. Satoh et al., “Report of the Committee on the classification and diagnostic criteria of diabetes mellitus,” Diabetes Research and Clinical Practice, vol. 55, no. 1, pp. 65–85, 2002.
[22]  Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, “Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III),” Journal of the American Medical Association, vol. 285, no. 19, pp. 2486–2497, 2001.
[23]  G. Saposnik, L. R. Caplan, L. A. Gonzalez et al., “Differences in stroke subtypes among natives and Caucasians in Boston and Buenos Aires,” Stroke, vol. 31, no. 10, pp. 2385–2389, 2000.
[24]  B. Radhakrishnamurthy, “Obesity,” in Heart Disease, pp. 38–43, Quill, Columbus, Ohio, USA, 2003.
[25]  C. A. Glader, J. Boman, P. Saikku et al., “The proatherogenic properties of lipoprotein(a) may be enhanced through the formation of circulating immune complexes containing Chlamydia pneumaniae-specific IgG antibodies,” European Heart Journal, vol. 21, no. 8, pp. 639–646, 2000.
[26]  S. Mansoor, A. Habib, F. Ghani et al., “Prevalence and significance of vitamin D deficiency and insufficiency among apparently healthy adults,” Clinical Biochemistry, vol. 43, no. 18, pp. 1431–1435, 2010.
[27]  G. McGillivray, S. A. Skull, G. Davie et al., “High prevalence of asymptomatic vitamin D and iron deficiency in East African immigrant children and adolescents living in a temperate climate,” Archives of Disease in Childhood, vol. 92, no. 12, pp. 1088–1093, 2007.
[28]  M. F. Holick, “Vitamin D: a millenium perspective,” Journal of Cellular Biochemistry, vol. 88, no. 2, pp. 296–307, 2003.
[29]  V. Londhey, “Vitamin D deficiency: indian scenario,” Journal of Association of Physicians of India, vol. 59, no. 11, pp. 695–696, 2011.
[30]  A. Sheikh, Z. Saeed, S. A. D. Jafri, I. Yazdani, and S. A. Hussain, “Vitamin D levels in asymptomatic adults-a population survey in Karachi, Pakistan,” PLoS ONE, vol. 7, no. 3, Article ID e33452, 2012.
[31]  M. R. Vupputuri, R. Goswami, N. Gupta, D. Ray, N. Tandon, and N. Kumar, “Prevalence and functional significance of 25-hydroxyvitamin D deficiency and vitamin D receptor gene polymorphisms in Asian Indians,” American Journal of Clinical Nutrition, vol. 83, no. 6, pp. 1411–1419, 2006.
[32]  L.-O. Chailurkit, C. Pongchaiyakul, S. Charoenkiatkul, V. Kosulwat, N. Rojroongwasinkul, and R. Rajatanavin, “Different mechanism of bone loss in ageing women and men in Khon Kaen Province,” Journal of the Medical Association of Thailand, vol. 84, no. 8, pp. 1175–1182, 2001.
[33]  M. J. McKenna, R. Freaney, A. Meade, and F. P. Muldowney, “Hypovitaminosis D and elevated serum alkaline phosphatase in elderly Irish people,” American Journal of Clinical Nutrition, vol. 41, no. 1, pp. 101–109, 1985.
[34]  M. Cigolini, M. P. Iagulli, V. Miconi, M. Galiotto, S. Lombardi, and G. Targher, “Serum 25-hydroxyvitamin D3 concentrations and prevalence of cardiovascular disease among type 2 diabetic patients,” Diabetes Care, vol. 29, no. 3, pp. 722–724, 2006.
[35]  D. S. Grimes, E. Hindle, and T. Dyer, “Sunlight, cholesterol and coronary heart disease,” Monthly Journal of the Association of Physicians, vol. 89, no. 8, pp. 579–589, 1996.
[36]  D. Martins, M. Wolf, D. Pan et al., “Prevalence of cardiovascular risk factors and the serum levels of 25-hydroxyvitamin D in the United States: data from the Third National Health and Nutrition Examination Survey,” Archives of Internal Medicine, vol. 167, no. 11, pp. 1159–1165, 2007.
[37]  H. S. Choi, K.-A. Kim, C.-Y. Lim et al., “Low serum vitamin D is associated with high risk of diabetes in Korean adults,” Journal of Nutrition, vol. 141, no. 8, pp. 1524–1528, 2011.
[38]  D. H. Kim, S. Sabour, U. N. Sagar, S. Adams, and D. J. Whellan, “Prevalence of Hypovitaminosis D in Cardiovascular Diseases (from the National Health and Nutrition Examination Survey 2001 to 2004),” American Journal of Cardiology, vol. 102, no. 11, pp. 1540–1544, 2008.
[39]  T. J. Wang, M. J. Pencina, S. L. Booth et al., “Vitamin D deficiency and risk of cardiovascular disease,” Circulation, vol. 117, no. 4, pp. 503–511, 2008.
[40]  L. V. Antonenko, I. D. Kholodova, L. I. Apukhovskaia, P. A. Voziian, E. V. Solodova, and L. V. Kvashnina, “Structural-functional changes in plasma lipoproteins during vitamin D-deficient rickets in children,” Ukrainskii biokhimicheskii zhurnal, vol. 62, no. 3, pp. 54–59, 1990.
[41]  E. Rodríguez-Rodríguez, R. M. Ortega, L. G. González-Rodríguez, and A. M. López- Sobaler, “Vitamin D deficiency is an independent predictor of elevated triglycerides in Spanish school children,” European Journal of Nutrition, vol. 50, no. 45, pp. 373–378, 2011.
[42]  P. Lips, “Vitamin D physiology,” Progress in Biophysics and Molecular Biology, vol. 92, no. 1, pp. 4–8, 2006.
[43]  E. Hypp?nen, B. J. Boucher, D. J. Berry, and C. Power, “25-hydroxyvitamin D, IGF-1, and metabolic syndrome at 45 years of age A cross-sectional study in the 1958 british birth cohort,” Diabetes, vol. 57, no. 2, pp. 298–305, 2008.
[44]  J. I. Botella-Carretero, F. Alvarez-Blasco, J. J. Villafruela, J. A. Balsa, C. Vázquez, and H. F. Escobar-Morreale, “Vitamin D deficiency is associated with the metabolic syndrome in morbid obesity,” Clinical Nutrition, vol. 26, no. 5, pp. 573–580, 2007.
[45]  B. Lacour, C. Basile, T. Drueke, and J. L. Funck-Brentano, “Parathyroid function and lipid metabolism in the rat,” Mineral and Electrolyte Metabolism, vol. 7, no. 3, pp. 157–165, 1982.
[46]  M. Kohno, S. Takahashi, K. Oida et al., “1α25-dihydroxyvitamin D3 induces very low density lipoprotein receptor mRNA expression in HL-60 cells in association with monocytic differentiation,” Atherosclerosis, vol. 133, no. 1, pp. 45–49, 1997.
[47]  H. N. Ginsberg, Y.-L. Zhang, and A. Hernandez-Ono, “Regulation of plasma triglycerides in insulin resistance and diabetes,” Archives of Medical Research, vol. 36, no. 3, pp. 232–240, 2005.
[48]  M. Amer and R. Qayyum, “Relation between serum 25-hydroxyvitamin D and C-reactive protein in asymptomatic adults (from the continuous national health and nutrition examination survey 2001 to 2006),” American Journal of Cardiology, vol. 109, no. 2, pp. 226–230, 2012.
[49]  J. R. Mora, M. Iwata, and U. H. Von Andrian, “Vitamin effects on the immune system: vitamins A and D take centre stage,” Nature Reviews Immunology, vol. 8, no. 9, pp. 685–698, 2008.
[50]  D. L. Andress, “Vitamin D in chronic kidney disease: a systemic role for selective vitamin D receptor activation,” Kidney International, vol. 69, no. 1, pp. 33–43, 2006.
[51]  M. T. Cantorna, Y. Zhu, M. Froicu, and A. Wittke, “Vitamin D status, 1,25-dihydroxyvitamin D3, and the immune system,” The American Journal of Clinical Nutrition, vol. 80, no. 6, supplement, pp. 1717S–1720S, 2004.
[52]  J. M. Matilainen, T. Husso, S. Toropainen et al., “Primary effect of 1α,25(OH)2 D3 on IL-10 expression in monocytes is short-term downregulation,” Biochimica et Biophysica Acta, vol. 1813, no. 11, pp. 1276–1286, 2010.

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