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Vitamin D and hypertension: Prospective study and meta-Analysis

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机构: [a]Department of Cardiology, Capital Medical University, Chaoyang Hospital, Beijing, China [b]Capital Medical University, Children's Hospital, Beijing, China [c]Department of Cardiology Kailuan Hospital, North China University of Science and Technology, Tangshan, China [d]State Key Laboratory of Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Fuwai Hospital, Beijing, China [e]Department of Hypertension, Chinese Academy of Medical Sciences and Peking Union Medical College, Fuwai Hospital, NO.167 North Lishi Road, Xicheng District, Beijing, China
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Objectives The study sought to determine the link between Vitamin D concentrations and incident hypertension in prospective study and meta-Analysis. Methods The study was embedded in the Kailuan Study, a population-based cohort of adults that contains underground miners. In 2012, we studied 2,456 men and women free of prevalent hypertension, age 21 to 67 at baseline. Serum 25-hydroxyVitamin D was measured from previously frozen baseline samples using ELISA (Enzyme-Linked ImmunoadSorbent Assay). We use the logistic regression analysis to estimate the odd radio (ORs) 95% confidence intervals (CIs) for 25-hydroxyVitamin D [25(OH)D] concentrations with incident hypertension. To help place our new data in context, we conducted a systemic review and metaanalysis of previous prospective reports of Vitamin D and hypertension. Results During a median follow-up of 2 years, 42.6% of the cohort (n = 1047) developed hypertension. Compared with the 25-hydroxyVitamin D >30ng/ml, 25-hydroxyVitamin D <20 ng/ml was associated with a greater hypertension risk (OR: 1.225 [95% CI: 1.010 to 1.485] p = 0.04), although the association was attenuated and not statistically significant after adjusting for potential confounders (OR: 1.092 [95% CI: 0.866 to 1.377] p = 0.456). This meta-Analysis included seven prospective studies for 53,375 participants using adjusted HR founded a significant association between Vitamin D deficiencies and incident hypertension (HRs = 1.235 (95% CI: 1.083 to 1.409, p = 0.002))., , Conclusion Lower serum 25-hydroxyVitamin D concentrations were not associated with a greater risk of incident hypertension. More research is needed to further determine the role of 25-hydroxyVitamin D in hypertension prevention and therapy. © 2017 Qi et al.This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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出版当年[2016]版:
大类 | 3 区 生物
小类 | 3 区 综合性期刊
最新[2025]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2015]版:
Q1 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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