2012
DOI: 10.1210/jc.2011-1580
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Vitamin D Inadequacy Is Associated with Significant Coronary Artery Stenosis in a Community-Based Elderly Cohort: The Korean Longitudinal Study on Health and Aging

Abstract: The association between 25-OHD inadequacy and subclinical atherosclerosis underscores the clinical implications of vitamin D status. An intervention strategy to increase vitamin D level through vitamin D-fortified diet and adequate sun exposure may mitigate the consequences of vitamin D deficiency.

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Cited by 78 publications
(69 citation statements)
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“…The relationship between vitamin D inadequacy and significant coronary artery stenosis was also found by Lim et al [28]. The coronary artery calcium score and stenosis were evaluated using multidetector-row cardiac computed tomography.…”
Section: Discussionsupporting
confidence: 54%
“…The relationship between vitamin D inadequacy and significant coronary artery stenosis was also found by Lim et al [28]. The coronary artery calcium score and stenosis were evaluated using multidetector-row cardiac computed tomography.…”
Section: Discussionsupporting
confidence: 54%
“…Th e relation between (25(OH)D) and coronary artery stenosis has been demonstrated previously by CCTA in a particular data set: asymptomatic African American long-term cocaine users [5]. In the Korean longitudinal study on health and aging, a signifi cant relationship between (25(OH)D) status and coronary artery stenosis was found in a community-based elderly cohort [14]. As diff erent from these studies, our patient population was consisted of young adults and additionally the relation between 25(OH)D and the severity of coronary atherosclerosis and plaque morphology was also investigated.…”
Section: Discussionmentioning
confidence: 53%
“…Estos resultados contrastan con estudios que han mostrado que los valores bajos de VD se asocian a un estado inflamatorio sistémico, favorecen la resistencia a la insulina y activan el sistema renina-angiotensina-aldosterona, con la subsecuente elevación de la presión arterial y la hipertrofia del músculo cardiaco y de las células musculares lisas [28][29][30] . En concordancia con estos hallazgos, varios estudios observacionales han reportado una asociación entre la deficiencia de 25(OH)D y la presencia de EAC clínica 13,31-33 y subclínica [34][35][36][37][38] . En un estudio de casos y controles en el que se incluyeron tanto pacientes con enfermedad coronaria como pacientes con enfermedad vascular cerebral, la deficiencia de 25(OH)D, definida por concentraciones inferiores a 15 ng/ml, mostró una alta prevalencia en pacientes (68%) y en controles (54%), y se encontró asociada a la presencia de enfermedad cardiovascular (OR: 2.9 [1.67-5.12]; p < 0.001) 33 .…”
Section: Discussionunclassified