Calcium and Vitamin D Supplementation. Myths and Realities with Regard to Cardiovascular Risk

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Vitamin D and calcium are considered crucial for the treatment of bone diseases. Both vitamin D and calcium contribute to bone homeostasis but also preserve muscle health by reducing the risk of falls and fractures. Low vitamin D concentrations result in secondary hyperparathyroidism and contribute to bone loss, although the development of secondary hyperparathyroidism varies, even in patients with severe vitamin D deficiency. Findings from observational studies have shown controversial results regarding the association between bone mineral density and vitamin D/calcium status, thus sparking a debate regarding optimum concentrations of 25-hydroxyvitamin D and calcium for the best possible skeletal health. Although most of the intervention studies reported a positive effect of supplementation with calcium and vitamin D on bone in patients with osteoporosis, this therapeutic approach has been a matter of debate regarding potential side effects on the cardiovascular (CV) system. Thus, the aim of this review is to consider the current evidence on the physiological role of vitamin D and calcium on bone and muscle health. Moreover, we provide an overview on observational and interventional studies that investigate the effect of vitamin D and calcium supplementation on bone health, also taking into account the possible CV side-effects. We also provide molecular insights on the effect of calcium plus vitamin D on the CV system.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Current vascular pharmacology - 17(2019), 6 vom: 01., Seite 610-617

Sprache:

Englisch

Beteiligte Personen:

Muscogiuri, Giovanna [VerfasserIn]
Barrea, Luigi [VerfasserIn]
Altieri, Barbara [VerfasserIn]
Di Somma, Carolina [VerfasserIn]
Bhattoa, Harjit Pal [VerfasserIn]
Laudisio, Daniela [VerfasserIn]
Duval, Guillaume T [VerfasserIn]
Pugliese, Gabriella [VerfasserIn]
Annweiler, Cédric [VerfasserIn]
Orio, Francesco [VerfasserIn]
Fakhouri, Hana [VerfasserIn]
Savastano, Silvia [VerfasserIn]
Colao, Annamaria [VerfasserIn]

Links:

Volltext

Themen:

1406-16-2
Biomarkers
Bone health
Calcium
Cardiovascular system
Journal Article
Myocardial infarction
Review
SY7Q814VUP
Stroke.
Vitamin D

Anmerkungen:

Date Completed 08.06.2020

Date Revised 08.06.2020

published: Print

Citation Status MEDLINE

doi:

10.2174/1570161117666190408165805

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM295854588