Risk of heart failure among postmenopausal women: a secondary analysis of the randomized trial of vitamin D plus calcium of the women's health initiative.
Circ Heart Fail. 2015 Jan;8(1):49-56. doi: 10.1161/CIRCHEARTFAILURE.114.001738. Epub 2014 Nov 14.
Donneyong MM1, Hornung CA2, Taylor KC2, Baumgartner RN2, Myers JA2, Eaton CB2, Gorodeski EZ2, Klein L2, Martin LW2, Shikany JM2, Song Y2, Li W2, Manson JE2.
BACKGROUND:
Vitamin D supplementation may be an inexpensive intervention to reduce heart failure (HF) incidence. However, there are insufficient data to support this hypothesis. This study evaluates whether vitamin D plus calcium (CaD) supplementation is associated with lower rates of HF in postmenopausal women and whether the effects differ between those at high versus low risk for HF.
METHODS AND RESULTS:
Analyses were restricted to 35 983 (of original 36 282) women aged 50 to 79 years old in the Women's Health Initiative randomized trial of CaD supplementation who were randomized 1:1 in a double-blinded fashion to receive 1000 mg/d of calcium plus 400 IU/d of vitamin D3 or placebo. Overall, 744 adjudicated incident HF cases (intervention, 363; control, 381) occurred during a median follow-up of 7.1 (interquartile range, 1.6) years. CaD supplementation, compared with placebo, was not associated with reduced HF risk in the overall population, hazard ratio, 0.95; P=0.46.
However, CaD supplementation had differential effects (P interaction=0.005) in subgroups stratified by baseline risk status of HF defined by the presence (high risk=17 449) or absence (low risk=18 534) of pre-existing HF precursors including coronary heart diseases, diabetes mellitus, or hypertension: 37% (hazard ratio, 0.63 [95% confidence interval, 0.46-0.87]) lower risk of HF in the low-risk versus hazard ratio, 1.06; P=0.51, in the high-risk subgroups.
CONCLUSIONS:
CaD supplementation did not significantly reduce HF incidence in the overall cohort, however, it was beneficial among postmenopausal women without major HF precursors while of little value in high-risk subgroups. Additional studies are warranted to confirm these findings and investigate the underlying mechanism.
CLINICAL TRIAL REGISTRATION URL:
http://www.clinicaltrials.gov. Unique identifier: NCT00000611.
© 2014 American Heart Association, Inc.
PMID: 25398967
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Note:The HF markers were reduced by this tiny amount of vitamin D
At least 5X more vitamin D appears needed to reduce the actual HF.
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Heart failure markers reduced by 400 IU of vitamin D and Calcium (surprise) – RCT Jan 2015(Cached) Printer Friendly Follow this page for updates6892 visitors, last modified 18 Mar, 2015, This page is in the following categories (# of items in each category) - Intervention - Vitamin D category listing has