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1.7 X less risk of Heart Failure death if previously had taken any amount of vitamin D - Jan 2022


Association between Vitamin D and Heart Failure Mortality in 10,974 Hospitalized Individuals

Nutrients 2021, 13(2), 335; https://doi.org/10.3390/nu13020335
by Kenya Kusunose 1,*ORCID,Yuichiro Okushi 1,Yoshihiro Okayama 2,Robert Zheng 1,Miho Abe 1,Michikazu Nakai 3,Yoko Sumita 3,Takayuki Ise 1,Takeshi Tobiume 1,Koji Yamaguchi 1,Shusuke Yagi 1,Daiju Fukuda 1,Hirotsugu Yamada 4,Takeshi Soeki 1,Tetsuzo Wakatsuki 1 andMasataka Sata 1

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A broad range of chronic conditions, including heart failure (HF), have been associated with vitamin D deficiency. Existing clinical trials involving vitamin D supplementation in chronic HF patients have been inconclusive. We sought to evaluate the outcomes of patients with vitamin D supplementation, compared with a matched cohort using real-world big data of HF hospitalization. This study was based on the Diagnosis Procedure Combination database in the Japanese Registry of All Cardiac and Vascular Datasets (JROAD-DPC). After exclusion criteria, we identified 93,692 patients who were first hospitalized with HF between April 2012 and March 2017 (mean age was 79 ± 12 years, and 52.2% were male). Propensity score (PS) was estimated with logistic regression model, with vitamin D supplementation as the dependent variable and clinically relevant covariates.
On PS-matched analysis with 10,974 patients, patients with vitamin D supplementation had

  • lower total in-hospital mortality (6.5 vs. 9.4%, odds ratio: 0.67, p < 0.001) and
  • in-hospital mortality within 7 days (0.9 vs. 2.5%, OR, 0.34, and
  • in-hospital mortality within 30 days 3.8 vs. 6.5%, OR: 0.56, both p < 0.001)

In the sub-group analysis mortalities in patients with age < 75, diabetes, dyslipidemia, atrial arrhythmia, cancer, renin-angiotensin system blocker, and ß-blocker were not affected by vitamin D supplementation. Patients with vitamin D supplementation had a lower in-hospital mortality for HF than patients without vitamin D supplementation in the propensity matched cohort. The identification of specific clinical characteristics in patients benefitting from vitamin D may be useful for determining targets of future randomized control trials.

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Pages with HEART FAILURE in title (43 as of April 2022)

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VitaminDWiki Meta-anlysis pages with HEART FAILURE in title

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VitaminDWiki - Cardiovascular category

533 items In Cardiovascular category

Cardiovascular category is associated with other categories: Diabetes 31, Omega-3 31 , Vitamin K 25 , Intervention 22 . Mortality 20 , Skin - Dark 18 , Magnesium 17 , Calcium 14 , Hypertension 14 , Trauma and surgery 13 , Stroke 13 , Kidney 12 , Metabolic Syndrome 11 , Seniors 10 , Pregnancy 8 as of Aug 2022


Created by admin. Last Modification: Thursday April 14, 2022 18:45:50 GMT-0000 by admin. (Version 8)

Attached files

ID Name Comment Uploaded Size Downloads
17414 HF survival.jpg admin 14 Apr, 2022 26.32 Kb 276
17413 Heart Failure Mortality.pdf admin 14 Apr, 2022 945.72 Kb 265