Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension

Adriana J. Van Ballegooijen, Aivaras Cepelis, Marjolein Visser, Ingeborg A. Brouwer, Natasja M. Van Schoor, Joline W. Beulens

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Low Vitamin D and K status are both associated with an increased cardiovascular risk. New evidence from experimental studies on bone health suggest an interaction between Vitamin D and K; however, a joint association with vascular health outcomes is largely unknown. To prospectively investigate whether the combination of low Vitamin D and K status is associated with higher systolic and diastolic blood pressure in 402 participants and with incident hypertension in 231 participants free of hypertension at baseline. We used data from a subsample of the Longitudinal Aging Study Amsterdam, a population-based cohort of Dutch participants aged 55 to 65 years. Vitamin D and K status were assessed by 25-hydroxyVitamin D and dp-ucMGP (dephosphorylated uncarboxylated matrix gla protein) concentrations (high dp-ucMGP is indicative for low Vitamin K status) in stored samples from 2002 to 2003. Vitamin D and K status were categorized into 25-hydroxyVitamin D <50/≥50 mmol/L and median dp-ucMGP <323/≥323 pmol/L. During a median follow-up of 6.4 years, 62% of the participants (n=143) developed hypertension. The combination of low Vitamin D and K status was associated with increased systolic 4.8 mm Hg (95% confidence interval, 0.1-9.5) and diastolic 3.1 mm Hg (95% confidence interval, 0.5-5.7) blood pressure compared with high Vitamin D and K status (P for interaction =0.013 for systolic blood pressure and 0.068 for diastolic blood pressure). A similar trend was seen for incident hypertension: hazard ratio=1.62 (95% confidence interval, 0.96-2.73) for the low Vitamin D and K group. The combination of low Vitamin D and K status was associated with increased blood pressure and a trend for greater hypertension risk.

Original languageEnglish
Pages (from-to)1165-1172
Number of pages8
JournalHypertension
Volume69
Issue number6
DOIs
Publication statusPublished - 1 Jun 2017

Cite this

Van Ballegooijen, A. J., Cepelis, A., Visser, M., Brouwer, I. A., Van Schoor, N. M., & Beulens, J. W. (2017). Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension. Hypertension, 69(6), 1165-1172. https://doi.org/10.1161/HYPERTENSIONAHA.116.08869
Van Ballegooijen, Adriana J. ; Cepelis, Aivaras ; Visser, Marjolein ; Brouwer, Ingeborg A. ; Van Schoor, Natasja M. ; Beulens, Joline W. / Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension. In: Hypertension. 2017 ; Vol. 69, No. 6. pp. 1165-1172.
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abstract = "Low Vitamin D and K status are both associated with an increased cardiovascular risk. New evidence from experimental studies on bone health suggest an interaction between Vitamin D and K; however, a joint association with vascular health outcomes is largely unknown. To prospectively investigate whether the combination of low Vitamin D and K status is associated with higher systolic and diastolic blood pressure in 402 participants and with incident hypertension in 231 participants free of hypertension at baseline. We used data from a subsample of the Longitudinal Aging Study Amsterdam, a population-based cohort of Dutch participants aged 55 to 65 years. Vitamin D and K status were assessed by 25-hydroxyVitamin D and dp-ucMGP (dephosphorylated uncarboxylated matrix gla protein) concentrations (high dp-ucMGP is indicative for low Vitamin K status) in stored samples from 2002 to 2003. Vitamin D and K status were categorized into 25-hydroxyVitamin D <50/≥50 mmol/L and median dp-ucMGP <323/≥323 pmol/L. During a median follow-up of 6.4 years, 62{\%} of the participants (n=143) developed hypertension. The combination of low Vitamin D and K status was associated with increased systolic 4.8 mm Hg (95{\%} confidence interval, 0.1-9.5) and diastolic 3.1 mm Hg (95{\%} confidence interval, 0.5-5.7) blood pressure compared with high Vitamin D and K status (P for interaction =0.013 for systolic blood pressure and 0.068 for diastolic blood pressure). A similar trend was seen for incident hypertension: hazard ratio=1.62 (95{\%} confidence interval, 0.96-2.73) for the low Vitamin D and K group. The combination of low Vitamin D and K status was associated with increased blood pressure and a trend for greater hypertension risk.",
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Van Ballegooijen, AJ, Cepelis, A, Visser, M, Brouwer, IA, Van Schoor, NM & Beulens, JW 2017, 'Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension' Hypertension, vol. 69, no. 6, pp. 1165-1172. https://doi.org/10.1161/HYPERTENSIONAHA.116.08869

Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension. / Van Ballegooijen, Adriana J.; Cepelis, Aivaras; Visser, Marjolein; Brouwer, Ingeborg A.; Van Schoor, Natasja M.; Beulens, Joline W.

In: Hypertension, Vol. 69, No. 6, 01.06.2017, p. 1165-1172.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Joint Association of Low Vitamin D and Vitamin K Status with Blood Pressure and Hypertension

AU - Van Ballegooijen, Adriana J.

AU - Cepelis, Aivaras

AU - Visser, Marjolein

AU - Brouwer, Ingeborg A.

AU - Van Schoor, Natasja M.

AU - Beulens, Joline W.

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AB - Low Vitamin D and K status are both associated with an increased cardiovascular risk. New evidence from experimental studies on bone health suggest an interaction between Vitamin D and K; however, a joint association with vascular health outcomes is largely unknown. To prospectively investigate whether the combination of low Vitamin D and K status is associated with higher systolic and diastolic blood pressure in 402 participants and with incident hypertension in 231 participants free of hypertension at baseline. We used data from a subsample of the Longitudinal Aging Study Amsterdam, a population-based cohort of Dutch participants aged 55 to 65 years. Vitamin D and K status were assessed by 25-hydroxyVitamin D and dp-ucMGP (dephosphorylated uncarboxylated matrix gla protein) concentrations (high dp-ucMGP is indicative for low Vitamin K status) in stored samples from 2002 to 2003. Vitamin D and K status were categorized into 25-hydroxyVitamin D <50/≥50 mmol/L and median dp-ucMGP <323/≥323 pmol/L. During a median follow-up of 6.4 years, 62% of the participants (n=143) developed hypertension. The combination of low Vitamin D and K status was associated with increased systolic 4.8 mm Hg (95% confidence interval, 0.1-9.5) and diastolic 3.1 mm Hg (95% confidence interval, 0.5-5.7) blood pressure compared with high Vitamin D and K status (P for interaction =0.013 for systolic blood pressure and 0.068 for diastolic blood pressure). A similar trend was seen for incident hypertension: hazard ratio=1.62 (95% confidence interval, 0.96-2.73) for the low Vitamin D and K group. The combination of low Vitamin D and K status was associated with increased blood pressure and a trend for greater hypertension risk.

KW - 25-hydroxyvitamin D

KW - blood pressure

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