Hypertension, Vitamin D Deficiency
Conditions
Keywords
Hypertension, blood pressure, vitamin d, winter, cholecalciferol, arterial stiffness, renin, angiotensin, aldosterone, calcium
Brief summary
High blood pressure is related to increased risk of cardiovascular disease and death, and accounts for approximately 8 mill deaths worldwide each year. Blood pressure exhibits a seasonal variation with a tendency to increase during winter months. Vitamin D deficiency is more common during months where UVB radiation from the sun is absent, and vitamin D has been associated with high blood pressure. This study will evaluate the effect of vitamin D replacement during winter months on blood pressure and vasoactive hormones in patients with high blood pressure.
Interventions
3 tablets of 1000 IU daily for 20 weeks
3 placebo tablets daily for 20 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Well-regulated arterial hypertension * Office blood pressure \> 120/70 mmHg
Exclusion criteria
* Pregnancy or nursing * Cancer * Alcohol abuse * Continuous glucocorticoid or NSAID treatment * 24-hour blood pressure \> 150/95 mmHg * Hypercalcemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour systolic blood pressure | 20 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Plasma concentration of angiotensin II | 20 weeks |
| Plasma concentration of aldosterone | 20 weeks |
| Plasma concentration of c-reactive protein | 20 weeks |
| Urine albumin creatinine ratio | 20 weeks |
| Urine calcium creatinine ratio | 20 weeks |
| Plasma concentration of 25-hydroxycholecalciferol | 5 weeks |
| Plasma renin concentration | 20 weeks |
| Augmentation index and central blood pressure | 20 weeks |
| Pulse wave velocity | 20 weeks |
| Heart rate variability | 20 weeks |
| Plasma concentration of ionized calcium | 5 weeks |
| Plasma concentration of phosphate | 5 weeks |
| Serum concentration of FGF-23 | 20 weeks |
Countries
Denmark