Blood Pressure in Healthy Youngsters is modified by Vitamin-D Supplementation

Rune Tønnesen, Kristian Buch, P. Hovind, L. T. Jensen, P. Schwarz
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Abstract

Objective Our study aimed to investigate the effect of vitamin D supplementation on blood pressure in vitamin D insufficient young volunteers compared to an age matched control group with sufficient levels of vitamin D. Secondarily we aimed to evaluate the effect of vitamin D supplementation on the RAAS and sympathetic nervous system. Design Single centre, Randomised controlled Trial. of Range 2.4) mmHg (p = 0.009), diastolic BP (daytime) decreased -4.5 (2.1) mmHg (p = 0.03), norepinephrine decreased -0.80 (0.21) nmol/L, (p = 0.0002). There was no effect of vitamin D supplementation on night time systolic or diastolic BP, and no effect on angiotensinogen, renin, angiotensin (I+II), aldosterone or epinephrine. We observed that 180 days of vitamin D supplementation in normal youngsters with insufficient vitamin D significantly lowered systolic and diastolic BP during daytime. Vitamin D supplementation also significantly lowered circulating norepinephrine. Nothing happened in the control group with normal vitamin D. Hence, it is tempting to conclude that vitamin D acts on BP through SNS as no changes were observed in the RAAS.
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补充维生素d可改善健康青少年的血压
目的我们的研究旨在调查与维生素D水平充足的年龄匹配对照组相比,维生素D缺乏的年轻志愿者补充维生素D对血压的影响。其次,我们旨在评估维生素D补充对RAAS和交感神经系统的影响。设计单中心随机对照试验。范围为2.4)mmHg(p=0.009),舒张压(白天)下降-4.5(2.1)mmHg,去甲肾上腺素下降-0.80(0.21)nmol/L,(p=0.0002)。补充维生素D对夜间收缩压或舒张压没有影响,对血管紧张素原、肾素、血管紧张素(I+II)、醛固酮或肾上腺素也没有影响。我们观察到,在维生素D不足的正常青少年中,180天的维生素D补充显著降低了白天的收缩压和舒张压。补充维生素D也能显著降低循环中的去甲肾上腺素。在维生素D正常的对照组中没有发生任何变化。因此,很容易得出结论,维生素D通过SNS对BP起作用,因为在RAAS中没有观察到变化。
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