Vitamin D supplementation and serum heat shock protein 60 levels in patients with coronary heart disease: A randomized clinical trial

Bahrami, L. S. and Sezavar Seyedi Jandaghi, S. H. and Janani, L. and Pahlavan, M. and Arabi, S. M. and Sadeghi, H. and Vafa, M. (2018) Vitamin D supplementation and serum heat shock protein 60 levels in patients with coronary heart disease: A randomized clinical trial. Nutrition and Metabolism, 15 (1).

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Abstract

Background: The aim in this study was to investigate the effect of vitamin D (25(OH)D3) supplementation on heat shock protein 60 (HSP 60) and other inflammatory markers (IL-17, TNF-α, PAB) in patients with coronary heart disease (CHD). Methods: In this double-blind, randomized clinical trial, we recruited 80 male and female patients aged 30-60 with CHD and 25(OH)D3 serum levels < 30 ng/ml from Rasool-e-Akram Hospital in Tehran, Iran. Serum levels of HSP 60 as primary outcome, and 25(OH)D3, IL-17, TNF-α, PAB, lipid profiles and parathyroid hormone (PTH) as secondary outcomes were measured at baseline and post-intervention. We randomly assigned eligible participants to a placebo group (N = 40) or an intervention group (N = 40) (50,000 IU/wk. vitamin D supplement) for eight weeks. Results: The results demonstrated that vitamin D supplementation resulted in a significant increase in 25(OH) D3 serum levels in the intervention group compared to the placebo group (46.86 vs. 7.28 ng/ml). PTH levels decreased in the intervention group compared to the placebo group (- 19.81 vs. 2.92 pg/ml) after eight weeks of supplementation. Furthermore, we observed a significant change in waist circumference (- 0.97 vs. -0.26 cm), fat percentage (-.13 vs. 0.1), systolic blood pressure (- 3.85 vs. -2.11 mmHg) and diastolic blood presure (- 4 vs. -1.86 mmHg) in the vitamin D group compared to the placebo group (all P values < 0.05). Other variables did not significantly change after the intervention. Conclusion: Based on our findings, weekly vitamin D supplementation of 50,000 IU for eight weeks in patients with CHD resulted in decreased systolic and diastolic blood pressure, waist circumference and fat percentage. No significant effect on HSP 60, inflammatory markers or lipid profiles was observed. Trial registration: IRCT, IRCT201612122365N14. Registered 12 December 2016. © 2018 The Author(s).

Item Type: Article
Additional Information: Cited By :2 Export Date: 16 February 2020 Correspondence Address: Vafa, M.; Department of Nutrition, School of Public Health, Iran University of Medical SciencesIran; email: rezavafa@yahoo.com
Uncontrolled Keywords: Coronary heart disease Heat shock protein 60 Vitamin D supplementation calcifediol chaperonin 60 interleukin 17 parathyroid hormone placebo polyadenylic acid binding protein tumor necrosis factor vitamin D adult Article clinical effectiveness controlled study diastolic blood pressure double blind procedure drug efficacy female human ischemic heart disease lipid analysis major clinical study male outcome assessment parathyroid hormone blood level physical activity protein blood level randomized controlled trial systolic blood pressure treatment duration vitamin supplementation
Subjects: WG Cardiovascular System
QU Biochemistry
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 06 Jun 2020 07:44
Last Modified: 06 Jun 2020 07:44
URI: http://eprints.mums.ac.ir/id/eprint/17229

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