Title:High-dose Cholecalciferol Supplementation Reducing Morning Blood Pressure in Normotensive DM1 Patients
Volume: 17
Issue: 3
Author(s): Natércia Neves Marques de Queiroz, Franciane Trindade Cunha de Melo, Fabrício de Souza Resende, Luísa Corrêa Janaú, Norberto Jorge Kzan de Souza Neto, Manuela Nascimento de Lemos, Maria Clara Neres Iunes de Oliveira, Angélica Leite de Alcântara, Lorena Vilhena de Moraes, Apolone da Mota Queiroz, Ícaro José Araújo de Souza, Nivin Mazen Said, Márcia Costa dos Santos, Lilian de Souza D’Albuquerque Silva, Ana Regina Bastos Motta, Melissa de Sá Oliveira dos Reis, Isabel Jane Campos Lobato, Priscila Boaventura Barbosa de Figueiredo, Ana Carolina Contente Braga de Souza, Pedro Paulo Freire Piani, Karem Miléo Felício, João Felício Abrahão Neto and João Soares Felício*
Affiliation:
- Endocrinology Division, University Hospital Joao de Barros Barreto, Federal University of Para, Mundurucus Street, 4487, Guama, Belem 66073-000, Para,Brazil
Keywords:
Diabetes mellitus, type 1, vitamin D, blood pressure, blood pressure monitoring, ambulatory, cholecalciferol.
Abstract: Background: Vitamin D (VD) deficiency has been related to several endocrine metabolic
and cardiovascular diseases. The effect of VD supplementation on blood pressure (BP) in patients with
diabetes is controversial.
Objective: The aim of this study was to evaluate high-dose vitamin D supplementation effects on blood
pressure of normotensive patients with diabetes mellitus 1 (DM1) patients by 24-hour ambulatory blood
pressure monitoring (ABPM).
Methods: We performed a clinical trial including 35 DM1 normotensive patients, who received doses of
4,000 or 10,000 IU/day of cholecalciferol for 12 weeks according to previous VD levels. They underwent
24-hour ABPM, along with glycated hemoglobin, creatine, lipids profile and PCRus dosage before
and after VD supplementation.
Results: We found an expressive reduction of systolic and diastolic morning blood pressures (117±14 vs
112±14, p<0,05; 74±9 vs 70±10 mmHg, p<0,05, respectively) with no changes in other pressoric markers.
Besides, we noticed a relationship between levels of VD after supplementation and diastolic morning
blood pressure (r= -0,4; p<0.05).
Conclusion: Our study suggests an association between supplementation of high doses of vitamin D
and the reduction of morning blood pressure in normotensive DM1 patients.