Use of vitamin D to decrease cardiovascular risk in patients with type II diabetes mellitus: A Systematic Review
DOI:
https://doi.org/10.33448/rsd-v10i7.16862Keywords:
Vitamin D; Cardiovascular disease; Diabetes mellitus.Abstract
Introduction: Diabetes mellitus is an increasingly prevalent disease in the modern world, being highly related to genetic and behavioral factors, causing numerous public health problems. Objective: analyze the use of vitamin D in order to reduce cardiovascular risk in patients with type 2 diabetes mellitus. Methods: A systematic review of the literature was performed. To prepare the study, national and international data were searched and the eligibility criteria were chosen considering the language of the article (English and Portuguese), complete texts and published in the last 10 years. In sequence, from the reading of the titles and subsequent analysis of the abstracts, the final sample consisted of 13 publications. Results: A low number of publications was detected, however, it was found that vitamin D and its analogs have a direct efficacy on the markers used to predict the cardiovascular risk of patients even though they still have doubts about their mechanisms of action. Conclusions: Intervention with vitamin D shows good results regarding the reduction of cardiovascular risk markers in diabetic patients. However, more research should be carried out to better clarify the correlation of vitamin D levels and the reduction of cardiovascular events, in addition to better their physiological mechanisms, therapeutic strategies and their effects on the most diverse population profiles in order to develop effective and conclusive interventions.
References
Annweiler, C., Dursun, E., Féron, F., Gezen-Ak, D., Kalueff, A. V., Littlejohns, T., Llewellyn, D. J.; Millet, P., Scott, T., & Tucker, K. L. (2014) Vitamin D and cognition in older adults’: updated international recommendations. Journal Of Internal Medicine, 277(1), 45-57. http://dx.doi.org/10.1111/joim.12279.
Angellotti, E., D'alessio, D., Dawson-Hughes, B., Chu, Y., Nelson, J., Hu, P., Cohen, R. M., & Pittas, A. G. (2019) Effect of vitamin D supplementation on cardiovascular risk in type 2 diabetes. Clinical Nutrition, 38(5), 2449-2453. http://dx.doi.org/10.1016/j.clnu.2018.10.003.
Aguiar, C., Duarte, R., Carvalho, D. (2019) Nova abordagem para o tratamento da diabetes: da glicemia à doença cardiovascular. Revista Portuguesa de Cardiologia, 38(1), 53-63. https://doi.org/10.1016/j.repc.2018.03.013
Carrillo-Larco, R. M. & Bernabé-Ortiz, A. (2019) DIABETES MELLITUS TIPO 2 EN PERÚ: UNA REVISIÓN SISTEMÁTICA SOBRE LA PREVALENCIA E INCIDENCIA EN POBLACIÓN GENERAL. Rev Peru Med Exp Salud Publica, 36(1), 26-36. http://dx.doi:10.17843/rpmesp.2019.361.4027.
Ebrahimkhani, S., Ghavamzadeh, & S., Mehdizadeh, A. (2020) The effects of vitamin D and curcuminoids supplementation on anthropometric measurements and blood pressure in type 2 diabetic patients with coexisting hypovitaminosis D: a double-blind, placebo-controlled randomized clinical trial. Clinical Nutrition Espen, 37, 178-186. http://dx.doi.org/10.1016/j.clnesp.2020.02.017.
Forouhi, N. G., Menon, R. K., Sharp, S. J.; Mannan, N., Timms, P. M.; Martineau, A. R., Rickard, A. P., Boucher, B. J., Chowdhury, T. A., & Griffiths, C. J. (2016) Effects of vitamin D2 or D3 supplementation on glycaemic control and cardiometabolic risk among people at risk of type 2 diabetes: results of a randomized double-blind placebo-controlled trial. Diabetes, Obesity And Metabolism, 18(4), 392-400. http://dx.doi.org/10.1111/dom.12625.
Galvão, M. C. B.; & Ricarte, I. L. M. (2019) REVISÃO SISTEMÁTICA DA LITERATURA: conceituação, produção e publicação. Logeion: Filosofia da Informação, 6(1), 57-73. http://dx.doi.org/10.21728/logeion.2019v6n1.p57-73.
Heravifard, S.; Neyestani, T. R.; Nikooyeh, B.; Alavi-Majd, H.; Houshiarrad, A.; Kalayi, A.; Shariatzadeh, N.; Zahedirad, M.; Tayebinejad, N.; & Salekzamani, S. (2013) Regular Consumption of Both Vitamin D– and Calcium- and Vitamin D–Fortified Yogurt Drink Is Equally Accompanied by Lowered Blood Lipoprotein (a) and Elevated Apoprotein A1 in Subjects with Type 2 Diabetes: a randomized clinical trial. Journal Of The American College Of Nutrition, 32(1), 26-30. http://dx.doi.org/10.1080/07315724.2013.767659.
Hirschler, V., Maccallini, G., Sanchez, M., Claudio, G., Molinari, C., Figueroa, M., Arnada, C., & Hidalgo, M. (2015) Improvement of Apolipoprotein B in Argentine Indigenous School Children after Vitamin D Supplementation. Cardiovascular & Hematological Agents In Medicinal Chemistry. 13 (2), 137-145. http://dx.doi.org/10.2174/1871525712666140516102319.
Liefaard, M. C., Ligthart, S., Vitezova, A., Hofman, A., Uitterlinden, A. G., Jong, J. C. K., Franco, O. H., Zillikens, M. C., & Dehghan, A. (2015) Vitamin D and C-Reactive Protein: a mendelian randomization study. Plos One, 10(7), 1-12. http://dx.doi.org/10.1371/journal.pone.0131740.
Lu, Y., Hajifathalian, K., Ezzati, M., Woodward, M., Rimm, E. B., & Danaei, G. (2014) Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1•8 million participants. The Lancet, 383 (9921), 970-983. http://dx.doi.org/10.1016/s0140-6736(13)61836-x.
Kelishadi, R., Salek, S., Salek, M., Hashemipour, M., & Movahedian, M. (2014) Effects of vitamin D supplementation on insulin resistance and cardiometabolic risk factors in children with metabolic syndrome: a triple-masked controlled trial. Jornal de Pediatria (Versão em Português), 90(1), 28-34. http://dx.doi.org/10.1016/j.jpedp.2013.06.005.
Muscogiuri, G., Altieri, B., Annweiler, C., Balercia, G., Pal, H. B., Boucher, B. J., Cannell, J. J., Foresta, C., Grübler, M. R., & Kotsa, K. (2016) Vitamin D and chronic diseases: the current state of the art. Archives Of Toxicology, 91(1). 97-107. http://dx.doi.org/10.1007/s00204-016-1804-x.
Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Diretrizes metodológicas: Sistema GRADE – Manual de graduação da qualidade da evidência e força de recomendação para tomada de decisão em saúde: Ministério da Saúde; 2014. http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_sistema_grade.pdf
Mcdonnell, S. L., Baggerly, C., French, C. B., Baggerly, L. L., Garland, C. F., Gorham, E. D., Lappe, J. M., & Heaney, R. P. (2016) Serum 25-Hydroxyvitamin D Concentrations ≥40 ng/ml Are Associated with >65% Lower Cancer Risk: pooled analysis of randomized trial and prospective cohort study. Plos One, 11(4), 1-15. http://dx.doi.org/10.1371/journal.pone.0152441.
Nikooyeh, B., Neyestani, T. R., Tayebinejad, N., Alavi-Majd, H., Shariatzadeh, N., Kalayi, A., Zahedirad, M., Heravifard, S., & Salekzamani. (2013) S. Daily intake of vitamin D- or calcium-vitamin D-fortified Persian yogurt drink (doogh) attenuates diabetes-induced oxidative stress: evidence for antioxidative properties of vitamin d. Journal Of Human Nutrition And Dietetics, 27, 276-283, 5. http://dx.doi.org/10.1111/jhn.12142.
Nakashima, A., Yokoyama, K., Yokoo, T., & Urashima, M. (2016) Role of vitamin D in diabetes mellitus and chronic kidney disease. World Journal Of Diabetes, 7(5), 89-100, http://dx.doi.org/10.4239/wjd.v7.i5.89.
Omidian, M., Mahmoudi, M., Javanbakht, M. H., Eshraghian, M. R., Abshirini, M., Daneshzad, E., Hasani, H., Alvandi, E., & Djalali, M. (2019) Effects of vitamin D supplementation on circulatory YKL-40 and MCP-1 biomarkers associated with vascular diabetic complications: a randomized, placebo-controlled, double-blind clinical trial. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(5), 2873-2877. http://dx.doi.org/10.1016/j.dsx.2019.07.047.
Odutayo, A., Wong, Christopher X; Hsiao, Allan J., Hopewell, Sally; A., Douglas, G.; & A Emdin, C. (2016) Atrial fibrillation and risks of cardiovascular disease, renal disease, and death: systematic review and meta-analysis. BMJ, 6(5), 1-11. http://dx.doi.org/10.1136/bmj.i4482.
PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses. (s.l.): University of Ottawa/Oxford University, 2015. Disponível em: http://www.prisma-statement.org/PRISMAStatement/. Acesso em: 2 abr. 2018.
Ryu, O., Chung, W., Lee, S., Hong, K., Choi, M., & Yoo, H. The effect of high-dose vitamin D supplementation on insulin resistance and arterial stiffness in patients with type 2 diabetes. (2014) The Korean Journal Of Internal Medicine, 29(5), 620-629. http://dx.doi.org/10.3904/kjim.2014.29.5.620.
Ruff, C. T., Giugliano, R. P., Braunwald, E., Hoffman, E. B., Deenadayalu, N., Ezekowitz, M. D., Camm, A. J., Weitz, J. I., Lewis, B. S., & Parkhomenko, A. (2014) Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials. The Lancet, 383(9921), 955-962. http://dx.doi.org/10.1016/s0140-6736(13)62343-0.
Riek, A. E., Oh, J., Darwech, I., Worthy, V., Lin, X., Ostlund, R. E., Zhang, R. M., & Bernal-Mizrachi, C. (2018) Vitamin D3 supplementation decreases a unique circulating monocyte cholesterol pool in patients with type 2 diabetes. The Journal Of Steroid Biochemistry And Molecular Biology, 177, 187-192. http://dx.doi.org/10.1016/j.jsbmb.2017.09.011.
SOCIEDADE BRASILEIRA DE DIABETES (SBD). (2019-2020) Diretrizes da Sociedade Brasileira de Diabetes. São Paulo: AC Farmacêutica, 2019. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf
Strain, W. D. & Paldánius, P. M. (2018) Diabetes, cardiovascular disease and the microcirculation. Cardiovasc Diabetol, 17(1), 57. http://dx.doi.org/10.1186/s12933-018-0703-2
Shab-Bidar, S., Neyestani, T. R., Djazayery, A., Eshraghian, M., Houshiarrad, A., Gharavi, A., Kalayi, A., Shariatzadeh, N., Zahedirad, M., & Khalaji, N. (2011) Regular consumption of vitamin D-fortified yogurt drink (Doogh) improved endothelial biomarkers in subjects with type 2 diabetes: a randomized double-blind clinical trial. Bmc Medicine, 9(1), 1-10. http://dx.doi.org/10.1186/1741-7015-9-125.
Steele, J. M., Urbina, E. M., Mazur, W. M., Khoury, P. R., Nagueh, S. F., Tretter, J. T., & Alsaied, T. (2020) Left atrial strain and diastolic function abnormalities in obese and type 2 diabetic adolescents and young adults. Cardiovascular Diabetology, 19(1), 1043-1053. http://dx.doi.org/10.1186/s12933-020-01139-9.
Sharma, A., Zhao, X., Hammill, B. G., Hernandez, A. F., Fonarow, G. C., Felker, G. M., Yancy, C. W., Heidenreich, P. A., Ezekowitz, J. A., & Devore, A. (2018) D. Trends in Noncardiovascular Comorbidities Among Patients Hospitalized for Heart Failure. Circulation: Heart Failure, 11(6), 37-40. http://dx.doi.org/10.1161/circheartfailure.117.004646.
Verdoia, M., Nardin, M., Rolla, R., Negro, F., Gioscia, R., Afifeh, A. M. S., Viglione, F., Suryapranata, H., Marcolongo, M., & Luca, G. (2020) Association of lower vitamin D levels with inflammation and leucocytes parameters in patients with and without diabetes mellitus undergoing coronary angiography. European Journal Of Clinical Investigation, 51(4), 134-139. http://dx.doi.org/10.1111/eci.13439.
Wacker, M., & Holick, M. Vitamin D. (2013) Effects on Skeletal and Extraskeletal Health and the Need for Supplementation. Nutrients, v. 5, n. 1, p. 111-148, 10 jan. http://dx.doi.org/10.3390/nu5010111.
Zittermann, A. (2018). Vitamin D Status, Supplementation and Cardiovascular Disease. Anticancer Research, 38(2), 1179-1186. http://dx.doi.org/10.21873/anticanres.12338.
Zaheer, S., Taquechel, K., Brown, J. M., Adler, G. K., Williams, J. S., & Vaidya, A. (2018) A randomized intervention study to evaluate the effect of calcitriol therapy on the renin-angiotensin system in diabetes. Journal Of The Renin-Angiotensin-Aldosterone System, v. 19(1), 1-8. http://dx.doi.org/10.1177/1470320317754178.
Zittermann, A., Ernst, J. B., Prokop, S., Fuchs, U., Dreier, J., Kuhn, J., Knabbe, C., Börgermann, J.; Berthold, H. K., & Pilz, S. (2018) Daily Supplementation with 4000 IU Vitamin D3 for Three Years Does Not Modify Cardiovascular Risk Markers in Patients with Advanced Heart Failure: the effect of vitamin d on mortality in heart failure trial. Annals Of Nutrition And Metabolism, 74(1), 62-68. http://dx.doi.org/10.1159/000495662.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Rickardo Baia Diniz; Tiago Bruno Carneiro de Farias; Milena Nunes Alves de Sousa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.