Further Understanding about the Mechanism of Vitamin D on Blood Pressure
Abstract
Globally, the prevalence of vitamin D deficiency and hypertension is both increasing. Various studies have also identified that both are likely to have causality relationships. The mechanisms and possibilities of such relationships will be discussed in this article. This literature study takes systematic review and meta-analysis research as well as randomly other research to complete the discussion on the role, effects, and mechanisms of vitamin D to blood pressure. Vitamin D is a fat-soluble vitamin that can be produced by the body and the most proper measurement using 25(OH)D. Low vitamin D is one of the risk factors for increased blood pressure (BP). Administration of vitamin D seems beneficial to lowering BP through various mechanisms including inhibit renin gene expression, maintain PTH levels and calcium homeostasis, vasodilatation BP, and decrease sympathetic nerve activity. Research with vitamin D supplementation reported random data between effective and whether or not to decrease BP. Vitamin D can be significantly beneficial in only some conditions although overall it has increased levels of 25(OH)D. However, although vitamin D is very good for health improvement, the use of vitamin D specifically as an antihypertensive still needs more understanding and research on the conditions that have proven effective in their use.
References
Aboud, F. E., & Akhter, S. (2011). A Cluster-Randomized Evaluation of a Responsive Stimulation and Feeding Intervention in Bangladesh. Pediatrics, 127(5), e1191 LP-e1197. https://doi.org/10.1542/peds.2010-2160
Akbari, M., Moosazadeh, M., Ghahramani, S., Tabrizi, R., Kolahdooz, F., Asemi, Z., & Lankarani, K. B. (2017). High prevalence of hypertension among Iranian children and adolescents: a systematic review and meta-analysis. Journal of Hypertension, 35(6), 1155–1163. https://doi.org/10.1097/hjh.0000000000001261
Alshahrani, F., & Aljohani, N. (2013). Vitamin D: Deficiency, Sufficiency, and Toxicity. Nutrients, 5(9), 3605–3616. https://doi.org/10.3390/nu5093605
Aparna, P., Muthathal, S., Nongkynrih, B., & Gupta, S. K. (2018). Vitamin D deficiency in India. Journal of Family Medicine and Primary Care, 7(2), 324–330. https://doi.org/10.4103/jfmpc.jfmpc_78_18
Apostolakis, M., Armeni, E., Bakas, P., & Lambrinoudaki, I. (2018). Vitamin D and cardiovascular disease. Maturitas, 115, 1–22. https://doi.org/10.1016/j.maturitas.2018.05.010
Awad, A. B., Alappat, L., & Valerio, M. (2012). Vitamin D and Metabolic Syndrome Risk Factors: Evidence and Mechanisms. Critical Reviews in Food Science and Nutrition, 52(2), 103–112. https://doi.org/https://doi.org/10.1080/10408391003785458
Baeke, F., Gysemans, C., Korf, H., & Mathieu, C. (2010). Vitamin D insufficiency: Implications for the immune system. Pediatric Nephrology, 25(9), 1597–1606. https://doi.org/10.1007/s00467-010-1452-y
Bahrami, L. S., Ranjbar, G., Norouzy, A., & Arabi, S. M. (2020). Vitamin D supplementation effects on the clinical outcomes of patients with coronary artery disease: a systematic review and meta-analysis. Scientific Reports, 10(1), 12923. https://doi.org/10.1038/s41598-020-69762-w
Bandeira, F., Griz, L., Dreyer, P., Eufrazino, C., Bandeira, C., & Freese, E. (2006). Vitamin D deficiency: a global perspective. Arquivos Brasileiros de Endocrinologia & Metabologia, 50(4), 640–646. https://doi.org/10.1590/s0004-27302006000400009
Battault, S., Whiting, S. J., Peltier, S. L., Sadrin, S., Gerber, G., & Maixent, J. M. (2013). Vitamin D metabolism, functions and needs: From science to health claims. European Journal of Nutrition, 52, 429–441. https://doi.org/10.1007/s00394-012-0430-5
Beveridge, L. A., Struthers, A. D., Khan, F., Jorde, R., Scragg, R., Macdonald, H. M., Alvarez, J. A., Boxer, R. S., Dalbeni, A., Gepner, A. D., Isbel, N. M., Larsen, T., Nagpal, J., Petchey, W. G., Stricker, H., Strobel, F., Tangpricha, V., Toxqui, L., Vaquero, M. P., … D-PRESSURE Collaboration. (2015). Effect of vitamin D supplementation on blood pressure: A systematic review and meta-analysis incorporating individual patient data. JAMA Internal Medicine, 175(5), 745–754. https://doi.org/10.1001/jamainternmed.2015.0237
Börjesson, M., Onerup, A., Lundqvist, S., & Dahlöf, B. (2016). Physical activity and exercise lower blood pressure in individuals with hypertension: narrative review of 27 RCTs. British Journal of Sports Medicine, 50(6), 356–361. https://doi.org/10.1136/bjsports-2015-095786
Boucher, B. J. (2012). The problems of vitamin D insufficiency in older people. Aging and Disease, 3(4), 313–329.
Cashman, K. D., Dowling, K. G., Škrabáková, Z., Gonzalez-Gross, M., Valtueña, J., Henauw, S. De, Moreno, L., Damsgaard, C. T., Michaelsen, K. F., Mølgaard, C., Jorde, R., Grimnes, G., Moschonis, G., Mavrogianni, C., Manios, Y., Thamm, M., Mensin, G. B., Rabenberg, M., Busch, M. A., … Kiely, M. (2016). Vitamin D deficiency in Europe: pandemic? The American Journal of Clinical Nutrition, 103(4), 1033–1044. https://doi.org/10.3945/ajcn.115.120873
Chen, N.-C., Hsu, C.-Y., Mao, P. C.-M., Dreyer, G., Wu, F.-Z., & Chen, C.-L. (2020). The effects of correction of vitamin D deficiency on arterial stiffness: A systematic review and updated meta-analysis of randomized controlled trials. The Journal of Steroid Biochemistry and Molecular Biology, 198, 105561. https://doi.org/https://doi.org/10.1016/j.jsbmb.2019.105561
Chen, S, Sun, Y., & Agrawal, D. K. (2015). Vitamin D Deficiency and Essential Hypertension. J Am Soc Hypertens, 9(11), 885–901. https://doi.org/10.1016/j.jash.2015.08.009.
Chen, Songcang, Ni, X.-P., Humphreys, M. H., & Gardner, D. G. (2005). 1,25dihydroxyvitamin D amplifies type a natriuretic peptide receptor expression and activity in target cells. Journal of the American Society of Nephrology, 16(2), 329–339. https://doi.org/10.1681/ASN.2004090797
Chen, Songcang, Sun, Y., & Agrawal, D. K. (2015). Vitamin D deficiency and essential hypertension. Journal of the American Society of Hypertension, 9(11), 885–901. https://doi.org/10.1016/j.jash.2015.08.009
Correia, A., Azevedo, M. do S., Gondim, F., & Bandeira, F. (2014). Ethnic aspects of vitamin D deficiency. Arquivos Brasileiros de Endocrinologia & Metabologia, 58(5), 540–544. https://doi.org/10.1590/0004-2730000003320
Cremer, A., Tambosco, C., Corcuff, J.-B., Boulestreau, R., Gaillard, P., Lainé, M., Papaioannou, G., & Gosse, P. (2018). Investigating the association of vitamin D with blood pressure and the renin–angiotensin–aldosterone system in hypertensive subjects: a cross-sectional prospective study. Journal of Human Hypertension, 32(2), 114–121. https://doi.org/10.1038/s41371-017-0005-2
Du, S., Neiman, A., Batis, C., Wang, H., Zhang, B., Zhang, J., & Popkin, B. M. (2014). Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. The American Journal of Clinical Nutrition, 99(2), 334–343. https://doi.org/10.3945/ajcn.113.059121
Elamin, M. B., Elnour, N. O. A., Elamin, K. B., Fatourechi, M. M., Alkatib, A. A., Almandoz, J. P., Liu, H., Lane, M. A., Mullan, R. J., Hazem, A., Erwin, P. J., Hensrud, D. D., Murad, M. H., & Montori, V. M. (2011). Vitamin D and Cardiovascular Outcomes : A Systematic Review and Meta-Analysis. The Journal of Clinical Endocrinology and Metabolism, 96(7), 1931–1942. https://doi.org/10.1210/jc.2011-0398
Farapti, F., Fadilla, C., Yogiswara, N., & Adriani, M. (2020). Effects of vitamin D supplementation on 25(OH)D concentrations and blood pressure in the elderly: a systematic review and meta-analysis. F1000 Research, 9(633), 1–21. https://doi.org/10.12688/f1000research.24623.2
Genovesi, S., Antolini, L., Gallieni, M., Aiello, A., Mandal, S. K. B., Doneda, A., Giussani, M., Stella, A., Tucci, B., & Valsecchi, M. G. (2011). High prevalence of hypertension in normal and underweight Indian children. Journal of Hypertension, 29(2), 217–221. https://doi.org/10.1097/HJH.0b013e3283407fe3
Golzarand, M., Shab-Bidar, S., Koochakpoor, G., & et al. (2016). Effect of vitamin D3 supplementation on blood pressure in adults: An updated meta-analysis. Nutrition, Metabolism & Cardiovascular Diseases, 26(8), 663–673. https://doi.org/10.1016/j.numecd.2016.04.011
Guasch, A., Bulló, M., Rabassa, A., Bonada, A., Castillo, D. Del, Sabench, F., & Salas-Salvadó, J. (2012). Plasma vitamin D and parathormone are associated with obesity and atherogenic dyslipidemia: a cross-sectional study. Cardiovascular Diabetology, 11(149). https://doi.org/https://doi.org/10.1186/1475-2840-11-149
Guzik, T. J., Hoch, N. E., Brown, K. A., McCann, L. A., Rahman, A., Dikalov, S., Goronzy, J., Weyand, C., & Harrison, D. G. (2007). Role of the T cell in the genesis of angiotensin II induced hypertension and vascular dysfunction. Journal of Experimental Medicine, 204(10), 2449–2460. https://doi.org/10.1084/jem.20070657
Holick, M. F. (2006). High prevalence of vitamin D inadequacy and implications for health. Mayo Clinic Proceedings, 81(3), 353–373. https://doi.org/10.4065/81.3.353
Holick, M. F. (2009). Vitamin D status: measurement, interpretation, and clinical application. Annals of Epidemiology, 19(2), 73–78. https://doi.org/10.1016/j.annepidem.2007.12.001
Holick, M. F. (2017). The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Reviews in Endocrine and Metabolic Disorders, 18(2), 153–165. https://doi.org/10.1007/s11154-017-9424-1
Holick, M. F., & Chen, T. C. (2008). Vitamin D deficiency: A worldwide problem with health consequences. American Journal of Clinical Nutrition, 87(4), 1080–1086. https://doi.org/10.1093/ajcn/87.4.1080s
Holick, M. F., Chen, T. C., Lu, Z., & Sauter, E. (2007). Vitamin D and skin physiology: a D-lightful story. Journal of Bone and Mineral Research, 22(Suppl 2), V28–V33. https://doi.org/10.1359/jbmr.07s211
Hosni, S., M., H. D., Aya, E., Abd, E.-M. H., Sama, H., & Rehab, A. (2018). Worldwide Prevalence of Hypertension: A Pooled Meta-Analysis of 1670 Studies in 71 Countries with 29.5 Million Participants. Journal of the American College of Cardiology, 71(11_Supplement), A1819–A1819. https://doi.org/10.1016/S0735-1097(18)32360-X
Hu, B., Liu, X., Yin, S., Fan, H., Feng, F., & Yuan, J. (2015). Effects of Psychological Stress on Hypertension in Middle-Aged Chinese: A Cross-Sectional Study. PLOS ONE, 10(6), e0129163. https://doi.org/10.1371/journal.pone.0129163
Institute of Medicine. (2011). Dietary Reference Intakes for Calcium and Vitamin D. The National Academies Press.
Jiang, S., Lu, W., Zong, X., Ruan, H., & Liu, Y. (2016). Obesity and hypertension. Experimental and Therapeutic Medicine, 12(4), 2395–2399. https://doi.org/10.3892/etm.2016.3667
Jorde, R., Sneve, M., Torjesen, P., & Figenschau, Y. (2010). No improvement in cardiovascular risk factors in overweight and obese subjects after supplementation with vitamin D3 for 1 year. Journal of Internal Medicine, 267(5), 462–472. https://doi.org/https://doi.org/10.1111/j.1365-2796.2009.02181.x
Joyner, M. J., Wallin, B. G., & Charkoudian, N. (2016). Sex differences and blood pressure regulation in humans. Experimental Physiology, 101(3), 349–355. https://doi.org/https://doi.org/10.1113/EP085146
Ke, L., Mason, R. S., Mpofu, E., & Brock, K. E. (2015). Vitamin D status and hypertension : a review. Integrated Blood Pressure Control, 8, 13–35. https://doi.org/10.2147/IBPC.S49958
Keenan, N. L., Rosendorf, K. A., & (CDC), C. for D. C. and P. (2011). Prevalence of hypertension and controlled hypertension—United States, 2005–2008. MMWR Surveill Summ, 60(Suppl), 94–97.
Kota, S. K., Kota, S. K., Jammula, S., Meher, L. K., Panda, S., Tripathy, P. R., & Modi, K. D. (2011). Renin–angiotensin system activity in vitamin D deficient, obese individuals with hypertension: An urban Indian study. Indian Journal of Endocrinology and Metabolism, 15(Suppl 4), S395–S401. https://doi.org/10.4103/2230-8210.86985
Kunadian, V., Ford, G. A., Bawamia, B., Qiu, W., & Manson, J. E. (2014). Vitamin D deficiency and coronary artery disease: A review of the evidence. American Heart Journal, 167(3), 283–291. https://doi.org/10.1016/j.ahj.2013.11.012
Kunutsor, S. K., Apekey, T. A., & Steur, M. (2013). Vitamin D and risk of future hypertension : meta-analysis of 283,537 participants. European Journal of Epidemiology, 28, 205–221. https://doi.org/10.1007/s10654-013-9790-2
Lakemond, R. (2012). The influence of vitamin D on cardiovascular disease. Australian Medical Student Journal, 3(1), 31–34.
Legarth, C., Grimm, D., Wehland, M., Bauer, J., & Krüger, M. (2018). The Impact of Vitamin D in the Treatment of Essential Hypertension. International Journal of Molecular Science, 19(455), 1–14. https://doi.org/10.3390/ijms19020455
Li, N., Li, Z., Chen, S., Yang, N., Ren, A., & Ye, R. (2015). Effects of passive smoking on hypertension in rural Chinese nonsmoking women. Journal of Hypertension, 33(11). https://journals.lww.com/jhypertension/Fulltext/2015/11000/Effects_of_passive_smoking_on_hypertension_in.7.aspx
Lim, K., Jackson, K. L., Sata, Y., & Head, G. A. (2017). Factors responsible for obesity-related hypertension. Current Hypertension Reports, 19(7), 53. https://doi.org/10.1007/s11906-017-0750-1
Mateos-Cáceres, P. J., Zamorano-León, J. J., Rodríguez-Sierra, P., Macaya, C., & López-Farré, A. J. (2012). New and old mechanisms associated with hypertension in the elderly. International Journal of Hypertension, 2012. https://doi.org/10.1155/2012/150107
Meehan, M., & Penckofer, S. (2014). The Role of Vitamin D in the Aging Adult. J Aging Gerontol, 2(2), 60–17. https://doi.org/10.12974/2309-6128.2014.02.02.1
Messerli, F. H., Williams, B., & Ritz, E. (2007). Essential hypertension. The Lancet, 370(9587), 591–603. https://doi.org/10.1016/S0140-6736(07)61299-9
Min, B. (2013). Effects of vitamin D on blood pressure and endothelial function. The Korean Journal of Physiology & Pharmacology, 17(5), 385–392. https://doi.org/10.4196/kjpp.2013.17.5.385
Mozaffari-Khosravi, H., Loloei, S., Mirjalili, M.-R., & Barzegar, K. (2015). The effect of vitamin D supplementation on blood pressure in patients with elevated blood pressure and vitamin D deficiency: a randomized, double-blind, placebo-controlled trial. Blood Pressure Monitoring, 20(2). https://journals.lww.com/bpmonitoring/Fulltext/2015/04000/The_effect_of_vitamin_D_supplementation_on_blood.6.aspx
Mozos, I., & Marginean, O. (2015). Links between Vitamin D Deficiency and Cardiovascular Diseases. BioMed Research International, 1–12. https://doi.org/10.1155/2015/109275
Palacios, C., & Gonzalez, L. (2014). Is vitamin D deficiency a major global public health problem? The Journal of Steroid Biochemistry and Molecular Biology, 144 Pt A, 138–145. https://doi.org/10.1016/j.jsbmb.2013.11.003
Park, Y. S., Lee, C.-H., Kim, Y.-I., Ahn, C. M., Kim, J. O., Park, J.-H., Lee, S. H., Kim, J. Y., Chun, E. M., Jung, T.-H., & Yoo, K.-H. (2018). Association between secondhand smoke exposure and hypertension in never smokers: a cross-sectional survey using data from Korean National Health and Nutritional Examination Survey V, 2010–2012. BMJ Open, 8(5), e021217. https://doi.org/10.1136/bmjopen-2017-021217
Parker, J., Hashmi, O., Dutton, D., Mavrodaris, A., Stranges, S., Kandala, N.-B., Clarke, A., & Franco, O. H. (2010). Levels of vitamin D and cardiometabolic disorders: systematic review and meta-analysis. Maturitas, 65(3), 225–236. https://doi.org/10.1016/j.maturitas.2009.12.013
Pascale, A. V, Finelli, R., Giannotti, R., Visco, V., Fabbricatore, D., Matula, I., Mazzeo, P., Ragosa, N., Massari, A., Izzo, R., Coscioni, E., Illario, M., Ciccarelli, M., Trimarco, B., & Iaccarino, G. (2018). Vitamin D, parathyroid hormone and cardiovascular risk: the good, the bad and the ugly. Journal of Cardiovascular Medicine, 19(2), 62–66. https://doi.org/10.2459/JCM.0000000000000614
Perkovic, V., Hewitson, T. D., Kelynack, K. J., Martic, M., Tait, M. G., & Becker, G. J. (2003). Parathyroid hormone has a prosclerotic effect on vascular smooth muscle cells. Kidney and Blood Pressure Research, 26(1), 27–33. https://doi.org/10.1159/000069761
Pilz, S, & Tomaschitz, A. (2010). Role of vitamin D in arterial hypertension. Expert Review of Cardiovascular Therapy, 8(11), 1599–1608. https://doi.org/10.1586/erc.10.142
Pilz, Stefan, Tomaschitz, A., Ritz, E., & Pieber, T. R. (2009). Vitamin d status and arterial hypertension : a systematic review. Nature Reviews Cardiology, 6(10), 621–630. https://doi.org/10.1038/nrcardio.2009.135
Pittas, A. G., Chung, M., Trikalinos, T., Mitri, J., Brendel, M., Patel, K., Lichtenstein, A. H., & Al, E. (2011). Vitamin D and Cardiometabolic Outcomes: A Systematic Review. Annals of Internal Medicine, 152(5), 307–314. https://doi.org/10.1059/0003-4819-152-5-201003020-00009.Vitamin
Pittas, A. G., Chung, M., Trikalinos, T., Mitri, J., Brendel, M., Patel, K., Lichtenstein, A. H., Lau, J., & Balk, E. M. (2010). Systematic review: Vitamin D and cardiometabolic outcomes. Annals of Internal Medicine, 152(5), 307–314. https://doi.org/10.7326/0003-4819-152-5-201003020-00009
Qi, D., Nie, X., & Cai, J. (2016). The Effect of Vitamin D Supplementation on Hypertension in non-CKD Populations: A Systematic Review and Meta-analysis. International Journal of Cardiology, 227, 177–186. https://doi.org/10.1016/j.ijcard.2016.11.040
Qi, D., Nie, X., Wu, S., & Cai, J. (2017). Vitamin D and hypertension : Prospective study and meta-analysis. PLoS ONE, 12(3), e0174298. https://doi.org/10.1371/journal.pone.0174298
Rachman, F., Julianti, H. P., & Pramono, D. (2011). Berbagai Faktor yang Berhubungan dengan Kejadian Hipertensi pada Lansia. Faculty of Medicine.
Rashid, G., Bernheim, J., Green, J., & Benchetrit, S. (2007). Parathyroid hormone stimulates endothelial expression of atherosclerotic parameters through protein kinase pathways. American Journal of Physiology-Renal Physiology, 292(4), F1215–F1218. https://doi.org/10.1152/ajprenal.00406.2006
Rostand, S. (2014). Vitamin D Deficiency in the Pathogenesis of Hypertension: Still an Unsettled Question. Current Hypertension Reports, 16, 1–9. https://doi.org/10.1007/s11906-014-0464-6
Semba, R. D., Houston, D. K., Bandinelli, S., Sun, K., Cherubini, A., Cappola, A. R., Guralnik, J. M., & Ferrucci, L. (2010). Relationship of 25-hydroxyvitamin D with all-cause and cardiovascular disease mortality in older community-dwelling adults. European Journal of Clinical Nutrition, 64(2), 203–209. https://doi.org/10.1038/ejcn.2009.140
Shah, N., Shah, Q., & Shah, A. J. (2018). The burden and high prevalence of hypertension in Pakistani adolescents: a meta-analysis of the published studies. Archives of Public Health, 76(1), 20. https://doi.org/10.1186/s13690-018-0265-5
Shu, L., & Huang, K. (2018). Effect of vitamin D supplementation on blood pressure parameters in patients with vitamin D deficiency: a systematic review and meta-analysis. Journal of the American Society of Hypertension, 12(7), 488–496. https://doi.org/10.1016/j.jash.2018.04.009
Tang, J., Zhou, R., Luger, D., Zhu, W., Silver, P. B., Grajewski, R. S., Su, S.-B., Chan, C.-C., Adorini, L., & Caspi, R. R. (2009). Calcitriol suppresses anti retinal autoimmunity through inhibitory effects on the Th17 effector response. Journal of Immunology, 182(8), 4624–4632. https://doi.org/10.4049/jimmunol.0801543
Tayde, A., Mittal, M., Khadgawat, R., Sharma, S., Sreenivas, V., & Rai, A. (2020). Response to single oral dose vitamin D in obese vs non-obese vitamin D–deficient children. European Journal of Pediatrics. https://doi.org/10.1007/s00431-020-03831-0
Theodoratou, E., Tzoulaki, I., Zgaga, L., & Ioannidis, J. P. A. (2014). Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ : British Medical Journal, 348, g2035. https://doi.org/10.1136/bmj.g2035
Tsai, E. J., & Kass, D. A. (2009). Cyclic GMP signaling in cardiovascular pathophysiology and therapeutics. Pharmacology & Therapeutics, 122(3), 216–238. https://doi.org/10.1016/j.pharmthera.2009.02.009
Turin, A., Bax, J. J., Doukas, D., Joyce, C., Lopez, J. J., Mathew, V., Pontone, G., Shah, F., Sigh, S., Wilber, D. J., & Rabbat, M. G. (2018). Interactions Among Vitamin D, Atrial Fibrillation, and the Renin-Angiotensin Aldosterone System. The American Journal of Cardiology, 122(5), 780–784. https://doi.org/10.1016/j.amjcard.2018.05.013
Ullah, M. I., Uwaifo, G. I., Nicholas, W. C., & Koch, C. A. (2010). Does Vitamin D Deficiency Cause Hypertension? Current Evidence from Clinical Studies and Potential Mechanisms. International Journal of Endocrinology, 1–11. https://doi.org/10.1155/2010/579640
Vaidya, A., Sun, B., Forman, J. P., Hopkins, P. N., Brown, N. J., Kolatkar, N. S., Williams, G. H., & Williams, J. S. (2011). The Fok1 vitamin D receptor gene polymorphism is associated with plasma renin activity in Caucasians. Clinical Endocrinology (Oxford, England:Online), 74(6), 783–790.
van Schoor, N., & Lips, P. (2018). Chapter 59 - Worldwide Vitamin D Status (D. B. T.-V. D. (Fourth E. Feldman (ed.); pp. 15–40). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-809963-6.00059-6
Vimaleswaran, K. S., Cavadino, A., Berry, D. J., Jorde, R., Dieffenbach, A. K., Lu, C., Alves, A. C., Heerspink, H. J. L., Tikkanen, E., Eriksson, J., Wong, A., Mangino, M., Jablonski, K. A., Nolte, I. M., Houston, D. K., Ahluwalia, T. S., Most, P. J. van der, Pasko, D., Zgaga, L., … Hyppönen, E. (2014). Association of vitamin D status with arterial blood pressure and hypertension risk: a mendelian randomisation study. The Lancet Diabetes & Endocrinology, 2(9), 719–729. https://doi.org/10.1016/S2213-8587(14)70113-5
Weng, S., Sprague, J. E., Oh, J., Riek, A. E., Chin, K., Garcia, M., & Bernal-Mizrachi, C. (2013). Vitamin D Deficiency Induces High Blood Pressure and Accelerates Atherosclerosis in Mice. PLOS ONE, 8(1), e54625–e54637. https://doi.org/10.1371/journal.pone.0054625
Williams, B. (2007). Simple Guide: Tekanan darah tinggi. Erlangga.
Williams, B., Mancia, G., Spiering, W., Rosei, E. A., Azizi, M., Burnier, M., Clement, D. L., Coca, A., de Simone, G., Domoniczak, A., Kahan, T., Mahfoud, F., Redon, J., Ruilope, L., Zanchetti, A., Kerins, M., Kjeldsen, S. E., Kreutz, R., Laurent, S., … Desormais, I. (2018). 2018 ESC/ESHGuidelines for the management of arterial hypertension. European Heart Journal, 39, 3021–3104. https://doi.org/10.1093/eurheartj/ehy339
Wimalawansa, S. J. (2018). Vitamin D and cardiovascular diseases: Causality. The Journal of Steroid Biochemistry and Molecular Biology, 175, 29–43. https://doi.org/10.1016/j.jsbmb.2016.12.016
Witham, M. D., Nadir, M. A., & Struthers, A. D. (2009). Effect of vitamin D on blood pressure: A systematic review and meta-analysis. Journal of Hypertension, 27(10), 1948–1954. https://doi.org/10.1097/HJH.0b013e32832f075b
Wu, L., & Sun, D. (2017). Effects of calcium plus vitamin D supplementation on blood pressure: a systematic review and meta-analysis of randomized controlled trials. Journal of Human Hypertension, 31(9), 547–554. https://doi.org/10.1038/jhh.2017.12
Wu, S., Ho, S., & Zhong, L. (2010). Effects of Vitamin D Supplementation on Blood Pressure. Southern Medical Journal, 103, 729–737.
Yuan, W., Pan, W., Kong, J., Zheng, W., Szeto, F. L., Wong, K. E., Cohen, R., Klopot, A., Zhang, Z., & Li, Y. C. (2007). 1,25-dihydroxyvitamin D3 suppresses renin gene transcription by blocking the activity of the cyclic AMP response element in the renin gene promoter. Journal of Biological Chemistry, 282(41), 29821–29830. https://doi.org/10.1074/jbc.M705495200
Zhang, D., Cheng, C., Wang, Y., Sun, H., Yu, S., Xue, Y., Liu, Y., Li, W., & Li, X. (2020). Effect of Vitamin D on Blood Pressure and Hypertension in the General Population: An Update Meta-Analysis of Cohort Studies and Randomized Controlled Trials. Preventing Chronic Disease, 17, E03. https://doi.org/10.5888/pcd17.190307
Zhou, B., Bentham, J., Di Cesare, M., Bixby, H., Danaei, G., Cowan, M. J., Paciorek, C. J., Singh, G., Hajifathalian, K., Bennett, J. E., Taddei, C., Bilano, V., Carrillo-Larco, R. M., Djalalinia, S., Khatibzadeh, S., Lugero, C., Peykari, N., Zhang, W. Z., Lu, Y., … Zuñiga Cisneros, J. (2017). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants. The Lancet, 389(10064), 37–55. https://doi.org/https://doi.org/10.1016/S0140-6736(16)31919-5
Copyright (c) 2021 Indonesian Journal of Pharmacy
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.