Hypercholesterolemia Clinical Trial
Official title:
Effects of Vitamin D on Lipids
The purpose of this study is to examine whether oral vitamin D supplementation in people with inadequate vitamin D concentrations will lower LDL-cholesterol and total cholesterol concentrations.
Data from previous trials suggest a protective role of vitamin D in cardiovascular disease.
A recent meta-analysis of trials with at least 5 years of follow-up of vitamin D
supplementation concluded that intake of vitamin D supplements may decrease total mortality,
but that the relationship between baseline vitamin D status, dose of vitamin D supplements,
and total mortality rates remains to be investigated. An even more recent analysis of
vitamin D concentrations found that participants with vitamin D deficiency and hypertension
were about twice as likely as people without hypertension and vitamin D deficiency to have a
cardiovascular event during the study.
The main hypothesis to be tested is that normalization of vitamin D levels will lower
LDL-cholesterol and total cholesterol concentrations in people with inadequate vitamin D
concentrations as determined by circulating 25-OH vitamin D. Subhypotheses are that
HDL-cholesterol, triglycerides, lipoprotein(a), hs C-reactive protein and Hemoglobin A1c
will not be affected, and that cyp3a-metabolized medication levels will decrease with
vitamin D replacement.
This is a 12-week randomized double-blind dose titration study of the effects of
supplementation with 1000-2000 IU vitamin D on lipid and vitamin D concentrations. Dietary
intake of vitamin D will be estimated by dietary recall questionnaire or analysis of three
non-consecutive 24-hour dietary intake logs.
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Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
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