Research paper
A Randomized Trial of Vitamin D Supplementation on Vascular Function in CKD.
Study answer
What this study found
Cholecalciferol improved endothelial function and arterial stiffness over 16 weeks in vitamin D-deficient, non-diabetic CKD patients. Flow-mediated dilation increased by 5.42% within the cholecalciferol arm, with a between-group mean change difference of 5.49% versus placebo, and pulse wave velocity decreased significantly. Serum 25(OH)D rose by 24.91 ng/mL, while inflammatory and mineral metabolism markers also improved, including significant reductions in IL-6 and parathyroid hormone. The intervention was well tolerated, with no hospitalizations, no serious adverse events, and no severe…
- Study & population
- Randomized, 1:1 placebo-controlled trial in adults 18 to 70 years old with non-diabetic chronic kidney disease stage 3 to 4 and vitamin D deficiency, conducted at PGIMER in Chandigarh, India.
- Intervention
- Cholecalciferol (native vitamin D) was given orally as 300,000 IU under direct observation at baseline and again 8 weeks later, for a 16-week follow-up.
- Key limitation
- The trial was relatively small, single-center, and short term, with only 16 weeks of follow-up.
Original abstract
Vitamin D deficiency associates with mortality in patients with CKD, and vitamin D supplementation might mitigate cardiovascular disease risk in CKD. In this randomized, double-blind, placebo-controlled trial, we investigated the effect of cholecalci…