Association between dietary calcium intake and arterial stiffness according to dietary vitamin D intake in men

Br J Nutr. 2014 Oct 28;112(8):1333-40. doi: 10.1017/S0007114514002153. Epub 2014 Sep 5.

Abstract

Studies on the associations of dietary Ca and vitamin D intakes with arterial stiffness are scarce. In the present study, these associations were evaluated in Japanese men. Data from a total of 535 eligible men, aged 35-69 years, who participated in the baseline survey of a cohort study in Tokushima Prefecture, Japan, and underwent brachial-ankle pulse wave velocity (ba-PWV) measurements were analysed. ba-PWV is a measure of arterial stiffness and is recognised as a marker of atherosclerotic vascular damage. Information regarding the cohort's lifestyle characteristics including dietary behaviour over the past year was obtained from a structured self-administered questionnaire. Dietary Ca and vitamin D intakes were adjusted for total energy intake using the residual method and divided into quartiles; the highest quartile was used as the reference. General linear models were used to evaluate the associations between dietary Ca and vitamin D intakes and ba-PWV values adjusted for probable covariates. The association between dietary Ca intake and ba-PWV was further evaluated using similar general linear models stratified by dietary vitamin D intake (median or below/above median). Dietary Ca intake was found to be significantly inversely associated with ba-PWV after adjusting for probable covariates (P for trend = 0·020). However, no such association was observed between dietary vitamin D intake and ba-PWV. The inverse association between dietary Ca intake and ba-PWV was striking in subjects with higher dietary vitamin D intake. However, no association was found in subjects with lower dietary vitamin D intake. These results indicate that adequate dietary Ca and vitamin D intakes may be protective against the development of arterial stiffness in Japanese men.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Ankle Brachial Index
  • Atherosclerosis / epidemiology
  • Atherosclerosis / ethnology
  • Atherosclerosis / etiology
  • Atherosclerosis / prevention & control*
  • Biomarkers
  • Calcium / deficiency
  • Calcium, Dietary / therapeutic use*
  • Cohort Studies
  • Cross-Sectional Studies
  • Diet* / adverse effects
  • Diet* / ethnology
  • Health Surveys
  • Humans
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Prospective Studies
  • Pulse Wave Analysis
  • Risk Factors
  • Vascular Stiffness*
  • Vitamin D / therapeutic use*
  • Vitamin D Deficiency / ethnology
  • Vitamin D Deficiency / physiopathology

Substances

  • Biomarkers
  • Calcium, Dietary
  • Vitamin D
  • Calcium