Document Type : Original Article
Authors
1 Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
2 Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
3 Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
4 Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
5 Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Background: The potential predictive role of deficiencies in certain elements on the increase in carotid intima-media thickness (CIMT), and consequently on the formation of atherosclerotic plaques, remains an important question. The present study aimed to investigate the relationship between CIMT and serum levels of calcium, phosphorus, and vitamin D.
Methods: The study population consisted of individuals from the Kerman Coronary Artery Disease Risk Factors Study (KERCADRS). Serum samples were collected to measure levels of calcium, phosphorus, and vitamin D. The CIMT was assessed using high-resolution B-mode ultrasound scanning.
Results: A total of 180 cases were evaluated. The mean CIMT was significantly higher in men than in women (P < 0.001). A significant positive correlation was found between CIMT and both patient age (P < 0.001) and lower HDL level (P < 0.001). However, no significant relationships were observed between CIMT and serum calcium, phosphorus, and vitamin D. Using a multivariate linear regression model, significant predictors of mean CIMT were found to be male gender (beta = 0.055, P < 0.001), patient age (beta 0.006, P < 0.001), and low serum HDL level (beta = -0.002, P = 0.031). In this model, vitamin D levels did not predict CIMT (beta = 0.001, P = 0.081).
Conclusion: The increase in CIMT was significantly associated with male gender, aging, and low serum HDL levels. However, no significant relationships were found between CIMT and changes in serum calcium, phosphorus, and vitamin D.
Highlights
Ahmad Enhesari (Google Scholar) (PubMed)
Hosein Gozashti (Google Scholar) (PubMed)
Keywords
Main Subjects
- Morris EP, Denton ER, Robinson J, MacDonald LM, Rymer JM. High resolution ultrasound assessment of the carotid artery: its relevance in postmenopausal women and the effects of tibolone on carotid artery ultrastructure. Climacteric. 1999;2(1):13-20. doi: 10.3109/13697139909025558.
- Corrales A, Parra JA, González-Juanatey C, Rueda-Gotor J, Blanco R, Llorca J, et al. Cardiovascular risk stratification in rheumatic diseases: carotid ultrasound is more sensitive than Coronary Artery Calcification Score to detect subclinical atherosclerosis in patients with rheumatoid arthritis. Ann Rheum Dis. 2013;72(11):1764-70. doi: 10.1136/ annrheumdis-2013-203688.
- Onut R, Balanescu AP, Constantinescu D, Calmac L, Marinescu M, Dorobantu PM. Imaging atherosclerosis by carotid intima-media thickness in vivo: how to, where and in whom? Maedica (Bucur). 2012;7(2):153-62.
- Kamycheva E, Johnsen SH, Wilsgaard T, Jorde R, Mathiesen EB. Evaluation of serum 25-hydroxyvitamin d as a predictor of carotid intima-media thickness and carotid total plaque area in nonsmokers: the tromsø study. Int J Endocrinol. 2013;2013:305141. doi: 10.1155/2013/305141.
- Wang Y, Zhang H. Serum 25-hydroxyvitamin D3 levels are associated with carotid intima-media thickness and carotid atherosclerotic plaque in type 2 diabetic patients. J Diabetes Res. 2017;2017:3510275. doi: 10.1155/2017/3510275.
- Taskiran B, Bahadir E, Mutluay R. Relation between carotid intima media thickness and vitamin D in hypertension. Biomed Res. 2017;28(2):695-700.
- Tan TY, Lu CH, Lin TK, Liou CW, Chuang YC, Schminke U. Factors associated with gender difference in the intima-media thickness of the common carotid artery. Clin Radiol. 2009;64(11):1097-103. doi: 10.1016/j.crad.2009.06.009.
- Deleskog A, Piksasova O, Silveira A, Gertow K, Baldassarre D, Veglia F, et al. Serum 25-hydroxyvitamin D concentration in subclinical carotid atherosclerosis. Arterioscler Thromb Vasc Biol. 2013;33(11):2633-8. doi: 10.1161/atvbaha.113.301593.
- Baker CP, Kulkarni B, Radhakrishna KV, Charyulu MS, Gregson J, Matsuzaki M, et al. Is the association between vitamin D and cardiovascular disease risk confounded by obesity? Evidence from the Andhra Pradesh Children and Parents Study (APCAPS). PLoS One. 2015;10(6):e0129468. doi: 10.1371/ journal.pone.0129468.
- Reis JP, von Mühlen D, Michos ED, Miller ER 3rd, Appel LJ, Araneta MR, et al. Serum vitamin D, parathyroid hormone levels, and carotid atherosclerosis. Atherosclerosis. 2009;207(2):585- 90. doi: 10.1016/j.atherosclerosis.2009.05.030.
- Söder PO, Meurman JH, Jogestrand T, Nowak J, Söder B. Matrix metalloproteinase-9 and tissue inhibitor of matrix metalloproteinase-1 in blood as markers for early atherosclerosis in subjects with chronic periodontitis. J Periodontal Res. 2009;44(4):452-8. doi: 10.1111/j.1600- 0765.2008.01145.x.
- Ramírez-Morros A, Granado-Casas M, Alcubierre N, Martinez- Alonso M, Real J, Castelblanco E, et al. Calcium phosphate product is associated with subclinical carotid atherosclerosis in type 2 diabetes. J Diabetes Res. 2017;2017:3498368. doi: 10.1155/2017/3498368.
- Melton PE, Carless MA, Curran JE, Dyer TD, Göring HH, Kent JW Jr, et al. Genetic architecture of carotid artery intima-media thickness in Mexican Americans. Circ Cardiovasc Genet. 2013;6(2):211-21. doi: 10.1161/circgenetics.113.000079.
- Monteiro Júnior FC, Mandarino NR, Santos EM, Santos AM, Salgado JV, Brito DJA, et al. Correlation between serum 25-hydroxyvitamin D levels and carotid intima-media thickness in a Brazilian population descended from African slaves. Braz J Med Biol Res. 2018;51(4):e7185. doi: 10.1590/1414-431x20177185.
- Hao Y, Ma X, Luo Y, Xu Y, Xiong Q, Zhu J, et al. Inverse association of serum vitamin D in relation to carotid intima-media thickness in Chinese postmenopausal women. PLoS One. 2015;10(3):e0122803. doi: 10.1371/journal. pone.0122803.
- Zannad F, Benetos A. Genetics of intima-media thickness. Curr Opin Lipidol. 2003;14(2):191-200. doi: 10.1097/00041433- 200304000-00011.