25-hydroxyvitamin D and parathyroid hormone are not associated with carotid intima-media thickness or plaque in the multi-ethnic study of atherosclerosis

Marc Blondon, Michael Sachs, Andrew N. Hoofnagle, Joachim H. Ix, Erin D. Michos, Claudia Korcarz, Adam D. Gepner, David S. Siscovick, Joel D. Kaufman, James H. Stein, Bryan Kestenbaum, Ian H. De Boer

Research output: Contribution to journalArticle

Abstract

OBJECTIVE-: Observational evidence supports independent associations of 25-hydroxyvitamin D (25-OHD) and parathyroid hormone (PTH) with cardiovascular risk. A plausible hypothesis for these associations is accelerated development of atherosclerosis. APPROACH AND RESULTS-: We evaluated cross-sectional and longitudinal associations of 25-OHD and PTH with carotid intima-media thickness (IMT) and carotid plaques among 3251 participants free of cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis. 25-OHD and PTH were measured at baseline by mass spectrometry and immunoassay, respectively. All subjects underwent a carotid ultrasound examination at baseline and 9.4 years later (median, range 8-11.1 years). Multivariable linear and logistic regressions were used to test associations of 25-OHD and PTH with the extent and progression of IMT and the prevalence and incidence of carotid plaque. Mean (SD) 25-OHD and PTH were 25.8 ng/mL (10.6) and 44.2 pg/mL (20.2), respectively. No independent associations were found between 25-OHD or PTH and IMT at baseline (increment of 1.9 μm [95% confidence interval,-5.1 to 8.9] per 10 ng/mL lower 25-OHD; increment of 0.8 μm [95% confidence interval,-3.2 to 4.8] per 10 pg/mL higher PTH) or progression of IMT (increment of 2.6 μm [95% confidence interval,-2.5 to 7.8] per 10 ng/mL lower 25-OHD, increment of 1.6 μm [95% confidence interval,-1.9 to 5.2] per 10 pg/mL higher PTH). No associations were found with the baseline prevalence of carotid plaque or the incidence of new plaques during the study period. We did not observe any interaction by race or ethnicity (White, Chinese, Black, and Hispanic). CONCLUSIONS-: The consistent lack of association of vitamin D and PTH with carotid IMT and plaque suggests that these hormones may influence cardiovascular risk through pathways not reflected by carotid atherosclerosis.

Original languageEnglish (US)
Pages (from-to)2639-2645
Number of pages7
JournalArteriosclerosis, thrombosis, and vascular biology
Volume33
Issue number11
DOIs
StatePublished - Nov 1 2013

Keywords

  • atherosclerosis
  • carotid artery diseases
  • carotid intima-media thickness
  • mineral metabolism
  • parathyroid hormone
  • plaque, atherosclerotic
  • vitamin D

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Blondon, M., Sachs, M., Hoofnagle, A. N., Ix, J. H., Michos, E. D., Korcarz, C., Gepner, A. D., Siscovick, D. S., Kaufman, J. D., Stein, J. H., Kestenbaum, B., & De Boer, I. H. (2013). 25-hydroxyvitamin D and parathyroid hormone are not associated with carotid intima-media thickness or plaque in the multi-ethnic study of atherosclerosis. Arteriosclerosis, thrombosis, and vascular biology, 33(11), 2639-2645. https://doi.org/10.1161/ATVBAHA.113.301781