Lipid panel profile
Effect of 5 y of calcium plus vitamin D supplementation on change in
circulating lipids: results from the Women's Health Initiative
Am J Clin Nutr 91: April 2010. Swapnil N Rajpathak, Sylvia Wassertheil-Smoller, Linda Van Horn, Jennifer G
Robinson, Simin Liu, Matthew Allison, Lisa W Martin, Gloria YF Ho and Thomas E
Rohan. From the Department of Epidemiology Population Health Albert Einstein
College of Medicine Bronx NY; the Department of Preventive Medicine Feinberg
School of Medicine Northwestern University Chicago IL; the Departments of
Epidemiology & Medicine University of Iowa Iowa City IA;
the Department of Epidemiology University of California at Los Angeles Los
Angeles CA; the Departments of Family & Preventive Medicine University of
California at San Diego San Diego CA; the Department of Epidemiology George
Washington University Washington DC. The content is solely the responsibility of
the authors and does not necessarily represent the official views of the
National Institutes of Health. The study sponsors had no role in the design of the study; the collection,
analysis, and interpretation of the data; the writing of the manuscript; or the
decision to submit the manuscript for publication. The Women's Health
Initiative is funded by the National Heart, Lung, and Blood Institute, National
Institutes of Health, US Department of Health and Human Services. Address correspondence to SN Rajpathak,
Albert Einstein College of Medicine, Bronx, NY 10461.
Dietary calcium and vitamin D intakes may be inversely associated with
cardiovascular disease (CVD) risk, possibly because of their potential
beneficial effects on circulating lipids. Clinical trials that have evaluated
the effect of calcium supplementation on lipids are limited by a short
follow-up, and data on vitamin D are scarce.Objective: The objective was to
evaluate the effect of a longer-term effect (over 5 y) of calcium and vitamin D
(CaD) supplementation on changes in the concentrations of several lipids: LDL,
HDL, non-HDL, total cholesterol, triglycerides, and lipoprotein(a) [Lp(a)]. The study was conducted in 1259 postmenopausal women in the Calcium plus Vitamin
D Trial (1 g elemental Ca as carbonate plus 400 IU vitamin D3/d compared with
placebo) of the Women's Health Initiative. Analyses were conducted by
intention-to-treat. Repeated measurements on lipids during follow-up were
analyzed by linear mixed-effects models.Results: Overall, the change in lipids
was relatively small [≤5% except for Lp(a), which was 20–25%], and there was no
significant difference in the mean change of any lipid variable between the
active and placebo groups. Our results indicate that CaD
supplementation is not associated with lipid changes over 5 y. Existing and
future CaD trials should consider evaluating this association for different
doses of supplements.
Does
tribulus
extract raise or lower lipid levels?
We have not seen such
studies.