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Association of vitamin D status and the risk of cardiovascular disease as assessed by various cardiovascular risk scoring systems in patients with type 2 diabetes mellitus
Authors:R?dvan Sivritepe  Sema Basat  Damla Ortaboz
Institution:Department of Internal Medicine, University of Health Sciences Umraniye Education and Research Hospital, Istanbul, Turkey
Abstract:Objective: The aim of the present study was to evaluate the relationship between vitamin D (25OH]D) status and the risk of cardiovascular disease as assessed by various cardiovascular risk scoring systems such as QRISK2, BNF, ASSING, SCORE, and Framingham in patients with type 2 diabetes mellitus(T2DM).

Methods: The study included 108 patients with vitamin D insufficiency (25OH]D?≥?10–30?ng/mL) and 100 patients with vitamin D deficiency (25OH]D?Results: HbA1c levels were significantly higher in patients with vitamin D deficiency. Patients with vitamin D deficiency had significantly higher Framingham risk score (p?p?r?=?0.537) and a weak but statistically significant correlation between 25OH]D levels and BNF score (r?=?0.295). 25OH]D levels were significantly higher and HbA1c levels were significantly lower in patients with Framingham cardiovascular risk score ≤10%.

Conclusion: We found a close relationship with Framingham cardiovascular risk score in diabetic patients with very low serum vitamin D levels. Cardiovascular risk as assessed by the Framingham’s scale increases with decreasing 25OH]D levels. BNF score was negatively correlated with 25OH]D levels.
Keywords:Type 2 diabetes mellitus  vitamin D deficiency  various cardiovascular risk scores  BNF score  Framingham risk score
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