https://www.mdlinx.com/internal-medicine/medical-news-article/2017/06/02/calciumstrokevitamin-d/7196063/?
June 02, 2017
Recent Journal Summaries #2 of 140
Risk of ischemic stroke associated with calcium supplements with or without vitamin D: A nested case-control study
Journal of the American Heart Association
de Abajo FJ, et al. – This
study was designed to shed light on the association between ischemic
stroke and use of calcium supplements either in monotherapy or in
combination with vitamin D. Findings indicated an amplification in the
risk of ischemic stroke consequent to the administration of high doses
of calcium supplement monotherapy, whereas calcium supplementation with
vitamin D seemed to offset this hazard.
Methods
- Researchers performed a nested case-control study with patients aged 40 to 89 years old, among whom a total of 2690 patients had a first episode of nonfatal ischemic stroke and for which 19 538 controls were randomly selected from the source population and frequency-matched with cases for age, sex, and calendar year.
- Logistic regression provided the odds ratios while adjusting for confounding factors.
- Furthermore, they performed a sensitivity analysis by restricting to patients who were new users of calcium supplements as either monotherapy or with vitamin D.
Results
- Findings demonstrated that calcium supplementation with vitamin D was not associated with an increased risk of ischemic stroke (odds ratio 0.85; 95% confidence interval, 0.67–1.08) in the population as a whole or under any of the conditions examined (dose, duration, background cardiovascular risk, sex, or age).
- Researchers also observed that calcium supplement monotherapy was not associated with an increased risk in the population as a whole (odds ratio 1.18; 95% confidence interval, 0.86–1.61), although a significant increased risk at high doses (≥1000 mg/day: odds ratio 2.09; 95% confidence interval, 1.25–3.49; <1000 mg: odds ratio 0.76; 95% confidence interval, 0.45–1.26) compared with nonuse was observed.
- Data also revealed that the sensitivity analysis did not affect the inferences, with similar results observed among new users as to the overall study population.
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