Serum NT-proBNP Levels Are Not Related to Vitamin D Status in Young Patients with Congenital Heart Defects

E. Passeri, R. Rigolini, E. Costa, C. Verdelli, C. Arcidiacono, M. Carminati, S. Corbetta

Research output: Contribution to journalArticle

Abstract

Context. Hypovitaminosis D frequently occurs in early life and increases with age. Vitamin D has been suggested to influence cardiac performance and N-terminal-pro-type B natriuretic peptide (NT-proBNP) release in adults with heart failure. Objectives. To assess the vitamin D status and the impact of hypovitaminosis D on circulating NT-proBNP levels in young patients with congenital heart defects (CHD). Design and Patients. This cross-sectional study included the assessment of serum 25-hydroxyvitamin D (25OHD), parathyroid function markers, and NT-proBNP levels in a series of 230 young in-patients (117 females, 113 males; 6.4 (4.0-9.1) years (median, interquartile range)) with CHD. Results. Serum 25OHD levels 30 ng/mL) occurred in 25% of patients. Serum 25OHD levels inversely correlated with age (r =-0.169, P = 0.013) and height standard deviation score (r =-0.269, P = 0.001). After correction for age, 25OHD negatively correlated with serum PTH levels (β =-0.200, P = 0.002). PTH levels above the upper quartile (44 pg/mL) occurred in 32% of hypovitaminosis D patients. Serum NT-proBNP levels were not correlated with 25OHD and PTH levels. Conclusions. Half of the young CHD patients were diagnosed with 25OHD deficiency and a third of hypovitaminosis D patients experienced hyperparathyroidism. Nonetheless, serum NT-proBNP levels were not associated with hypovitaminosis D as well as hyperparathyroidism.

Original languageEnglish
Article number3970284
JournalDisease Markers
Volume2016
DOIs
Publication statusPublished - 2016

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Congenital Heart Defects
Brain Natriuretic Peptide
Vitamin D
Defects
Serum
Hyperparathyroidism
Heart Failure
Cross-Sectional Studies

ASJC Scopus subject areas

  • Biochemistry, medical
  • Clinical Biochemistry
  • Molecular Biology
  • Genetics

Cite this

Serum NT-proBNP Levels Are Not Related to Vitamin D Status in Young Patients with Congenital Heart Defects. / Passeri, E.; Rigolini, R.; Costa, E.; Verdelli, C.; Arcidiacono, C.; Carminati, M.; Corbetta, S.

In: Disease Markers, Vol. 2016, 3970284, 2016.

Research output: Contribution to journalArticle

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abstract = "Context. Hypovitaminosis D frequently occurs in early life and increases with age. Vitamin D has been suggested to influence cardiac performance and N-terminal-pro-type B natriuretic peptide (NT-proBNP) release in adults with heart failure. Objectives. To assess the vitamin D status and the impact of hypovitaminosis D on circulating NT-proBNP levels in young patients with congenital heart defects (CHD). Design and Patients. This cross-sectional study included the assessment of serum 25-hydroxyvitamin D (25OHD), parathyroid function markers, and NT-proBNP levels in a series of 230 young in-patients (117 females, 113 males; 6.4 (4.0-9.1) years (median, interquartile range)) with CHD. Results. Serum 25OHD levels 30 ng/mL) occurred in 25{\%} of patients. Serum 25OHD levels inversely correlated with age (r =-0.169, P = 0.013) and height standard deviation score (r =-0.269, P = 0.001). After correction for age, 25OHD negatively correlated with serum PTH levels (β =-0.200, P = 0.002). PTH levels above the upper quartile (44 pg/mL) occurred in 32{\%} of hypovitaminosis D patients. Serum NT-proBNP levels were not correlated with 25OHD and PTH levels. Conclusions. Half of the young CHD patients were diagnosed with 25OHD deficiency and a third of hypovitaminosis D patients experienced hyperparathyroidism. Nonetheless, serum NT-proBNP levels were not associated with hypovitaminosis D as well as hyperparathyroidism.",
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T1 - Serum NT-proBNP Levels Are Not Related to Vitamin D Status in Young Patients with Congenital Heart Defects

AU - Passeri, E.

AU - Rigolini, R.

AU - Costa, E.

AU - Verdelli, C.

AU - Arcidiacono, C.

AU - Carminati, M.

AU - Corbetta, S.

PY - 2016

Y1 - 2016

N2 - Context. Hypovitaminosis D frequently occurs in early life and increases with age. Vitamin D has been suggested to influence cardiac performance and N-terminal-pro-type B natriuretic peptide (NT-proBNP) release in adults with heart failure. Objectives. To assess the vitamin D status and the impact of hypovitaminosis D on circulating NT-proBNP levels in young patients with congenital heart defects (CHD). Design and Patients. This cross-sectional study included the assessment of serum 25-hydroxyvitamin D (25OHD), parathyroid function markers, and NT-proBNP levels in a series of 230 young in-patients (117 females, 113 males; 6.4 (4.0-9.1) years (median, interquartile range)) with CHD. Results. Serum 25OHD levels 30 ng/mL) occurred in 25% of patients. Serum 25OHD levels inversely correlated with age (r =-0.169, P = 0.013) and height standard deviation score (r =-0.269, P = 0.001). After correction for age, 25OHD negatively correlated with serum PTH levels (β =-0.200, P = 0.002). PTH levels above the upper quartile (44 pg/mL) occurred in 32% of hypovitaminosis D patients. Serum NT-proBNP levels were not correlated with 25OHD and PTH levels. Conclusions. Half of the young CHD patients were diagnosed with 25OHD deficiency and a third of hypovitaminosis D patients experienced hyperparathyroidism. Nonetheless, serum NT-proBNP levels were not associated with hypovitaminosis D as well as hyperparathyroidism.

AB - Context. Hypovitaminosis D frequently occurs in early life and increases with age. Vitamin D has been suggested to influence cardiac performance and N-terminal-pro-type B natriuretic peptide (NT-proBNP) release in adults with heart failure. Objectives. To assess the vitamin D status and the impact of hypovitaminosis D on circulating NT-proBNP levels in young patients with congenital heart defects (CHD). Design and Patients. This cross-sectional study included the assessment of serum 25-hydroxyvitamin D (25OHD), parathyroid function markers, and NT-proBNP levels in a series of 230 young in-patients (117 females, 113 males; 6.4 (4.0-9.1) years (median, interquartile range)) with CHD. Results. Serum 25OHD levels 30 ng/mL) occurred in 25% of patients. Serum 25OHD levels inversely correlated with age (r =-0.169, P = 0.013) and height standard deviation score (r =-0.269, P = 0.001). After correction for age, 25OHD negatively correlated with serum PTH levels (β =-0.200, P = 0.002). PTH levels above the upper quartile (44 pg/mL) occurred in 32% of hypovitaminosis D patients. Serum NT-proBNP levels were not correlated with 25OHD and PTH levels. Conclusions. Half of the young CHD patients were diagnosed with 25OHD deficiency and a third of hypovitaminosis D patients experienced hyperparathyroidism. Nonetheless, serum NT-proBNP levels were not associated with hypovitaminosis D as well as hyperparathyroidism.

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