Different vitamin K forms in hemodialysis patients: a simple dietary supplement to battle vascular calcification-randomized controlled trial
Abstract Background and aim Vascular calcification is a significant risk factor for cardiovascular diseases in patients with end-stage renal disease, particularly those on hemodialysis. Previous research on vitamin K found that it had a positive on calcification markers. However, clinical data is st...
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| Main Authors: | , , , , , |
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| Format: | Book |
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SpringerOpen,
2023-01-01T00:00:00Z.
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| Summary: | Abstract Background and aim Vascular calcification is a significant risk factor for cardiovascular diseases in patients with end-stage renal disease, particularly those on hemodialysis. Previous research on vitamin K found that it had a positive on calcification markers. However, clinical data is still limited. This study aimed to compare the efficacy and safety of vitamin K2 versus vitamin k1 on a calcification regulator in hemodialysis patients. Methods A prospective randomized placebo-controlled trial was conducted on 120 patients, who were divided into three groups; group 1: administered 10 mg of vitamin K1 (phytomenadione thrice weekly); group 2: administered 90 μg of vitamin k2 (MK-7); group 3: administered placebo for 3 months. Matrix Gla protein (MGP), calcium, phosphorous, and intact parathyroid hormone levels were measured. Results MK-7 significantly increased active MGP levels compared to phytomenadione and placebo groups (p<0.0001). No correlations were found between calcium, phosphorous, PTH, and MGP levels at baseline or after treatment. Conclusion Vitamin k supplementation was effective and tolerable in modulating MGP in hemodialysis patients, with MK-7 outperforming phytomenadione. |
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| Item Description: | 10.1186/s43162-022-00181-1 2090-9098 |