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The Effects of Lipophilic Vitamins on Women’s Heart Health

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Lipophilic Vitamins in Health and Disease

Part of the book series: Advances in Biochemistry in Health and Disease ((ABHD,volume 28))

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Abstract

Cardiovascular disease (CVD) is a major global health concern for both men and women. However, disease manifestation in women differs from that in men, with women more likely to be diagnosed with microvascular coronary disease, heart failure with preserved ejection fraction (HFpEF), and endothelial dysfunction. Men, on the other end, are more prone to macrovascular disease or heart failure with reduced ejection fraction (HFrEF). Furthermore, although women are considered to be generally protected from CVD at the pre-menopausal stage, having pre-existing comorbidity, such as diabetes mellitus, obesity or smoking, increases the risk for cardiovascular disease in the younger years in women to similar extent as in men. However, although there is strong evidence suggesting differences in CVD between men and women, CVD in women remains under-studied and under-diagnosed and therefore, there is an increasing need to understand the key differences between men and women in regards to prevention, diagnosis, treatment and management of CVD. Lipophilic vitamins, including vitamins A, D, E, and K, have emerged as crucial factors in maintaining optimal cardiovascular health. These vitamins exhibit potential cardioprotective effects by mitigating key cardiovascular risk factors, including dyslipidemia, inflammation, oxidative stress, endothelial dysfunction, and hypertension. In this chapter, we provide an overview of the impact of lipophilic vitamins on women’s heart health. We discuss the clinical and epidemiological evidence of the effects of lipophilic vitamins, the potential risks and considerations associated with their intake, and future directions to utilize lipophilic vitamins in the prevention and management of CVD in women.

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References

  1. Pepine CJ, Kerensky RA, Lambert CR et al (2006) Some thoughts on the vasculopathy of women with ischemic heart disease. J Am Coll Cardiol 47(3 Suppl):S30–S35. https://doi.org/10.1016/J.JACC.2005.09.023

    Article  PubMed  Google Scholar 

  2. Garcia M, Mulvagh SL, Merz CNB, Buring JE, Manson JAE (2016) Cardiovascular disease in women: clinical perspectives. Circ Res 118(8):1273–1293. https://doi.org/10.1161/CIRCRESAHA.116.307547

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Shaw LJ, Bairey Merz CN, Pepine CJ et al (2006) Insights from the NHLBI-Sponsored Women’s Ischemia Syndrome Evaluation (WISE) Study: Part I: gender differences in traditional and novel risk factors, symptom evaluation, and gender-optimized diagnostic strategies. J Am Coll Cardiol 47(3 Suppl):S4–S20. https://doi.org/10.1016/J.JACC.2005.01.072

    Article  PubMed  Google Scholar 

  4. Hayes SN, Kim CESH, Saw J et al (2018) Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation 137(19):e523–e557. https://doi.org/10.1161/CIR.0000000000000564

    Article  PubMed  PubMed Central  Google Scholar 

  5. Lam CSP, Arnott C, Beale AL et al (2019) Sex differences in heart failure. Eur Heart J 40(47):3859–3868. https://doi.org/10.1093/EURHEARTJ/EHZ835

    Article  PubMed  Google Scholar 

  6. Tsao CW, Vasan RS (2015) Cohort Profile: the Framingham Heart Study (FHS): overview of milestones in cardiovascular epidemiology. Int J Epidemiol 44(6):1800–1813. https://doi.org/10.1093/IJE/DYV337

    Article  PubMed  PubMed Central  Google Scholar 

  7. Geraghty L, Figtree GA, Schutte AE, Patel S, Woodward M, Arnott C (2021) Cardiovascular disease in women: from pathophysiology to novel and emerging risk factors. Heart Lung Circ 30(1):9–17. https://doi.org/10.1016/J.HLC.2020.05.108

    Article  PubMed  Google Scholar 

  8. Berger JS, Roncaglioni MC, Avanzini F, Pangrazzi I, Tognoni G, Brown DL (2006) Aspirin for the primary prevention of cardiovascular events in women and men: a sex-specific meta-analysis of randomized controlled trials. JAMA 295(3):306–316. https://doi.org/10.1001/JAMA.295.3.306

    Article  CAS  PubMed  Google Scholar 

  9. Cocco G, Chu D (2006) The anti-ischemic effect of metoprolol in patients with chronic angina pectoris is gender-specific. Cardiology 106(3):147–153. https://doi.org/10.1159/000092769

    Article  CAS  PubMed  Google Scholar 

  10. Dong J, Yang S, Zhuang Q et al (2021) The associations of lipid profiles with cardiovascular diseases and death in a 10-year prospective cohort study. Front Cardiovasc Med 8. https://doi.org/10.3389/FCVM.2021.745539

  11. Luo J, Yang H, Song BL (2020) Mechanisms and regulation of cholesterol homeostasis. Nat Rev Mol Cell Biol 21(4):225–245. https://doi.org/10.1038/S41580-019-0190-7

    Article  CAS  PubMed  Google Scholar 

  12. Zhao D, Guallar E, Ouyang P et al (2018) Endogenous sex hormones and incident cardiovascular disease in post-menopausal women. J Am Coll Cardiol 71(22):2555–2566. https://doi.org/10.1016/J.JACC.2018.01.083

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Mora JR, Iwata M, Von Andrian UH (2008) Vitamin effects on the immune system: vitamins A and D take centre stage. Nat Rev Immunol 8(9):685. https://doi.org/10.1038/NRI2378

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. De Almeida AJPO, De Almeida Rezende MS, Dantas SH et al (2020) Unveiling the role of inflammation and oxidative stress on age-related cardiovascular diseases. Oxid Med Cell Longev 2020. https://doi.org/10.1155/2020/1954398

  15. Hood ED (2017) Overcoming oxidants and inflammation: endothelial targeting of antioxidants to combat chronic inflammatory disease. Immun Inflamm Heal Dis Emerg Roles Nutraceuticals Funct Foods Immune Support 65–78. Published online 1 January 2017. https://doi.org/10.1016/B978-0-12-805417-8.00006-8

  16. Celermajer DS, Sorensen KE, Spiegelhalter DJ, Georgakopoulos D, Robinson J, Deanfield JE (1994) Aging is associated with endothelial dysfunction in healthy men years before the age-related decline in women. J Am Coll Cardiol 24(2):471–476. https://doi.org/10.1016/0735-1097(94)90305-0

    Article  CAS  PubMed  Google Scholar 

  17. Thompson J, Khalil RA (2003) Gender differences in the regulation of vascular tone. Clin Exp Pharmacol Physiol 30(1–2):1–15. https://doi.org/10.1046/J.1440-1681.2003.03790.X

    Article  CAS  PubMed  Google Scholar 

  18. Kim DH, Meza CA, Clarke H, Kim JS, Hickner RC (2020) Vitamin D and endothelial function. Nutrients 12(2). https://doi.org/10.3390/NU12020575

  19. Krishna SM (2019) Vitamin D as a protector of arterial health: potential role in peripheral arterial disease formation. Int J Mol Sci 20(19). https://doi.org/10.3390/IJMS20194907

  20. Mao X, Xing X, Xu R et al (2016) Folic acid and vitamins D and B12 correlate with homocysteine in Chinese patients with type-2 diabetes mellitus, hypertension, or cardiovascular disease. Med (United States) 95(6). https://doi.org/10.1097/MD.0000000000002652

  21. Han L, Xu XJ, Zhang JS, Liu HM (2022) Association between vitamin D deficiency and levels of renin and angiotensin in essential hypertension. Int J Clin Pract 2022. https://doi.org/10.1155/2022/8975396

  22. Fountain JH, Kaur J, Lappin SL (2023) Physiology, renin angiotensin system. StatPearls. Published online 12 March 2023

    Google Scholar 

  23. Chen J, He J, Hamm L, Batuman V, Whelton PK (2002) Serum antioxidant vitamins and blood pressure in the United States population. Hypertension 40(6):810–816. https://doi.org/10.1161/01.HYP.0000039962.68332.59

    Article  CAS  PubMed  Google Scholar 

  24. Eshak ES, Iso H, Yamagishi K, Cui R, Tamakoshi A (2018) Dietary intakes of fat soluble vitamins as predictors of mortality from heart failure in a large prospective cohort study. Nutrition 47:50–55. https://doi.org/10.1016/J.NUT.2017.09.009

    Article  CAS  PubMed  Google Scholar 

  25. Chae CU, Albert CM, Moorthy MV, Lee IM, Buring JE (2012) Vitamin E supplementation and the risk of heart failure in women. Circ Heart Fail 5(2):176–182. https://doi.org/10.1161/CIRCHEARTFAILURE.111.963793

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Ryan MJ, Dudash HJ, Docherty M et al (2010) Vitamin E and C supplementation reduces oxidative stress, improves antioxidant enzymes and positive muscle work in chronically loaded muscles of aged rats. Exp Gerontol 45(11):882. https://doi.org/10.1016/J.EXGER.2010.08.002

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Lewis ED, Meydani SN, Wu D (2019) Regulatory role of vitamin E in the immune system and inflammation. IUBMB Life 71(4):487. https://doi.org/10.1002/IUB.1976

    Article  CAS  PubMed  Google Scholar 

  28. Nguyen TTU, Yeom JH, Kim W (2021) Beneficial effects of vitamin E supplementation on endothelial dysfunction, inflammation, and oxidative stress biomarkers in patients receiving hemodialysis: a systematic review and meta-analysis of randomized controlled trials. Int J Mol Sci 22(21):11923. https://doi.org/10.3390/IJMS222111923

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Garg A, Lee JCY (2022) Vitamin E: where are we now in vascular diseases? Life 12(2). https://doi.org/10.3390/LIFE12020310

  30. Steiner M (1991) Influence of vitamin E on platelet function in humans. J Am Coll Nutr 10(5):466–473. https://doi.org/10.1080/07315724.1991.10718173

    Article  CAS  PubMed  Google Scholar 

  31. Vitamin K—Health Professional Fact Sheet

    Google Scholar 

  32. Vermeer C (2012) Vitamin K: the effect on health beyond coagulation—an overview. Food Nutr Res 56. https://doi.org/10.3402/FNR.V56I0.5329

  33. Hariri E, Kassis N, Iskandar JP, et al (2021) Vitamin K2—a neglected player in cardiovascular health: a narrative review. Open Hear 8(2). https://doi.org/10.1136/OPENHRT-2021-001715

  34. El Asmar MS, Naoum JJ, Arbid EJ (2014) Vitamin K dependent proteins and the role of vitamin K2 in the modulation of vascular calcification: a review. Oman Med J 29(3):172. https://doi.org/10.5001/OMJ.2014.44

    Article  PubMed  PubMed Central  Google Scholar 

  35. Dalmeijer GW, Van der Schouw YT, Vermeer C, Magdeleyns EJ, Schurgers LJ, Beulens JWJ (2013) Circulating matrix Gla protein is associated with coronary artery calcification and vitamin K status in healthy women. J Nutr Biochem 24(4):624–628. https://doi.org/10.1016/J.JNUTBIO.2012.02.012

    Article  CAS  PubMed  Google Scholar 

  36. Vik H (2019) Highlighting the substantial body of evidence confirming the importance of vitamin K2 as a cardio-support nutrient, and how the right K2 makes all the difference. Integr Med A Clin J 18(6):24

    Google Scholar 

  37. Wang TJ, Pencina MJ, Booth SL et al (2008) Vitamin D deficiency and risk of cardiovascular disease. Circulation 117(4):503–511. https://doi.org/10.1161/CIRCULATIONAHA.107.706127

    Article  CAS  PubMed  Google Scholar 

  38. Pfeifer M, Begerow B, Minne HW, Nachtigall D, Hansen C (2001) Effects of a short-term vitamin D(3) and calcium supplementation on blood pressure and parathyroid hormone levels in elderly women. J Clin Endocrinol Metab 86(4):1633–1637. https://doi.org/10.1210/JCEM.86.4.7393

    Article  CAS  PubMed  Google Scholar 

  39. Saremi A, Arora R (2010) Vitamin E and cardiovascular disease. Am J Ther 17(3). https://doi.org/10.1097/MJT.0B013E31819CDC9A

  40. Kushi LH, Folsom AR, Prineas RJ, Mink PJ, Wu Y, Bostick RM (1996) Dietary antioxidant vitamins and death from coronary heart disease in postmenopausal women. N Engl J Med 334(18):1156–1162. https://doi.org/10.1056/NEJM199605023341803

    Article  CAS  PubMed  Google Scholar 

  41. Lee IM, Cook NR, Gaziano JM et al (2005) Vitamin E in the primary prevention of cardiovascular disease and cancer: the Women’s Health Study: a randomized controlled trial. JAMA 294(1):56–65. https://doi.org/10.1001/JAMA.294.1.56

    Article  CAS  PubMed  Google Scholar 

  42. Liu Y, Ma S, Huang X, et al (2023) Dietary intake and serum concentrations of vitamin A and vitamin E and pre-eclampsia risk in Chinese pregnant women: a matched case–control study. Front Nutr 10. https://doi.org/10.3389/FNUT.2023.1049055

  43. Yoshida M, Jacques PF, Meigs JB et al (2008) Effect of vitamin K supplementation on insulin resistance in older men and women. Diabetes Care 31(11):2092–2096. https://doi.org/10.2337/DC08-1204

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Braam LAJLM, Hoeks APG, Brouns F, Halmuyák K, Gerichhausen MJW, Vermeer C (2004) Beneficial effects of vitamins D and K on the elastic properties of the vessel wall in postmenopausal women: a follow-up study. Thromb Haemost 91(2):373–380. https://doi.org/10.1160/TH03-07-0423

  45. Jie KSG, Bots ML, Vermeer C, Witteman JCM, Grobbee DE (1995) Vitamin K intake and osteocalcin levels in women with and without aortic atherosclerosis: a population-based study. Atherosclerosis 116(1):117–123. https://doi.org/10.1016/0021-9150(95)05537-7

    Article  CAS  PubMed  Google Scholar 

  46. LiverTox (2020) Vitamin A. LiverTox Clin Res Inf Drug-Induced Liver Inj. Published online 4 November 2020

    Google Scholar 

  47. Asif A, Farooq N (2023) Vitamin D toxicity. StatPearls. Published online 24 May 2023

    Google Scholar 

  48. Dubois-deruy E, Peugnet V, Turkieh A, Pinet F (2020) Oxidative stress in cardiovascular diseases. Antioxidants 9(9):1–15. https://doi.org/10.3390/antiox9090864

    Article  CAS  Google Scholar 

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Correspondence to Inna Rabinovich-Nikitin .

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Nguyen, H., Lintz, B., Rabinovich-Nikitin, I. (2024). The Effects of Lipophilic Vitamins on Women’s Heart Health. In: Tappia, P.S., Shah, A.K., Dhalla, N.S. (eds) Lipophilic Vitamins in Health and Disease. Advances in Biochemistry in Health and Disease, vol 28. Springer, Cham. https://doi.org/10.1007/978-3-031-55489-6_3

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