- With Mayo Clinic emeritus hypertension specialist
Sheldon G. Sheps, M.D.
read biographyclose windowBiography of
Sheldon G. Sheps, M.D.
Sheldon Sheps, M.D.
Dr. Sheldon Sheps, emeritus professor of medicine and former chair of the Division of Nephrology and Hypertension in the Department of Medicine at Mayo Clinic, has been with Mayo Clinic since 1960.
Dr. Sheps, a Winnipeg, Manitoba, native, is board certified in internal medicine and specializes in hypertension and peripheral vascular diseases. He developed a multidisciplinary approach with specially trained nurses, dietitians, technicians and educators to help form a team approach to the treatment of patients with abnormal blood pressure.
"I have always believed in involving the patient and family in their health care," Dr. Sheps says. "I have asked for their understanding of the illness and issues and for participation in decisions. The Web is a natural extension of that, and now many more people can be informed."
Dr. Sheps chaired the sixth working group, and he participated in the fourth, fifth and seventh groups that developed the then-latest guidelines for hypertension under the auspices of the National Heart, Lung, and Blood Institute (NHLBI). He helped write the latest American Heart Association (AHA) report on blood pressure measurement. He chaired an AHA group that produced an online accreditation for blood pressure measurement for health professionals.
Dr. Sheps has co-authored books, newsletters, CD-ROMs and other Mayo Clinic health information material. He joined Mayo Clinic's Web team in 1998. He was medical editor-in-chief of both editions of the "Mayo Clinic on High Blood Pressure" book; the last edition was published in 2003. He was also medical editor-in-chief of "Mayo Clinic 5 Steps to Controlling High Blood Pressure," published in 2008.
In addition, Dr. Sheps was section editor for each of the first three editions of "Hypertension Primer" for the American Heart Association.
Dr. Sheps was also chairman of the Science Base Subcommittee and the National High Blood Pressure Education Program, and he was a consultant to the Hypertension Initiative of the World Health Organization. In 1997, he was honored with the Individual Achievement Award on the 25th anniversary of the National High Blood Pressure Education Program of NHLBI. In 2009, he was honored as a Distinguished Mayo Alumnus.
Risk factors (2)
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- Silent heart attack: What are the risks?
Tests and diagnosis (1)
- Ejection fraction: What does it measure?
Causes (2)
- Vitamin D deficiency: Can it cause high blood pressure?
- Omega-6 fatty acids: Can they cause heart disease?
Treatments and drugs (1)
- Polypill: Does it treat heart disease?
Lifestyle and home remedies (1)
- Grass-fed beef: What are the heart-health benefits?
Prevention (4)
- Can vitamins help prevent a heart attack?
- Heart attack prevention: Should I avoid secondhand smoke?
- Fasting diet: Can it improve my heart health?
- see all in Prevention
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Question
Vitamin D deficiency: Can it cause high blood pressure?
Can vitamin D deficiency cause high blood pressure?
Answer
from Sheldon G. Sheps, M.D.
It's long been known that getting too little vitamin D weakens bones. The role vitamin D may play in developing high blood pressure and heart disease is less clear.
Vitamin D deficiency may be linked to heart disease and a higher risk of high blood pressure (hypertension). It's too early to say whether too little vitamin D causes high blood pressure — or whether vitamin D supplements may have any role in the treatment of high blood pressure.
Still, vitamin D remains an important nutrient for overall good health. The Institute of Medicine recommends 600 international units (IU) of vitamin D a day for adults ages 19 to 70. For adults age 71 and older, the recommendation increases to 800 IU a day. Some doctors question whether these levels are adequate and think that getting more vitamin D would benefit many people. However, the Institute of Medicine recommends that adults avoid taking more than 4,000 IUs a day.
If you're concerned that you're getting too little — or too much — vitamin D, contact your doctor. He or she may recommend a blood test to check the level of vitamin D in your blood. Screening for vitamin D deficiency is important in African-Americans and other ethnic groups with dark skin, due to decreased natural production of vitamin D with sun exposure.
Next questionOmega-6 fatty acids: Can they cause heart disease?
- Ring M, et al. Arterial structure and function in mild primary hyperparathyroidism is not directly related to parathyroid hormone, calcium, or vitamin D. Plos One. 2012;7:e39519.
- Pilz S, et al. Vitamin D, cardiovascular disease and mortality. Clinical Endocrinology. 2011;75:575.
- Cohen, et al. Should we be recommending vitamin D supplementation for hypertension and cardiovascular disease prevention? The Journal of Clinical Hypertension. 2012;14:816.
- Wuerzner G, et al. Should hypertensive patients take vitamin D? Current Hypertension Reports. 2012;14:318.
- Tamez H, et al. Vitamin D and hypertension: An update and review. Current Opinion in Nephrology and Hypertension. 2012;21:492.
- Dietary supplement fact sheet: Vitamin D. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/. Accessed March 13, 2013.
- Dietary Reference Intakes for calcium and vitamin D. Institute of Medicine. http://www.nap.edu/catalog.php?record_id=13050. Accessed March 13, 2013.
- Forman JP, et al. Effect of vitamin D supplementation on blood pressure in blacks. Hypertension. 2013;61:779.
- Weinstock-Guttman B, et al. Vitamin D and multiple sclerosis. The Neurologist 2012;18:179.
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