Table 2

Characteristics of longitudinal studies measuring vitamin K-dependent protein (VKDP) at baseline and recording incident cardiovascular disease/mortality

Population riskAuthorYearCountryN=PopulationFU (years)VKDP measuredChange in VKDP for which HR givenOutcome
HighSchurgers et al 6 2010France107Chronic kidney disease2.3dp-ucMGPPer 100 pm log-transformed increase; >921 versus < 921 pmol/L.Mortality
Ueland et al 40 2010Norway118Symptomatic aortic stenosis1.9dp-ucMGP>950 versus <950 pmol/L.Mortality
Schlieper et al 21 2011Serbia188Haemodialysis versus normal renal function3dp-ucMGPHigher than median versus lower (median value not reported).CVD; mortality
Ueland et al 41 2011Norway179Stable heart failure2.9dp-ucMGP≥ 1977 versus <1977 pmol/L.Mortality
Dalmeijer et al 42 2013The Netherlands518Type 2 diabetes11.2dp-ucMGPPer one SD increase.CVD
van den Heuvel et al 43 2014The Netherlands192Older adults (LASA)5.6dp-ucMGPPer 100 pm log-transformed increase; highest versus lowest tertile (>400 vs <266 pmol/L).CVD
Mayer et al 44 2014Czech Republic799Coronary heart disease or ischaemic stroke.5.6dp-ucMGP≥977 vs <977 pmol/L.CVD; mortality
Keyzer et al 20 2015The Netherlands518Renal transplant9.6dp-ucMGPPer unit increase (log-transformed); highest versus lowest quartiles (>1535 vs <734 pmol/L).Mortality
Yeap et al 23 2015Australia3389Older men (70–89 years)7ucOC>28.2 versus <28.2 µg/L.CVD
Mayer et al 45 2016Czech Republic799Stable vascular disease5.6dp-ucMGP≥ 977 versus <977 pmol/L.Mortality
Shea et al 46 2017USA635Older men and woman (Health ABC)12.1dp-ucMGP≥574 versus <574 pmol/L.CVD
StandardDalmeijer et al 47 2014The Netherlands1406Women undergoing breast cancer screening (EPIC-NL).11.5dp-ucMGPPer one SD increase; highest versus lowest quartiles (mean 348 vs 47 pmol/L).CVD
Liu et al 48 2015Belgium789FLEMENGHO: no CVD at baseline14.1dp-ucMGPPer unit increase of squared dp-ucMGP.CVD; mortality
Danziger et al 22 2016USA355MESA11PIVKA-II>4.64 versus <2.4 ng/mL.CVD
  • Population risk considered high if conducted in the following populations: older patients (>60 years), diabetes, pre-existing vascular disease or chronic kidney disease/dialysis/renal transplantation.

  • dp-ucMGP, desphospho-uncarboxylated matrix Gla protein; CV, cardiovascular; CVD, cardiovascular disease; EPIC-NL, Dutch contribution to European Prospective Investigation into Cancer and Nutrition cohort; FLEMENGHO, Flemish Study on Genes, Environment, and Health Outcomes (1985–2004); FU, follow up; LASA, Longitudinal Aging Study Amsterdam; MESA, Multi-Ethnic Study of Atherosclerosis; PIVKA-II, protein induced by vitamin K absence II, pm, pmol; ucOC, uncarboxylated osteocalcin; Health ABC: prospective longitudinal cohort study to examine age-related changes in physical function and body composition in older black and white men and women. Health In Men Study: cohort study of community-dwelling older men from Perth, Western Australia. Heart and Soul Study: history of ischaemic heart disease.