 
         
         Abstract
         
         A synergistic interplay between vitamins K and D appears to exist. We aimed to
            investigate for the first time whether the associations of dietary vitamin K
            intake and circulating 25(OH)D with serum lipoprotein levels are influenced by
            the existence of deficiency of either or both vitamins K and D. Sixty
            individuals [24 males, 36(18–79) years old] were examined. Vitamin
            deficiency of K1 and D were defined as vitamin K1 intake/body weight
            (BW)<1.00 μg/kg/day and circulating
            25(OH)D<20 ng/ml, respectively. In individuals with
            vitamin K1 deficiency, the vitamin K1 intake/BW correlated positively
            with high density lipoprotein-cholesterol (HDL-C) (r=0.509,
            p=0.008) and negatively with serum triglycerides (TG)
            (r=–0.638, p=0.001), whereas circulating 25(OH)D
            correlated negatively with TG (r=–0.609, p=0.001). In
            individuals with vitamin D deficiency, the vitamin K1 intake/BW
            correlated positively with HDL-C (r=0.533, p=0.001) and
            negatively with TG (r=–0.421, p=0.009), while
            circulating 25(OH)D correlated negatively with TG (r=–0.458,
            p=0.004). The above-mentioned associations of vitamin K1
            intake/BW and circulating 25(OH)D with serum lipoproteins were not
            detected in individuals without vitamin K1 deficiency or the ones without
            vitamin D deficiency. The vitamin K2 intake/BW correlated negatively
            with low density lipoprotein-cholesterol (LDL-C) (r=–0.404,
            p=0.001). In conclusion, the associations of vitamin K1 intake with TG
            and HDL-C and of circulating 25(OH)D with TG were more pronounced in individuals
            with deficiency of either or both vitamins K1 and D. Increased dietary vitamin
            K2 intake was associated with decreased LDL-C.
         
         Key words
vitamin D  - vitamin K - lipoproteins