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MK-7 Form of Vitamin K2 Improves Blood Vessel Stiffness in Postmenopausal Women with Low Vitamin K

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A study that included postmenopausal women with low vitamin K status found less blood vessel stiffness among those who received menaquinone-7 (MK-7), a form of vitamin K2.

The current study analyzed 165 premenopausal, perimenopausal and postmenopausal women with low vitamin K status who had participated in a trial that included 243 men and women between 40 to 70 years of age. Eighty-two women received 180 micrograms of MK-7, and 83 women were given a placebo for one year. The participants underwent pulse wave velocity measurement (which evaluated arterial stiffness), carotid artery ultrasound examination, and arterial blood pressure measurement at the beginning and end of the study.

Women who received MK-7 showed improved vitamin K status at the end of one year. Among postmenopausal women (who had worse vascular factors at the beginning of the study than premenopausal and perimenopausal women), vascular stiffness was significantly reduced in the group that received MK-7 compared with the placebo.

The women were subsequently evaluated according to whether they had high or low vascular stiffness at the beginning of the study. Postmenopausal women with a high stiffness index at the beginning of the study, and who received MK-7, had improved blood vessel markers, including lower arterial systolic blood pressure and improved indicators of blood vessel elasticity at the end of the trial.

"Our findings confirm that menopause adversely affects vascular health, leading to an increased vascular stiffness in postmenopausal women," authors Femke de Vries and colleagues wrote. "Notably, postmenopausal women with a heightened arterial stiffness showed the greatest benefit from MK-7 supplementation, experiencing significant improvements in their blood pressure and vascular compliance."

The findings appeared February 27, 2025, in the journal Nutrients.1



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Apply What You've Learned: Vitamin K

  • Vitamin K is a fat-soluble vitamin made in small amounts in the body. Vitamin K1 (phylloquinone) occurs in vegetables (especially leafy greens) and some fruits, nuts, and cheeses.2,3 Vitamin K2 (menaquinone) is found in animal-derived foods, such as chicken, beef liver, cheese, and some plant-derived foods, including natto from soybeans.2
  • Vitamin K2 has different forms; MK-2 through MK-13.2, MK-4 and MK-7 are among the more commonly known forms.
  • Calcification is a factor in the development of arterial stiffness. This process may be decreased by vitamin K2. Vitamin K2 activates matrix GLA protein, which binds calcium and removes it from arteries and soft tissues, where calcium is damaging.4
  • Vitamin K is needed for healthy bones. In addition to vitamin K, the essential nutrients vitamin D, calcium, and magnesium are necessary for bone health.5

References

  1. de Vries F, Bittner R, Maresz K et al. Effects of one-year menaquinone-7 supplementation on vascular stiffness and blood pressure in postmenopausal women. Nutrients. 2025 Feb 27;17(5):815. doi: 10.3390/nu17050815.
  2. Vitamin K. National Institutes of Health. 2021 March 29. Accessed 2025 March 28. https://ods.od.nih.gov/factsheets/VitaminK-HealthProfessional/#h3
  3. Halder M, Petsophonsakul P, Akbulut AC et al. Vitamin K: double bonds beyond coagulation insights into differences between vitamin K1 and K2 in health and disease. Int J Mol Sci. 2019 Feb 19;20(4):896. doi: 10.3390/ijms20040896.
  4. Vik H. 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 (Encinitas). 2019 Dec;18(6):24–28.
  5. Capozzi A, Scambia G, Lello S. Calcium, vitamin D, vitamin K2, and magnesium supplementation and skeletal health. Maturitas. 2020 Oct:140:55-63. doi: 10.1016/j.maturitas.2020.05.020.

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