Alert for bone alterations and low serum concentrations of vitamin D in patients with intestinal inflammatory disease

Summary Background: Inflammatory bowel diseases (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), are characterized by chronic inflammation of the intestine that can reduce the absorption of nutrients such as vitamin D and calcium. Objective: To investigate bone alterations and serum levels of vitamin D in patients with IBD. Method: This was a cross-sectional study based on a review of medical records of patients from a private office in Curitiba, PR, Brazil. Serum levels of vitamin D and bone densitometry were measured at diagnosis of IBD. A total of 105 patients were included; 38 (58.4%) with CD; 27 (41.6%) with UC and 40 with irritable bowel syndrome (IBS) as comparison group. Results: When compared to patients with UC, CD patients showed a higher prevalence of bone alterations, being 15.8% with osteoporosis and 36.8% with osteopenia. In UC, bone alterations occurred in 29.6% of cases, 3.7% with osteoporosis and 25.9% with osteopenia. As for vitamin D levels, among CD patients, 10.5% had vitamin deficiency, 65.8% insufficiency and 23.7% were sufficient. In UC, 7.4% of cases had deficiency, 74.1% insufficiency and 18.5% had sufficient serum levels of vitamin D. In the group with IBS, deficiency was observed in 17.5% of cases, insufficiency in 55% and sufficiency in 27.5% of them. There was no significant difference between groups. Conclusion: IBD patients have a high prevalence of bone changes, especially those with CD. Serum levels of vitamin D are below the recommended in all the evaluated groups.

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The Association of 25 (OH) Vitamin D Levels and Severity and Outcome of COVID-19: A Cross-sectional Study

10.21203/rs.3.rs-141034/v1 ◽

2021 ◽

Author(s):

Maryam Vasheghani ◽

Nasrin Jannati ◽

Parvaneh Baghaei ◽

Mitra Rezaei ◽

Majid Marjani

Keyword(s):

Vitamin D ◽

Severe Disease ◽

Serum Levels ◽

Multivariate Regression Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Icu Admission ◽

Vitamin D Levels ◽

25 Oh Vitamin D

Abstract BackgroundCoronavirus disease 2019 (COVID-19) is a pandemic disease. Experiments with influenza and severe acute respiratory syndrome (SARS) have shown supplemental vitamin D can reduce the risk of infection and death.AimThis study was performed to evaluate the relationship between vitamin D levels and the severity and outcome of admitted patients with COVID-19.Material and MethodsThis cross-sectional study was performed on COVID-19 cases diagnosed by examining RT-PCR assay for SARS-CoV-2 or a set of symptoms and typical findings in lung CT scan. Based on clinical and radiologic characteristics, the patients were categorized as mild, moderate, severe, and critical. Calcium, phosphorus, albumin, creatinine, and serum 25 hydroxy vitamin D were measured and their correlation with the severity and outcome were analyzed.ResultsFrom May 1 to June 31, 2020, 508 patients ((442 patients in general wards and 66 patients in intensive care unit (ICU)) were included in this study. The participants were 56±17 years old (mean ±SD) (range from 14 to 95 years) and 52% were male. According to the past medical history, 190 (37.4%) of them had comorbidity. Concerning severity, 13.2%, 42.3%, 35.4%, and 9.1% had the mild, moderate, severe, and critical disease, respectively. The in-hospital mortality rate was 10.8%. In the multivariate regression analysis, age had a positive correlation and use of vitamin D supplement, serum level of 25 OH vitamin D, calcium, and albumin had a negative correlation with disease severity and admission to ICU. Poor outcome was inversely related to serum levels of vitamin D, calcium, albumin, and renal function. Vitamin D deficiency increased the rate of ICU admission by 2.7 times (95%CI=1.288-5.91, P=0.009).ConclusionIn patients who are hospitalized due to COVID-19, low 25-hydroxyvitamin D, hypocalcemia, and hypoalbuminemia are associated with severe disease, ICU admission, and an increase in mortality.

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Evaluation of the Relationship Between Vitamin D Levels and Related Serum Markers as Well as Disease Activity in Patients With Rheumatoid Arthritis: A Cross-sectional Study in Western Iran

10.21203/rs.3.rs-125995/v2 ◽

2020 ◽

Author(s):

Nasrin Moghimi ◽

Ali Faridfar ◽

Reza Shahriarirad ◽

Mohsen Nikandish ◽

Amirhossein Salimi ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Vitamin D ◽

Vitamin D Deficiency ◽

Serum Levels ◽

Cross Sectional Study ◽

Serum Marker ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin D Levels ◽

The Relationship

Abstract Introduction: Many studies have reported the role of vitamin D in rheumatoid arthritis (RA) which is related to several serum autoantibodies such as RF and Anti CCP. It also has been shown that vitamin D deficiency affect the DAS28 and VAS score inversely. Therefore, we aim to assess the relationship between vitamin D deficiency and RA-related autoantibodies including Anti CCP and RF levels and also evaluate the association between these parameters and the severity of disease.Methods: In this cross-sectional study, RA patients over 16 years of age were enrolled. The severity of diseases was assessed via the DAS28 scoring system. Serum levels of 25(OH) vitamin D were determined by the ELISA method, along with other rheumatoid related laboratory evaluations including Anti CCP, RF and CRPResults: A total of 100 patients with a mean age of 45.27± 14.14 were included and evaluated; of them, 75% were female and 77% lived in the city. Most of the patients (66%) had moderate DAS28 levels; however, no substantial relationship was observed between DAS28 and vitamin D levels. A significant positive relation between serum 25(OH)D level and disease duration, as well as the level of education, was observed. There was also no significant correlation between RA-related autoantibodies and inflammatory serum marker with 25(OH)D.Conclusion: Due to vitamin deficiency in the majority of cases (73%) and the relationship between serum 25(OH)D levels and the duration of disease, it can be concluded that vitamin D levels should be checked in those patients.

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HUBUNGAN KADAR VITAMIN D DALAM DARAH DENGAN KEJADIAN OBESITAS PADA SISWA SMA PEMBANGUNAN PADANG

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v8i1.97 ◽

2019 ◽

Vol 8 (1) ◽

pp. 1

Author(s):

Sesmi Nanda Oktavia

Keyword(s):

Vitamin D ◽

Body Height ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Elisa Method ◽

Cross Sectional ◽

Factors Affecting ◽

Vitamin D Levels ◽

Significant Difference ◽

The Relationship

The obesity cases in the world, including Indonesia is increasing. This condition also occurs to senior high school (SMA) Pembangunan students in Padang. There are several factors affecting the obesity occurrence, one them is the level of vitamin D serum. The aims of this study was to identify the relationship between vitamin D levels in the blood and the obesity occurrence.This research used cross sectional study design from March to June 2017. The samples were 82 students from SMA Pembangunan in Padang conducted by using simple random sampling. The level of obesity was determined by measuring body height and weight. The z zscore BMI/age was calculated by using the WHO antro-plus program while the vitamin D level was measured by ELISA method. The statistical analysis used independent sample t-test.The result shows that there is significant difference of the average vitamin D level in the blood of students with obesity compared to normal students (p=0,025). There is also difference in proportion of obesity occurence between the respondents who lack Vitamin D compared to those with adequate level of vitamin D (p=0,020).Based on the research, it is concluded that there is significant relationship between the level of vitamin D in the blood and the occurrence of obesity. Suggestion further research on the effect of vitamin D on obesity needs to be conducted.

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Correlation of Vitamin D Serum Level of Mothers and Their Newborns

Modern Care Journal ◽

10.5812/modernc.115579 ◽

2021 ◽

Vol 18 (2) ◽

Author(s):

Hassan Boskabadi ◽

Elahe Heidari

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Serum Levels ◽

Cross Sectional Study ◽

Vitamin D Supplementation ◽

High Rate ◽

Cross Sectional ◽

Maternal Vitamin ◽

Premature Newborns ◽

Vitamin D Levels

Background: The possibility of vitamin D deficiency is high among mothers and their premature newborns. Objectives: Due to the high rate of vitamin D deficiency in Iranian women, this study aimed to determine the association between the serum levels of vitamin D in the blood of premature newborns and their mothers in the Iranian population. Methods: This cross-sectional study was conducted on 324 mothers and their 324 newborns with gestational age less than 37 weeks, who were referred to Ghaem Hospital affiliated to Mashhad University of Medical Sciences, Mashhad, Iran, during 2016-2020. After clamping, 1.5 cc blood samples were obtained through the umbilical cord to determine the neonates’ vitamin D levels. Finally, the serum levels of vitamin D were measured, and the correlation between the levels of vitamin D of mothers and their newborns was calculated. Results: The mean vitamin D levels of newborns and mothers were 15.75 ± 11.18 and 20.16 ± 13.41 ng/mL, respectively. Moreover, there was a high correlation between the vitamin D levels of mothers and their newborns (r = 0.672; P < 0.001). Furthermore, a significant correlation was observed between the vitamin D levels of mothers, who used vitamin D supplementation during pregnancy and their neonates’ levels (r = 0.773; P < 0.001). Conclusions: The findings suggest a positive correlation between neonatal and maternal vitamin D levels. Moreover, it seems that maternal vitamin D levels can predict neonatal vitamin D deficiency.

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Vitamin D status in 3-6-year-old children of Mananthavady ICDS block in Wayanad, Kerala, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20182013 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1226

Author(s):

Arif Mohamed Khan ◽

T. G. Sindhu ◽

M. Vijayakumar

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Cross Sectional Study ◽

Tribal Community ◽

Cross Sectional ◽

Vitamin D Levels ◽

Significant Difference ◽

High Prevalence ◽

25 Oh Vitamin D ◽

Kerala State

Background: Despite plenty of sunlight, vitamin D deficiency has been reported in both urban and rural population in India. This study was conducted to estimate the prevalence of Vitamin D deficiency in children between 3-6 years of age group belonging to Mananthavady ICDS block of Wayanad and to identify the sociodemographic variables affecting its level.Methods: This descriptive cross-sectional study was conducted from December 2014 to June 2015. 140 children were selected from 20 Anganawadis in Mananthavady ICDS block in Wayanad district of Kerala state by random methods. After taking relevant history and conducting detailed clinical examinations, blood samples were taken to assess 25(OH) Vitamin D, calcium, phosphorous and alkaline phosphatase levels. Statistical analysis was done using PASW software. Calculations of means were done using descriptive statistics and comparative analysis was done using independent T test.Results: Out of the 140 children 51 belonged to tribal community. The mean 25(OH) Vitamin D level was 22.7ng/ml. 47.1% of the population had deficient, 35% insufficient and 17.9% adequate Vitamin D levels. There was no statistically significant difference in Vitamin D levels between children of tribal and non-tribal community. There was significant increase in Vitamin D levels during summer when compared to that of winter and autumn seasons.Conclusions: There is a high prevalence of vitamin D deficiency among the rural children of 3-6-year age of Mananthavadi ICDS block. The Vitamin D levels were almost equal between the tribal and non-tribal children. Vitamin D levels are significantly higher during summer when compared to other seasons.

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Serum Vitamin D and B12 Levels in Alcoholic Male Patients: A Cross-sectional Study

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v9i01.37976 ◽

2021 ◽

Vol 9 (01) ◽

pp. 47-51

Author(s):

Archana Jayan ◽

Buddhi Raj Pokhrel ◽

Narayan Gautam ◽

Amit Chandra Jha ◽

Binaya Tamang ◽

...

Keyword(s):

Vitamin D ◽

Liver Function ◽

Alcohol Dependence ◽

Vitamin B12 ◽

Serum Vitamin ◽

Serum Levels ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin D Levels

INTRODUCTION Alcohol dependence is a global problem and is rapidly increasing in developing countries. We aimed to analyze the serum levels of vitamin B12 and vitamin D in chronic alcoholic patients and their association with parameters of liver function. MATERIAL AND METHODS A cross-sectional study was carried out in Universal College of Medical Sciences, Bhairahawa, Nepal from March 2020 to September 2020 on patients visiting the Psychiatric Out Patient Department (OPD) for the treatment of alcohol dependence. The patients were categorized as excessive and moderate drinkers. Serum vitamin B12, vitamin D, and hepatic function parameters were measured. RESULTS The median serum vitamin B12 and vitamin D levels were 467.8 pg/ml and 24.9 ng/ml respectively. Excessive drinkers had significantly higher B12 levels than moderate drinkers. Vitamin B12 levels correlated positively with liver function parameters, as well as alcohol amount and duration of consumption. Vitamin D levels were insufficient in 57 (71.25%) of the overall participants. CONCLUSION Serum levels of vitamin B12 are not affected in patients with alcohol dependence. Alcohol consumption, however, reduces serum concentrations of vitamin D. Vitamin B12 concentration is positively associated with liver enzymes and other parameters of liver function.

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Association of the Vitamin D Level and Quality of School Life in Adolescents with Irritable Bowel Syndrome

Journal of Clinical Medicine ◽

10.3390/jcm7120500 ◽

2018 ◽

Vol 7 (12) ◽

pp. 500

Author(s):

Youngsun Cho ◽

Yoomi Lee ◽

Youjin Choi ◽

Sujin Jeong

Keyword(s):

Vitamin D ◽

Irritable Bowel Syndrome ◽

Cross Sectional Study ◽

Vitamin D Supplementation ◽

Cross Sectional ◽

Hydroxyvitamin D ◽

School Absence ◽

Vitamin D Levels ◽

25 Hydroxyvitamin D ◽

Irritable Bowel

There is no treatment of choice for irritable bowel syndrome, which affects up to 20% of school-aged children. This cross-sectional study evaluated the difference in the average vitamin D level between subtypes of irritable bowel syndrome, and the relationship between the vitamin D level as well as the severity of irritable bowel syndrome symptoms. We included 124 adolescents aged 10–17 years (68 boys, 56 girls; mean age 12.29 ± 1.92 years) from 2014 to 2016. Patients with irritable bowel syndrome were diagnosed by Rome III criteria and classified by clinical manifestation: irritable bowel syndrome with constipation (n = 29), irritable bowel syndrome with diarrhea (n = 63), and irritable bowel syndrome with constipation and diarrhea (n = 32). The severity of irritable bowel syndrome symptoms and school absence were evaluated. Vitamin D levels were measured by serum 25-hydroxyvitamin D. The chi-square test and analysis of variance were used. The patients’ average vitamin D level was 16.25 ± 6.58 ng/mL. There was a significant negative association of the 25-hydroxyvitamin D level with symptom severity and school absence (p = 0.022 and p < 0.001, respectively). Vitamin D supplementation could be considered as a choice of therapeutic method.

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The use of 25(OH)D saliva test as a substitute for 25(OH)D serum test in healthy people

World Nutrition Journal ◽

10.25220/wnj.v04.s3.0027 ◽

2020 ◽

Vol 4 (1-3) ◽

pp. 39

Author(s):

Dina Keumala Sari ◽

Liza Meutia Sari ◽

Lidya Imelda Laksmi

Keyword(s):

Vitamin D ◽

Serum Levels ◽

Cross Sectional Study ◽

The Body ◽

Healthy People ◽

Cross Sectional ◽

Non Invasive ◽

Invasive Test ◽

Vitamin D Levels ◽

North Sumatra

Background and Objectives: Examination of serum 25(OH)D levels of vitamin D in the body circulation illustrates the level of circulating vitamin D, while serum 1.25(OH)D is used to describe vitamin D activity. Several studies have shown that there is a non-invasive test that can be done to check vitamin D levels, namely through salivary levels. This study aims to determine the ratio between serum 25(OH)D and 1.25(OH)D serum levels and to compare the levels in saliva.Methods: This study was a cross-sectional study that included 36 healthy people, male and female, aged 18-35 years old, living in Medan, North Sumatra. The tests performed were levels of 25(OH)D, 1.25(OH)D in serum and saliva.Results: The mean serum 25 (OH) D level was 17.22±4.37 ng/mL and the 25(OH)D saliva level was 3.46 ng/mL for the minimum value and 51.0 ng/mL for the maximum value (median: 6.01 ng/mL). The results showed a relationship between 25(OH)D saliva and serum 25(OH)D levels (p=0.04). There was no relationship between the levels of 1.25(OH)D in saliva and serum 1.25(OH)D.Conclusion: There was a relationship between 25(OH)D saliva and 25(OHD) serum levels in healthy people. Salivary 25(OH)D levels can be used as a non-invasive laboratory test compared to serum 25(OH)D levels.

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The Association of Sleep Quality and Vitamin D Levels in Hemodialysis Patients

BioMed Research International ◽

10.1155/2021/4612091 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Seyyedeh Mina Hejazian ◽

Elham Ahmadian ◽

Sepideh Zununi Vahed ◽

Leili Faraji Gogani ◽

Farahnoosh Farnood

Keyword(s):

Vitamin D ◽

Sleep Quality ◽

Sleep Disorders ◽

Serum Levels ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Sleep Regulation ◽

Cross Sectional ◽

Vitamin D Levels

Background. To date, hemodialysis (HD) is the most common therapy for chronic kidney disease (CKD) patients. However, it causes different complications such as sleep disorders. Sleep regulation is connected to vitamin D; hence, its deficiency might influence the quality and duration of sleep. This study is aimed at evaluating the correlation of sleep quality and vitamin D levels in 80 HD patients. Methods. This cross-sectional study was performed on 80 hemodialysis patients admitted to 29 Bahman hospitals in Tabriz, Iran. Before beginning of dialysis, serum 25 (OH) D levels were assessed among patients and the sleep patterns and sleep quality of patients were accurately calculated by the Pittsburgh sleep quality index (PSQI) standard questionnaire. Results. Our results showed that 22 HD patients (27.5%) had severe sleep disorders. In addition, it was found that serum levels of vitamin D had significant correlation with sleep quality ( r = − 0.341 , p = 0.002 ) in general, even after adjusting confounding factors such as calcium (Ca), phosphate (P), and parathyroid hormone (PTH) level. In poor sleepers ( PSQI ≤ 5 ), a negative correlation was observed between the levels of vitamin D and PSQI score ( r = − 0.397 , p = 0.004 ). PSQI scores in the normal range of PTH ( r = − 0.377 , p = 0.006 ) and in >600 pg/ml of PTH ( r = − 0.675 , p = 0.011 ) had a correlation with vitamin D levels. The level of vitamin D was the single independent predictor of sleep efficiency ( β coefficient = − 0.386 , p = 0.001 ). Conclusion. The present project reported that the positive effect of vitamin D is associated with sleep disorder in HD patients. In future studies, normal levels of Ca and P should be considered along with normal vitamin D levels among the included patients.

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Vitamin D Serum Levels in Patients with Statin-Induced Musculoskeletal Pain

Disease Markers ◽

10.1155/2019/3549402 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Manuela Pennisi ◽

Giuseppe Di Bartolo ◽

Giulia Malaguarnera ◽

Rita Bella ◽

Giuseppe Lanza ◽

...

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Serum Levels ◽

Cross Sectional Study ◽

Ratio Analysis ◽

Vitamin D Status ◽

Sectional Study ◽

Musculoskeletal Health ◽

Cross Sectional ◽

Vitamin D Levels

Introduction. Statin-associated muscle symptoms are common side effects of statin therapy. These symptoms include myopathy, myalgia, and rhabdomyolysis. Vitamin D has been associated with musculoskeletal health; thus, its deficiency may produce detrimental effects in this tissue. Indeed, one symptom of vitamin D deficiency is myalgia, and the normalization of low vitamin D levels can relieve it. Patients and Methods. This cross-sectional study examined 1210 statin-treated patients to assess vitamin D status. These patients were divided into two groups: 287 with statin-associated muscle symptoms (SAMS) and 923 control patients without SAMS. Results. We have found a significant association between deficient and insufficient vitamin D status and statin-associated muscle symptoms (SAMS). Vitamin D deficiency (<30 nmol/L) presents 77% (95% C.I. 71.6% to 81.7%) sensitivity and 63.4% (95% C.I. 60.2% to 66.5%) specificity in diagnosing SAMS. Odds ratio analysis showed that this association is moderate-strong both for deficient and for insufficient status. Conclusion. We found a correlation between vitamin D deficiency and SAMS. Therefore, vitamin D levels may be useful for the diagnosis and management of SAMS.

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