Literature DB >> 24676329

Hypovitaminosis D: which oral supplement therapy?

W Verrusio1, P Andreozzi, M L Summa, V Marigliano, N Gueli, M Cacciafesta.   

Abstract

OBJECTIVES: the possible therapeutic role of vitamin D in different kind of diseases explains the growing interest in this vitamin due to its pleiotropic effects. This short report shows preliminary results of prevalence of hypovitaminosis D in a group of patients and proposes a oral supplement therapy effective in correcting hypovitaminosis in a short time, without side effects.
METHODS: 243 patients (aged 26-93; 67 males) were enrolled at this study. We evaluated plasma levels of 25-hydroxyvitamin D [25(OH)D] with the following cut-off values: <10 ng/ml or <0-25 nmol/L (deficient), 10-30 ng/ml or 25-75 nmol/L 30-50 (insufficient) and > 30 ng/ml or > 50 nmol/L (normal). The first 73 patients with hypovitaminosis D received at baseline 25,000 IU (Cholecalciferol) per os twice a month (Tp.A). The next patients (Tp.B) at baseline received a loading dose of 50,000 IU once a week for 8 weeks, followed by a maintenance dose of 25,000 IU twice a month.
RESULTS: hypovitaminosis D is a widespread condition (i.e., 82.3%) not only in elderly (75.6% of 75 patients aged <65 yrs and 86.5% of 168 subjects aged >65 yrs). Preliminary results at 6 months show that Tp.B is more effective in correcting hypovitaminosis D (baseline 14.4 ± 5.3 ng/ml; 24 wk 43.3 ± 14.7 ng/ml; p<0.0001).
CONCLUSION: hypovitaminosis D is an important public health problem. We believe it is important to quickly achieve normal Vit. D plasma values in order to produce pleiotropic effects.

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Year:  2014        PMID: 24676329     DOI: 10.1007/s12603-014-0027-1

Source DB:  PubMed          Journal:  J Nutr Health Aging        ISSN: 1279-7707            Impact factor:   4.075


  7 in total

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Authors:  Dima A Youssef; Adel M El Abbassi; Della C Cutchins; Shalini Chhabra; Alan N Peiris
Journal:  Geriatr Gerontol Int       Date:  2011-05-23       Impact factor: 2.730

Review 3.  Vitamin D hormone: a multitude of actions potentially influencing the physical function decline in older persons.

Authors:  Matteo Cesari; Raffaele Antonelli Incalzi; Valentina Zamboni; Marco Pahor
Journal:  Geriatr Gerontol Int       Date:  2010-12-06       Impact factor: 2.730

4.  Vitamin D status in relation to postural stability in the elderly.

Authors:  D Boersma; O Demontiero; Z Mohtasham Amiri; S Hassan; H Suarez; D Geisinger; P Suriyaarachchi; A Sharma; G Duque
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5.  Vitamin D: drug of the future. A new therapeutic approach.

Authors:  N Gueli; W Verrusio; A Linguanti; F Di Maio; A Martinez; B Marigliano; M Cacciafesta
Journal:  Arch Gerontol Geriatr       Date:  2011-04-01       Impact factor: 3.250

6.  Osteoporosis, osteopenia and fracture risk: widening the therapeutic horizons.

Authors:  Dennis A Davey
Journal:  S Afr Med J       Date:  2012-03-08

7.  Serum 25-hydroxyvitamin D concentration and risk for major clinical disease events in a community-based population of older adults: a cohort study.

Authors:  Ian H de Boer; Gregory Levin; Cassianne Robinson-Cohen; Mary L Biggs; Andy N Hoofnagle; David S Siscovick; Bryan Kestenbaum
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  7 in total

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