J 2020

Vitamin D levels in IBD: a randomised trial of weight-based versus fixed dose vitamin D supplementation

KOJECKÝ, Vladimír; Jan MATOUS; Bohuslav KIANIČKA; Petr DITE; Zdena ZADOROVA et. al.

Základní údaje

Originální název

Vitamin D levels in IBD: a randomised trial of weight-based versus fixed dose vitamin D supplementation

Autoři

KOJECKÝ, Vladimír (203 Česká republika, domácí); Jan MATOUS (203 Česká republika); Bohuslav KIANIČKA (203 Česká republika, garant); Petr DITE (203 Česká republika); Zdena ZADOROVA (203 Česká republika); Jan KUBOVY (203 Česká republika); Martina HLOSTOVA (203 Česká republika) a Michal UHER (203 Česká republika, domácí)

Vydání

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, ABINGDON, TAYLOR & FRANCIS LTD, 2020, 0036-5521

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.425

Kód RIV

RIV/00216224:14110/20:00116133

Organizační jednotka

Lékařská fakulta

UT WoS

000545392100001

EID Scopus

2-s2.0-85086906005

Klíčová slova anglicky

Inflammatory bowel disease; vitamin D deficiency; vitamin D intake; dietary supplements; body weight

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 31. 8. 2020 10:43, Mgr. Tereza Miškechová

Anotace

V originále

Objectives:Body weight is one of the factors affecting blood levels of 25-hydroxyvitamin D (25OHD). The aim of this study was to establish whether a vitamin D (vitD) weight-based dosing is more appropriate to a fixed daily dose in patients with inflammatory bowel disease (IBD). Materials/methods:This was an open label randomised trial. Patients with IBD were assigned to receive oral cholecalciferol at a dose of 28 IU/kg (IU/kg) or 2000 IU per day (IU/day) for 12 weeks during winter months. 25OHD plasma levels and other biochemical parameters were measured at baseline and after supplementation period. The primary outcome measure was 25OHD level after a follow-up period. Results:A total of 173 patients were analysed. The mean BMI was 25.5 +/- 5.1 and initial mean 25OHD level was 62.7 +/- 25.5 nmol/l. A similar increase (9.7 +/- 26.9 vs 9.8 +/- 26.7 nmol/l) in 25OHD levels occurred both in IU/kg and IU/day group. The proportion of subjects with normal and sub-normal levels following the substitution was comparable irrespective of body weight. The change in 25OHD level correlated positively only with the dose of vitD (p < .001) and negatively with the baseline 25OHD level (p < .001). A sustained 25OHD level of 75 nmol/l corresponds with a calculated daily vitD dose of 2034 IU. Conclusions:Weight-based dosing of vitamin D is not superior to a fixed dose in order to maintain stable 25OHD levels in IBD patients. Cholecalciferol dose of 2,000 IU/day is safe and sufficient during winter period.