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Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial

Background: The liver is crucial for 25-hydroxyvitamin D (25(OH)D) metabolism, and vitamin D deficiency is highly prevalent in patients with cirrhosis and predicts adverse outcomes. We aimed to evaluate whether vitamin D supplementation in patients with cirrhosis is effective in increasing 25(OH)D s...

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Autores principales: Pilz, Stefan, Putz-Bankuti, Csilla, Gaksch, Martin, Spindelboeck, Walter, Haselberger, Marius, Rainer, Florian, Posch, Andreas, Kreuzer, Philipp, Stojakovic, Tatjana, Stadlbauer, Vanessa, Obermayer-Pietsch, Barbara, Stauber, Rudolf E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882691/
https://www.ncbi.nlm.nih.gov/pubmed/27171112
http://dx.doi.org/10.3390/nu8050278
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author Pilz, Stefan
Putz-Bankuti, Csilla
Gaksch, Martin
Spindelboeck, Walter
Haselberger, Marius
Rainer, Florian
Posch, Andreas
Kreuzer, Philipp
Stojakovic, Tatjana
Stadlbauer, Vanessa
Obermayer-Pietsch, Barbara
Stauber, Rudolf E.
author_facet Pilz, Stefan
Putz-Bankuti, Csilla
Gaksch, Martin
Spindelboeck, Walter
Haselberger, Marius
Rainer, Florian
Posch, Andreas
Kreuzer, Philipp
Stojakovic, Tatjana
Stadlbauer, Vanessa
Obermayer-Pietsch, Barbara
Stauber, Rudolf E.
author_sort Pilz, Stefan
collection PubMed
description Background: The liver is crucial for 25-hydroxyvitamin D (25(OH)D) metabolism, and vitamin D deficiency is highly prevalent in patients with cirrhosis and predicts adverse outcomes. We aimed to evaluate whether vitamin D supplementation in patients with cirrhosis is effective in increasing 25(OH)D serum concentrations. Secondary outcome measures included liver function tests (aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyltransferase (GGT), and alkaline phosphatase (AP)), albumin, International Normalized Ratio (INR), bilirubin, the liver fibrosis marker hyaluronic acid, and parameters of mineral metabolism including parathyroid hormone (PTH). Methods: This is a double-center, double-blind, placebo-controlled study conducted from December 2013 to May 2014 at the Medical University of Graz, and the hospital Hoergas-Enzenbach, Austria. We enrolled 36 consecutive patients with cirrhosis and 25(OH)D concentrations below 30 ng/mL. Study participants were randomly allocated to receive either 2800 International Units of vitamin D3 per day as oily drops (n = 18) or placebo (n = 18) for 8 weeks. Results: Thirty-three study participants (mean (SD) age: 60 (9) years; 21% females; 25(OH)D: 15.6 (7.4) ng/mL) completed the trial. The mean treatment effect (95% CI) for 25(OH)D was 15.2 (8.0 to 22.4) ng/mL (p < 0.001). There was no significant effect on any secondary outcome. Conclusions: In this randomized controlled trial, vitamin D supplementation increases 25(OH)D serum concentrations, even in cirrhotic patients.
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spelling pubmed-48826912016-05-27 Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial Pilz, Stefan Putz-Bankuti, Csilla Gaksch, Martin Spindelboeck, Walter Haselberger, Marius Rainer, Florian Posch, Andreas Kreuzer, Philipp Stojakovic, Tatjana Stadlbauer, Vanessa Obermayer-Pietsch, Barbara Stauber, Rudolf E. Nutrients Article Background: The liver is crucial for 25-hydroxyvitamin D (25(OH)D) metabolism, and vitamin D deficiency is highly prevalent in patients with cirrhosis and predicts adverse outcomes. We aimed to evaluate whether vitamin D supplementation in patients with cirrhosis is effective in increasing 25(OH)D serum concentrations. Secondary outcome measures included liver function tests (aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyltransferase (GGT), and alkaline phosphatase (AP)), albumin, International Normalized Ratio (INR), bilirubin, the liver fibrosis marker hyaluronic acid, and parameters of mineral metabolism including parathyroid hormone (PTH). Methods: This is a double-center, double-blind, placebo-controlled study conducted from December 2013 to May 2014 at the Medical University of Graz, and the hospital Hoergas-Enzenbach, Austria. We enrolled 36 consecutive patients with cirrhosis and 25(OH)D concentrations below 30 ng/mL. Study participants were randomly allocated to receive either 2800 International Units of vitamin D3 per day as oily drops (n = 18) or placebo (n = 18) for 8 weeks. Results: Thirty-three study participants (mean (SD) age: 60 (9) years; 21% females; 25(OH)D: 15.6 (7.4) ng/mL) completed the trial. The mean treatment effect (95% CI) for 25(OH)D was 15.2 (8.0 to 22.4) ng/mL (p < 0.001). There was no significant effect on any secondary outcome. Conclusions: In this randomized controlled trial, vitamin D supplementation increases 25(OH)D serum concentrations, even in cirrhotic patients. MDPI 2016-05-10 /pmc/articles/PMC4882691/ /pubmed/27171112 http://dx.doi.org/10.3390/nu8050278 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pilz, Stefan
Putz-Bankuti, Csilla
Gaksch, Martin
Spindelboeck, Walter
Haselberger, Marius
Rainer, Florian
Posch, Andreas
Kreuzer, Philipp
Stojakovic, Tatjana
Stadlbauer, Vanessa
Obermayer-Pietsch, Barbara
Stauber, Rudolf E.
Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title_full Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title_fullStr Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title_full_unstemmed Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title_short Effects of Vitamin D Supplementation on Serum 25-Hydroxyvitamin D Concentrations in Cirrhotic Patients: A Randomized Controlled Trial
title_sort effects of vitamin d supplementation on serum 25-hydroxyvitamin d concentrations in cirrhotic patients: a randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882691/
https://www.ncbi.nlm.nih.gov/pubmed/27171112
http://dx.doi.org/10.3390/nu8050278
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