Role of vitamin D in flare ups of rheumatoid arthritis.

作者: A. Dehghan , S. Rahimpour , H. Soleymani-Salehabadi , M.B. Owlia

DOI: 10.1007/S00393-013-1297-4

关键词: RheumatologyRisk factorPhysical therapyVitamin D and neurologyRheumatoid arthritisInternal medicineMedicineOdds ratioCost effectivenessRandomized controlled trialArthritis

摘要: Rheumatoid arthritis (RA) is one of the most prevalent autoimmune diseases worldwide. Some researchers have suggested that serum vitamin D (Vit D) level may relate to disease activity. The current study was designed identify correlation between vitamin D prescription and prevention relapses in rheumatoid arthritis. A double blinded, randomized controlled trial performed using 80 RA patients. RA patients were remission during past 2 months. Serum Vit D studied below 30 ng/dl. Patients randomly allocated receive or placebo. In 6-month follow-up period, Disease Activity Score 28 (DAS28) used case as an index activity compare two groups. flare rate not different groups (p > 0.05). odds ratio decline group compared with control 1.17 (not significant; p > 0.05). mean DAS28 patient significant low identified be a risk factor for severity ups; however, although statistically significant, treatment might clinically effective. Further studies are needed more emphasis on issue cost effectiveness clinical importance provide information.

参考文章(24)
Linda A. Merlino, Jeffrey Curtis, Ted R. Mikuls, James R. Cerhan, Lindsey A. Criswell, Kenneth G. Saag, Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women's Health Study Arthritis & Rheumatism. ,vol. 50, pp. 72- 77 ,(2004) , 10.1002/ART.11434
STEVEN M. CRAIG, FANG YU, JEFFREY R. CURTIS, GRACIELA S. ALARCÓN, DOYT L. CONN, BETH JONAS, LEIGH F. CALLAHAN, EDWIN A. SMITH, LARRY W. MORELAND, S. LOUIS BRIDGES, TED R. MIKULS, Vitamin D Status and Its Associations with Disease Activity and Severity in African Americans with Recent-onset Rheumatoid Arthritis The Journal of Rheumatology. ,vol. 37, pp. 275- 281 ,(2010) , 10.3899/JRHEUM.090705
P. Oelzner, A. Müller, F. Deschner, M. Hüller, K. Abendroth, G. Hein, G. Stein, Relationship Between Disease Activity and Serum Levels of Vitamin D Metabolites and PTH in Rheumatoid Arthritis Calcified Tissue International. ,vol. 62, pp. 193- 198 ,(1998) , 10.1007/S002239900416
Silva Hovsepian, Massoud Amini, Ashraf Aminorroaya, Peyvand Amini, Bijan Iraj, Prevalence of Vitamin D Deficiency among Adult Population of Isfahan City, Iran Journal of Health Population and Nutrition. ,vol. 29, pp. 149- 155 ,(2011) , 10.3329/JHPN.V29I2.7857
Ayşe Dicle Turhanoğlu, Hayal Güler, Zafer Yönden, Fatma Aslan, Ayhan Mansuroglu, Cahit Ozer, The relationship between vitamin D and disease activity and functional health status in rheumatoid arthritis. Rheumatology International. ,vol. 31, pp. 911- 914 ,(2011) , 10.1007/S00296-010-1393-6
R Heshmat, K Mohammad, SR Majdzadeh, MH Forouzanfar, A Bahrami, GH Ranjbar Omrani, I Nabipour, R Rajabian, A Hossein-Nezhad, M Rezaei Hemami, AA Keshtkar, M Pajouhi, B Larijani, None, Vitamin D Deficiency in Iran: A Multi-center Study among Different Urban Areas Iranian Journal of Public Health. ,vol. 37, pp. 72- 78 ,(2008)
Maurizio Rossini, Susanna Maddali Bongi, Giovanni La Montagna, Givanni Minisola, Nazzarena Malavolta, Luigi Bernini, Enrico Cacace, Luigi Sinigaglia, Ombretta Di Munno, Silvano Adami, Vitamin D deficiency in rheumatoid arthritis: prevalence, determinants and associations with disease activity and disability Arthritis Research & Therapy. ,vol. 12, pp. 1- 7 ,(2010) , 10.1186/AR3195
Michael F. Holick, Vitamin D Deficiency The New England Journal of Medicine. ,vol. 357, pp. 266- 281 ,(2007) , 10.1056/NEJMRA070553
Barbara Prietl, Gerlies Treiber, Thomas Pieber, Karin Amrein, Vitamin D and Immune Function Nutrients. ,vol. 5, pp. 2502- 2521 ,(2013) , 10.3390/NU5072502
Sanjeev Patel, Tracey Farragher, Jacqueline Berry, Diane Bunn, Alan Silman, Deborah Symmons, Association between serum vitamin D metabolite levels and disease activity in patients with early inflammatory polyarthritis Arthritis & Rheumatism. ,vol. 56, pp. 2143- 2149 ,(2007) , 10.1002/ART.22722