Role of vitamin D supplementation in improving disease activity in rheumatoid arthritis: An exploratory study.

作者: S. Chandrashekara , Anand Patted

DOI: 10.1111/1756-185X.12770

关键词:

摘要: Aim The aim of this exploratory study is to estimate the relationship between vitamin D (vit D) deficiency and active rheumatoid arthritis (RA), role supplementation in improving disease activity. Method A randomized recruitment, consent screening, open-label interventional was conducted patients who fulfilled American College Rheumatology/European League Against Rheumatism 2010 criteria for diagnosing RA on stable disease-modifying anti-rheumatic drugs (DMARDs) 3 months. Serum vit levels Disease Activity Score 28 joints/C-reactive protein (DAS28-CRP) activity status were estimated at first visit. Subjects with low DAS28-CRP > 2.6 supplemented 12 weeks, assessed improvement serum levels. Results One hundred fifty mean age 49 ± 12.1 years, duration illness 78 63 months, treatment DMARDs 44 39 months recruited study. Of these, 73 (49%) subjects found have below 20 ng/mL. The received supplement 60 000 IU/week 6 followed by IU/month a total 59 (80.8%) reported end weeks treatment. Mean these showed statistically significant from 3.68 0.93 baseline 3.08 1.11 after (P = 0.002). improved 10.05 5.18 57.21 24.77 ng/mL < 0.001) during period. Conclusion Supplementation persisting contributed within short duration.

参考文章(32)
Gary Toedter, Joan Marie Von Feldt, Daniel G Baker, Mary B Leonard, Joshua F Baker, Justine Shults, Associations between vitamin D, disease activity, and clinical response to therapy in rheumatoid arthritis. Clinical and Experimental Rheumatology. ,vol. 30, pp. 658- 664 ,(2012)
C. V. Harinarayan, Shashank R. Joshi, Vitamin D status in India--its implications and remedial measures. Journal of Association of Physicians of India. ,vol. 57, pp. 40- 48 ,(2009)
Bruce W Hollis, Carol L Wagner, Assessment of dietary vitamin D requirements during pregnancy and lactation. The American Journal of Clinical Nutrition. ,vol. 79, pp. 717- 726 ,(2004) , 10.1093/AJCN/79.5.717
Ikuo IMAZEKI, Junko MATSUZAKI, Keiko TSUJI, Takashi NISHIMURA, Immunomodulating effect of vitamin D3 derivatives on type-1 cellular immunity Biomedical Research. ,vol. 27, pp. 1- 9 ,(2006) , 10.2220/BIOMEDRES.27.1
Verónica M. Vieira, Jaime E. Hart, Thomas F. Webster, Janice Weinberg, Robin Puett, Francine Laden, Karen H. Costenbader, Elizabeth W. Karlson, Association between residences in U.S. northern latitudes and rheumatoid arthritis: A spatial analysis of the Nurses' Health Study. Environmental Health Perspectives. ,vol. 118, pp. 957- 961 ,(2010) , 10.1289/EHP.0901861
Ritu G, Ajay Gupta, Vitamin D Deficiency in India: Prevalence, Causalities and Interventions Nutrients. ,vol. 6, pp. 729- 775 ,(2014) , 10.3390/NU6020729
Natalia O Kuchuk, Natasja M van Schoor, Saskia M Pluijm, Arkadi Chines, Paul Lips, Vitamin D status, parathyroid function, bone turnover, and BMD in postmenopausal women with osteoporosis: global perspective. Journal of Bone and Mineral Research. ,vol. 24, pp. 693- 701 ,(2009) , 10.1359/JBMR.081209
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
V. K. Shivane, V. Sarathi, T. Bandgar, P. Menon, N. S. Shah, High prevalence of hypovitaminosis D in young healthy adults from the western part of India Postgraduate Medical Journal. ,vol. 87, pp. 514- 518 ,(2011) , 10.1136/PGMJ.2010.113092