Transient effectiveness of vitamin D2 therapy in pediatric cystic fibrosis patients

被引:22
作者
Green, Deanna M. [1 ]
Leonard, Amanda R. [1 ]
Paranjape, Shruti M. [1 ]
Rosenstein, Beryl J. [1 ]
Zeitlin, Pamela L. [1 ]
Mogayzel, Peter J., Jr. [1 ]
机构
[1] Johns Hopkins Univ Hosp, Eudowood Div Pediat Resp Sci, Johns Hopkins Med Inst, Baltimore, MD 21287 USA
关键词
Cystic fibrosis; Vitamin D; Bone health; SERUM 25-HYDROXYVITAMIN D; D DEFICIENCY; D INSUFFICIENCY; BONE HEALTH; CHILDREN; ADULTS; PREVALENCE; CHOLECALCIFEROL; ERGOCALCIFEROL; PREVENTION;
D O I
10.1016/j.jcf.2010.01.002
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: The effectiveness of current treatment recommendations for vitamin D insufficiency in children with CF is unknown. Therefore, we assessed the effectiveness of vitamin D-2 50,000 TU once daily for 28 days for vitamin D insufficiency. Methods: Retrospective chart review of pediatric CF patients from 2006-2008. Vitamin D-2 50,000 IU daily for 28 days was given to patients with 25-OHD <30 ng/mL and repeat 25-OHD levels were obtained after completion of therapy. Results: One hundred forty-seven levels from 97 individuals were assessed. Success of treatment was 54% (n=80/147). Seventeen of 39 patients (43%) followed for an additional 6-18 months were able to maintain levels of >= 30 ng/mL. Conclusions: Vitamin D2 50,000 IU daily for 28 days was effective in correcting vitamin D insufficiency in approximately 50% of subjects. However, almost half of successfully treated patients were unable to maintain normal 25-OHD levels >6 months after completion of therapy, implying that this effect is transient. (C) 2010 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:143 / 149
页数:7
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