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Vitamin D concentration in type 1 diabetic children. Association with glycemic control, lipidic and bone metabolism. NUTR HOSP 2022; 39:997-1003. [DOI: 10.20960/nh.04040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Mangas-Sánchez C, Garriga-García M, Serrano-Nieto MJ, García-Romero R, Álvarez-Beltrán M, Crehuá-Gaudiza E, Muñoz-Codoceo R, Suárez-Cortina L, Vicente-Santamaría S, Martínez-Costa C, Díaz-Martin JJ, Bousoño-García C, González-Jiménez D. Vitamin D Status in Pediatric and Young Adult Cystic Fibrosis Patients. Are the New Recommendations Effective? Nutrients 2021; 13:nu13124413. [PMID: 34959965 PMCID: PMC8703649 DOI: 10.3390/nu13124413] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/05/2021] [Accepted: 12/07/2021] [Indexed: 12/28/2022] Open
Abstract
Introduction: In recent years, guidelines for vitamin D supplementation have been updated and prophylactic recommended doses have been increased in patients with cystic fibrosis (CF). Objective: To evaluate safety and efficacy of these new recommendations. Results: Two cohorts of pancreatic insufficient CF patients were compared before (cohort 1: 179 patients) and after (cohort 2: 71 patients) American CF Foundation and European CF Society recommendations were published. Cohort 2 patients received higher Vitamin D doses: 1509 (1306–1711 95% CI) vs 1084 (983–1184 95% CI) IU/Day (p < 0.001), had higher 25 OH vitamin D levels: 30.6 (27.9–33.26 95% CI) vs. 27.4 (25.9–28.8 95% CI) ng/mL (p = 0.028), and had a lower prevalence of insufficient vitamin D levels (<30 ng/mL): 48% vs 65% (p = 0.011). Adjusted by confounding factors, patients in cohort 1 had a higher risk of vitamin D insufficiency: OR 2.23 (1.09–4.57 95% CI) (p = 0.028). Conclusion: After the implementation of new guidelines, CF patients received higher doses of vitamin D and a risk of vitamin D insufficiency decreased. Despite this, almost a third of CF patients still do not reach sufficient serum calcidiol levels.
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Affiliation(s)
- Carmen Mangas-Sánchez
- Pediatric Gastroenterology and Nutrition Section, Hospital Central de Asturias, 33011 Oviedo, Spain; (C.M.-S.); (C.B.-G.); (D.G.-J.)
| | - María Garriga-García
- Cystic Fibrosis Section, Hospital Ramón y Cajal, 28034 Madrid, Spain; (M.G.-G.); (L.S.-C.); (S.V.-S.)
| | | | - Ruth García-Romero
- Pediatric Gastroenterology and Nutrition Section, Hospital Miguel Servet, 50009 Zaragoza, Spain;
| | - Marina Álvarez-Beltrán
- Pediatric Gastroenterology and Nutrition Section, Hospital Vall d’ Hebron, 08035 Barcelona, Spain;
| | - Elena Crehuá-Gaudiza
- Pediatric Gastroenterology and Nutrition Section, Hospital Clínico de Valencia, 46010 Valencia, Spain; (E.C.-G.); (C.M.-C.)
| | - Rosana Muñoz-Codoceo
- Pediatric Gastroenterology and Nutrition Section, Hospital Infantil Niño Jesús, 28009 Madrid, Spain;
| | - Lucrecia Suárez-Cortina
- Cystic Fibrosis Section, Hospital Ramón y Cajal, 28034 Madrid, Spain; (M.G.-G.); (L.S.-C.); (S.V.-S.)
| | - Saioa Vicente-Santamaría
- Cystic Fibrosis Section, Hospital Ramón y Cajal, 28034 Madrid, Spain; (M.G.-G.); (L.S.-C.); (S.V.-S.)
| | - Cecilia Martínez-Costa
- Pediatric Gastroenterology and Nutrition Section, Hospital Clínico de Valencia, 46010 Valencia, Spain; (E.C.-G.); (C.M.-C.)
| | - Juan José Díaz-Martin
- Pediatric Gastroenterology and Nutrition Section, Hospital Central de Asturias, 33011 Oviedo, Spain; (C.M.-S.); (C.B.-G.); (D.G.-J.)
- Correspondence:
| | - Carlos Bousoño-García
- Pediatric Gastroenterology and Nutrition Section, Hospital Central de Asturias, 33011 Oviedo, Spain; (C.M.-S.); (C.B.-G.); (D.G.-J.)
| | - David González-Jiménez
- Pediatric Gastroenterology and Nutrition Section, Hospital Central de Asturias, 33011 Oviedo, Spain; (C.M.-S.); (C.B.-G.); (D.G.-J.)
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