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Vitamin D deficiency in a European inflammatory bowel disease inception cohort: an Epi-IBD study
S. Chetcuti Zammit, P. Ellul, G. Girardin, D. Valpiani, KR. Nielsen, J. Olsen, A. Goldis, D. Lazar, O. Shonová, M. Nováková, S. Sebastian, E. Whitehead, A. Carmona, J. Martinez-Cadilla, JF. Dahlerup, ALH. Kievit, N. Thorsgaard, KH. Katsanos, DK....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, multicentrická studie
- MeSH
- antiflogistika terapeutické užití MeSH
- biologické markery krev MeSH
- časové faktory MeSH
- dítě MeSH
- dospělí MeSH
- hormony kůry nadledvin terapeutické užití MeSH
- idiopatické střevní záněty diagnóza farmakoterapie epidemiologie MeSH
- kouření škodlivé účinky krev epidemiologie MeSH
- kvalita života MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nedostatek vitaminu D krev diagnóza epidemiologie MeSH
- prevalence MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- stupeň závažnosti nemoci MeSH
- vitamin D krev MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Serum vitamin D level is commonly low in patients with inflammatory bowel disease (IBD). Although there is a growing body of evidence that links low vitamin D level to certain aspects of IBD such as disease activity and quality of life, data on its prevalence and how it varies across disease phenotype, smoking status and treatment groups are still missing. MATERIALS AND METHODS: Patients diagnosed with IBD between 2010 and 2011 were recruited. Demographic data and serum vitamin D levels were collected. Variance of vitamin D level was then assessed across different treatment groups, disease phenotype, disease activity and quality of life scores. RESULTS: A total of 238 (55.9% male) patients were included. Overall, 79% of the patients had either insufficient or deficient levels of vitamin D at diagnosis. Patients needing corticosteroid treatment at 1 year had significantly lower vitamin D levels at diagnosis (median 36.0 nmol/l) (P=0.035). Harvey-Bradshaw Index (P=0.0001) and Simple Clinical Colitis Activity Index scores (P=0.0001) were significantly lower in patients with higher vitamin D level. Serum vitamin D level correlated significantly with SIBQ score (P=0.0001) and with multiple components of SF12. Smokers at diagnosis had the lowest vitamin D levels (vitamin D: 34 nmol/l; P=0.053). CONCLUSION: This study demonstrates the high prevalence of low vitamin D levels in treatment-naive European IBD populations. Furthermore, it demonstrates the presence of low vitamin D levels in patients with IBD who smoke.
Clinic of Gastroenterology University of Medicine 'Victor Babes' Timisoara Romania Balkans
Department of Gastroenterology Adelaide and Meath Hospital TCD Dublin Ireland
Department of Gastroenterology Faculty of Medicine and Health Örebro University Örebro
Department of Gastroenterology Hospital Povisa Vigo
Department of Gastroenterology North Zealand University Hospital Roskilde Denmark
Department of Hepatology and Gastroenterology Aarhus University Hospital Aarhus
Department of Pediatrics Hvidovre Hospital University of Copenhagen Hvidovre
Department of Surgical Oncological and Gastroenterological Sciences University of Padua Padua
Division of Gastroenterology Medical School and University Hospital of Ioannina Greece
Gastroenterology Department Odense University Hospital Odense C
Gastroenterology Department Slagelse Hospital Slagelse
Gastroenterology Division Mater Dei Hospital Malta
Hospital Budweis South Bohemia
IBD Clinical and Research Centre Iscare Prague Czech Republic
IBD Department St Mark's Hospital London UK
IBD Unit Hull and East Yorkshire NHS Trust
Medical Department The National Hospital of the Faroe Islands Torshavn Faroe Islands
Medical Department Viborg Regional Hospital Viborg
Nicosia Private Practice Cyprus
Semmelweis University Budapest Hungary
Tartu University Hospital University of Tartu Tartu Estonia
U O Gastroenterologia ed Endoscopia Digestiva Ospedale Morgagni Pierantoni Forlì Italy
University Hospital Center Zagreb School of Medicine University of Zagreb Zagreb Croatia
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- $a Chetcuti Zammit, Stefania $u Gastroenterology Division, Mater Dei Hospital, Malta.
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- $a Vitamin D deficiency in a European inflammatory bowel disease inception cohort: an Epi-IBD study / $c S. Chetcuti Zammit, P. Ellul, G. Girardin, D. Valpiani, KR. Nielsen, J. Olsen, A. Goldis, D. Lazar, O. Shonová, M. Nováková, S. Sebastian, E. Whitehead, A. Carmona, J. Martinez-Cadilla, JF. Dahlerup, ALH. Kievit, N. Thorsgaard, KH. Katsanos, DK. Christodoulou, F. Magro, R. Salupere, N. Pedersen, J. Kjeldsen, K. Carlsen, K. Ioannis, D. Bergemalm, J. Halfvarson, D. Duricova, M. Bortlik, P. Collin, P. Oksanen, G. Kiudelis, L. Kupcinskas, K. Kudsk, V. Andersen, C. O'Morain, Y. Bailey, S. Doron, O. Shmuel, S. Almer, N. Arebi, R. Misra, S. Čuković-Čavka, M. Brinar, P. Munkholm, Z. Vegh, J. Burisch,
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- $a BACKGROUND: Serum vitamin D level is commonly low in patients with inflammatory bowel disease (IBD). Although there is a growing body of evidence that links low vitamin D level to certain aspects of IBD such as disease activity and quality of life, data on its prevalence and how it varies across disease phenotype, smoking status and treatment groups are still missing. MATERIALS AND METHODS: Patients diagnosed with IBD between 2010 and 2011 were recruited. Demographic data and serum vitamin D levels were collected. Variance of vitamin D level was then assessed across different treatment groups, disease phenotype, disease activity and quality of life scores. RESULTS: A total of 238 (55.9% male) patients were included. Overall, 79% of the patients had either insufficient or deficient levels of vitamin D at diagnosis. Patients needing corticosteroid treatment at 1 year had significantly lower vitamin D levels at diagnosis (median 36.0 nmol/l) (P=0.035). Harvey-Bradshaw Index (P=0.0001) and Simple Clinical Colitis Activity Index scores (P=0.0001) were significantly lower in patients with higher vitamin D level. Serum vitamin D level correlated significantly with SIBQ score (P=0.0001) and with multiple components of SF12. Smokers at diagnosis had the lowest vitamin D levels (vitamin D: 34 nmol/l; P=0.053). CONCLUSION: This study demonstrates the high prevalence of low vitamin D levels in treatment-naive European IBD populations. Furthermore, it demonstrates the presence of low vitamin D levels in patients with IBD who smoke.
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