Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis

BACKGROUND Inflammatory bowel disease (IBD), Crohn’s disease (CD), and Ulcerative colitis (UC) are autoimmune inflammatory diseases of the alimentary tract, which seems to be caused by the interaction of environmental and genetic factors as well as diet and nutritional factors such as vitamin D. Th...

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Main Authors: Amrollah Sharifi, Saharnaz Nedjat, Homayoon Vahedi, Gholamreza Veghari, Mohammad Javad Hosseinzadeh-Attar
Formato: Artigo
Idioma:English
Publicado: Iranian Association of Gastroenterology and Hepatology, Shiraz University of Medical Sciences 2018-04-01
Series:Middle East Journal of Digestive Diseases
Subjects:
Acceso en liña:http://www.mejdd.org/index.php/mejdd/article/view/1888
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author Amrollah Sharifi
Saharnaz Nedjat
Homayoon Vahedi
Gholamreza Veghari
Mohammad Javad Hosseinzadeh-Attar
author_facet Amrollah Sharifi
Saharnaz Nedjat
Homayoon Vahedi
Gholamreza Veghari
Mohammad Javad Hosseinzadeh-Attar
author_sort Amrollah Sharifi
collection DOAJ
description BACKGROUND Inflammatory bowel disease (IBD), Crohn’s disease (CD), and Ulcerative colitis (UC) are autoimmune inflammatory diseases of the alimentary tract, which seems to be caused by the interaction of environmental and genetic factors as well as diet and nutritional factors such as vitamin D. The aim of this study was to assess the vitamin D status and its associations with erythrocyte sedimentation rate (ESR), and high-sensitivity C-reactive protein (hs-CRP) as inflammatory markers in patients with UC. METHODS In this analytical cross-sectional study 90 patients with mild to moderate UC who were resident of Tehran were assessed. 25(OH)D, parathyroid hormone (PTH), ESR and hs-CRP were measured. Dietary intake was assessed by 3-day 24h diet recall. Statistical analyses were performed using STATA (Version 12). RESULTS The average serum 25-OH-vitamin D3 was 33.1 ± 8.3 ng/mL and 38.9% of the patients were vitamin D deficient or insufficient (37.3% of men and 41% of women). No significant correlation between serum 25(OH)D and hs-CRP, ESR, body mass index (BMI), and disease duration was found. There were no significant differences in serum 25(OH)D between men and women. Mean daily dietary vitamin D and calcium intakes were 189.5 Iu (95% CI: 176.0 - 203.1) and 569.5 mg (95% CI: 538.8 - 600.2) respectively. CONCLUSION In this cross-sectional study 38.9% of the patients with mild to moderate UC were vitamin D deficient or insufficient and vitamin D level was not correlated to ESR and/or hs-CRP. More studies are needed to investigate the effect of vitamin D in the pathogenesis of UC or as a part of its treatment.
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spelling doaj.art-2b4a1eeb51fa4577b6877d6889acb2a62022-12-21T23:20:58ZengIranian Association of Gastroenterology and Hepatology, Shiraz University of Medical SciencesMiddle East Journal of Digestive Diseases2008-52302008-52492018-04-01102848910.15171/mejdd.2018.95Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative ColitisAmrollah Sharifi0Saharnaz Nedjat1Homayoon Vahedi2Gholamreza Veghari3Mohammad Javad Hosseinzadeh-Attar4Golestan Research Center of Gastroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences (GOUMS), Gorgan, IranEpidemiology and Biostatistics Department, School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, IranDigestive Disease Research Center, Digestive Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranBiochemistry and Metabolic Disorders Research Center, Golestan University of Medical Sciences. Gorgan, IranDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, IranBACKGROUND Inflammatory bowel disease (IBD), Crohn’s disease (CD), and Ulcerative colitis (UC) are autoimmune inflammatory diseases of the alimentary tract, which seems to be caused by the interaction of environmental and genetic factors as well as diet and nutritional factors such as vitamin D. The aim of this study was to assess the vitamin D status and its associations with erythrocyte sedimentation rate (ESR), and high-sensitivity C-reactive protein (hs-CRP) as inflammatory markers in patients with UC. METHODS In this analytical cross-sectional study 90 patients with mild to moderate UC who were resident of Tehran were assessed. 25(OH)D, parathyroid hormone (PTH), ESR and hs-CRP were measured. Dietary intake was assessed by 3-day 24h diet recall. Statistical analyses were performed using STATA (Version 12). RESULTS The average serum 25-OH-vitamin D3 was 33.1 ± 8.3 ng/mL and 38.9% of the patients were vitamin D deficient or insufficient (37.3% of men and 41% of women). No significant correlation between serum 25(OH)D and hs-CRP, ESR, body mass index (BMI), and disease duration was found. There were no significant differences in serum 25(OH)D between men and women. Mean daily dietary vitamin D and calcium intakes were 189.5 Iu (95% CI: 176.0 - 203.1) and 569.5 mg (95% CI: 538.8 - 600.2) respectively. CONCLUSION In this cross-sectional study 38.9% of the patients with mild to moderate UC were vitamin D deficient or insufficient and vitamin D level was not correlated to ESR and/or hs-CRP. More studies are needed to investigate the effect of vitamin D in the pathogenesis of UC or as a part of its treatment.http://www.mejdd.org/index.php/mejdd/article/view/1888Vitamin DUlcerative ColitisInflammationInflammatory Bowel Disease
spellingShingle Amrollah Sharifi
Saharnaz Nedjat
Homayoon Vahedi
Gholamreza Veghari
Mohammad Javad Hosseinzadeh-Attar
Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
Middle East Journal of Digestive Diseases
Vitamin D
Ulcerative Colitis
Inflammation
Inflammatory Bowel Disease
title Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
title_full Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
title_fullStr Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
title_full_unstemmed Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
title_short Vitamin D Status and Its Relation to Inflammatory Markers in Patients with Mild to Moderate Ulcerative Colitis
title_sort vitamin d status and its relation to inflammatory markers in patients with mild to moderate ulcerative colitis
topic Vitamin D
Ulcerative Colitis
Inflammation
Inflammatory Bowel Disease
url http://www.mejdd.org/index.php/mejdd/article/view/1888
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