Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents

Objective:The aim of this study was to evaluate the efficiency of a buccal spray form of vitamin D compared to single oral dose (stoss therapy) and oral drops therapy in the treatment of vitamin D deficiency.Methods:Ninety healthy children and adolescents (3-18 years) with vitamin D deficiency [seru...

Full description

Bibliographic Details
Main Authors: Özlem Nalbantoğlu, Sezer Acar, Gülçin Arslan, Özge Köprülü, Behzat Özkan
Format: Article
Language:English
Published: Galenos Yayincilik 2021-12-01
Series:JCRPE
Subjects:
Online Access: http://www.jcrpe.org/archives/archive-detail/article-preview/nvestigating-the-efficiency-of-vitamin-d-administr/47685
_version_ 1797914622498439168
author Özlem Nalbantoğlu
Sezer Acar
Gülçin Arslan
Özge Köprülü
Behzat Özkan
author_facet Özlem Nalbantoğlu
Sezer Acar
Gülçin Arslan
Özge Köprülü
Behzat Özkan
author_sort Özlem Nalbantoğlu
collection DOAJ
description Objective:The aim of this study was to evaluate the efficiency of a buccal spray form of vitamin D compared to single oral dose (stoss therapy) and oral drops therapy in the treatment of vitamin D deficiency.Methods:Ninety healthy children and adolescents (3-18 years) with vitamin D deficiency [serum level of 25-hydroxyvitamin D (25(OH) D) <12 ng/mL] were randomized to receive vitamin D3 buccal spray (2000 U, n=30, group 1) for six weeks, oral drops (2000 U, n=30, group 2) for six weeks and a single oral dose (300 000 U) vitamin D3 (n=30, group 3). Serum calcium, phosphorus, alkaline phosphatase, parathyroid hormone and 25(OH)D levels of the patients were measured at baseline and after the treatment on the 42nd day.Results:All three groups had a significant increase in serum 25(OH)D concentrations (p<0.001). In group 1, baseline mean 25(OH)D was 8.0±0.41 ng/mL, which rose to 22.1 (17.8-28.2) ng/mL after treatment with a mean increase of 15.6±1.3 ng/mL. Similarly in group 2, baseline, post-treatment and mean increase in 25(OH)D concentrations were 7.9±0.45 ng/mL, 24.4 (20.6-29.6) ng/mL and 17.3±1.1 ng/mL while for group 3 these values were 7.6±0.47 ng/mL, 40.3 (29.4-58.4) ng/mL and 34.3±3.2 ng/mL, respectively.Conclusion:We conclude that vitamin D3 supplementation with buccal spray and oral drops is equally effective in terms of raising vitamin D concentrations in short-term treatment of vitamin D deficiency.
first_indexed 2024-04-10T12:29:20Z
format Article
id doaj.art-f2207855074441e884d5c060c9fcaa0e
institution Directory Open Access Journal
issn 1308-5727
1308-5735
language English
last_indexed 2024-04-10T12:29:20Z
publishDate 2021-12-01
publisher Galenos Yayincilik
record_format Article
series JCRPE
spelling doaj.art-f2207855074441e884d5c060c9fcaa0e2023-02-15T16:15:01ZengGalenos YayincilikJCRPE1308-57271308-57352021-12-0113442643210.4274/jcrpe.galenos.2021.2021.004713049054Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and AdolescentsÖzlem Nalbantoğlu0Sezer Acar1Gülçin Arslan2Özge Köprülü3Behzat Özkan4 University of Health Sciences Turkey, Dr. Behçet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Clinic of Pediatric Endocrinology, İzmir, Turkey University of Health Sciences Turkey, Dr. Behçet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Clinic of Pediatric Endocrinology, İzmir, Turkey University of Health Sciences Turkey, Dr. Behçet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Clinic of Pediatric Endocrinology, İzmir, Turkey University of Health Sciences Turkey, Dr. Behçet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Clinic of Pediatric Endocrinology, İzmir, Turkey University of Health Sciences Turkey, Dr. Behçet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Clinic of Pediatric Endocrinology, İzmir, Turkey Objective:The aim of this study was to evaluate the efficiency of a buccal spray form of vitamin D compared to single oral dose (stoss therapy) and oral drops therapy in the treatment of vitamin D deficiency.Methods:Ninety healthy children and adolescents (3-18 years) with vitamin D deficiency [serum level of 25-hydroxyvitamin D (25(OH) D) <12 ng/mL] were randomized to receive vitamin D3 buccal spray (2000 U, n=30, group 1) for six weeks, oral drops (2000 U, n=30, group 2) for six weeks and a single oral dose (300 000 U) vitamin D3 (n=30, group 3). Serum calcium, phosphorus, alkaline phosphatase, parathyroid hormone and 25(OH)D levels of the patients were measured at baseline and after the treatment on the 42nd day.Results:All three groups had a significant increase in serum 25(OH)D concentrations (p<0.001). In group 1, baseline mean 25(OH)D was 8.0±0.41 ng/mL, which rose to 22.1 (17.8-28.2) ng/mL after treatment with a mean increase of 15.6±1.3 ng/mL. Similarly in group 2, baseline, post-treatment and mean increase in 25(OH)D concentrations were 7.9±0.45 ng/mL, 24.4 (20.6-29.6) ng/mL and 17.3±1.1 ng/mL while for group 3 these values were 7.6±0.47 ng/mL, 40.3 (29.4-58.4) ng/mL and 34.3±3.2 ng/mL, respectively.Conclusion:We conclude that vitamin D3 supplementation with buccal spray and oral drops is equally effective in terms of raising vitamin D concentrations in short-term treatment of vitamin D deficiency. http://www.jcrpe.org/archives/archive-detail/article-preview/nvestigating-the-efficiency-of-vitamin-d-administr/47685 vitamin dbuccal spray25-hydroxyvitamin doral drops
spellingShingle Özlem Nalbantoğlu
Sezer Acar
Gülçin Arslan
Özge Köprülü
Behzat Özkan
Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
JCRPE
vitamin d
buccal spray
25-hydroxyvitamin d
oral drops
title Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
title_full Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
title_fullStr Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
title_full_unstemmed Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
title_short Investigating the Efficiency of Vitamin D Administration with Buccal Spray in the Treatment of Vitamin D Deficiency in Children and Adolescents
title_sort investigating the efficiency of vitamin d administration with buccal spray in the treatment of vitamin d deficiency in children and adolescents
topic vitamin d
buccal spray
25-hydroxyvitamin d
oral drops
url http://www.jcrpe.org/archives/archive-detail/article-preview/nvestigating-the-efficiency-of-vitamin-d-administr/47685
work_keys_str_mv AT ozlemnalbantoglu investigatingtheefficiencyofvitamindadministrationwithbuccalsprayinthetreatmentofvitaminddeficiencyinchildrenandadolescents
AT sezeracar investigatingtheefficiencyofvitamindadministrationwithbuccalsprayinthetreatmentofvitaminddeficiencyinchildrenandadolescents
AT gulcinarslan investigatingtheefficiencyofvitamindadministrationwithbuccalsprayinthetreatmentofvitaminddeficiencyinchildrenandadolescents
AT ozgekoprulu investigatingtheefficiencyofvitamindadministrationwithbuccalsprayinthetreatmentofvitaminddeficiencyinchildrenandadolescents
AT behzatozkan investigatingtheefficiencyofvitamindadministrationwithbuccalsprayinthetreatmentofvitaminddeficiencyinchildrenandadolescents