Vitamin D deficiency in solid‐organ transplant recipients from a Spanish Mediterranean population

التفاصيل البيبلوغرافية
العنوان: Vitamin D deficiency in solid‐organ transplant recipients from a Spanish Mediterranean population
المؤلفون: C. Berastegui, I. B. Torres, C. Juárez‐Dobjanschi, Carla Ferrándiz-Pulido, Vicente García-Patos, L. Castells, I. Zarzoso‐Muñoz, F. Moreso
المصدر: Clinical and Experimental Dermatology. 44:e103-e109
بيانات النشر: Oxford University Press (OUP), 2019.
سنة النشر: 2019
مصطلحات موضوعية: Adult, Male, Vitamin, medicine.medical_specialty, Population, Transplants, Dermatology, Logistic regression, Gastroenterology, vitamin D deficiency, 030207 dermatology & venereal diseases, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Risk Factors, Internal medicine, Vitamin D and neurology, Humans, Medicine, Vitamin D, education, Aged, Calcifediol, education.field_of_study, Mediterranean Region, business.industry, Middle Aged, Vitamin D Deficiency, medicine.disease, Transplant Recipients, Cross-Sectional Studies, chemistry, Spain, 030220 oncology & carcinogenesis, Cohort, Sunlight, Female, Seasons, Skin cancer, business, Blood sampling
الوصف: BACKGROUND Solid-organ transplant recipients (SOTRs) are at risk of developing vitamin D deficiency, mainly caused by reduced sunlight exposure with subsequent low vitamin D synthesis in the skin. AIM To analyse whether SOTRs from a Spanish Mediterranean region were vitamin D-deficient. METHODS This was a cross-sectional, descriptive and observational study in a transplantation-specialized Dermatological Unit from a Mediterranean area to determine the calcidiol levels of a cohort of 78 consecutively attending patients not receiving vitamin D supplements. Serum 25(OH)D3 levels were determined and clinical characteristics were collected. Logistic regression analysis was used to analyse variables associated with dichotomized 25(OH)D3 levels (≤ or > 10 ng/mL). RESULTS The cohort comprised 30 lung, 29 kidney and 19 liver transplant recipients. Mean calcidiol was 18 ± 9 ng/mL. Deficiency of 25(OH)D3 was present in 19% of patients, while 68% had insufficient levels and 13% had sufficient levels. Following multivariate logistic regression analysis, the season of blood sampling remained the only predictor of deficient 25(OH)D3 levels. CONCLUSION Despite living in a mid-latitude country with sunny weather, our SOTR population was at high risk of developing hypovitaminosis D, especially in autumn/winter. Avoiding sun exposure is important to prevent skin cancer, but careful monitoring of vitamin D status is recommended, with supplementation if hypovitaminosis D is detected.
تدمد: 1365-2230
0307-6938
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::82cfe0b6304400eacb805214112fdf0c
https://doi.org/10.1111/ced.13915
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....82cfe0b6304400eacb805214112fdf0c
قاعدة البيانات: OpenAIRE