Vitamin D deficiency and changes in serum vitamin D levels with treatment among tuberculosis patients in South Korea
ABSTRACT Background and objective: Vitamin D deficiency has been reported to be associated with the development of active tuberculosis (TB), but many discrepancies exist among studies. The aims of this study were to compare the frequency of vitamin D deficiency in a Korean population of TB patients...
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Veröffentlicht in: | Respirology (Carlton, Vic.) Vic.), 2012-07, Vol.17 (5), p.808-813 |
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creator | KOO, HYEON-KYOUNG LEE, JI SUN JEONG, YUN JEONG CHOI, SUN MI KANG, HYO JAE LIM, HYO-JEONG JEONG, INA PARK, JONG SUN LEE, SANG-MIN YANG, SEOK-CHUL YOO, CHUL-GYU KIM, YOUNG WHAN HAN, SUNG-KOO YIM, JAE-JOON |
description | ABSTRACT
Background and objective: Vitamin D deficiency has been reported to be associated with the development of active tuberculosis (TB), but many discrepancies exist among studies. The aims of this study were to compare the frequency of vitamin D deficiency in a Korean population of TB patients and control subjects, and to monitor the changes in vitamin D levels during TB treatment.
Methods: Patients with newly diagnosed TB were prospectively enrolled. In addition, healthy volunteers or patients with diseases other than TB were enrolled as controls. Baseline serum 25‐hydroxyvitamin D (25‐OHD) levels were measured in both groups and compared. In the TB patients, measurements of serum 25‐OHD were repeated 1 month after the initiation of treatment and again after completion of treatment.
Results: In total, 116 patients with TB and 86 control subjects were recruited. The median 25‐OHD concentration was not different in TB patients at diagnosis (13.9 ng/mL; interquartile range (IQR) 8.80–21.8) compared with control subjects (13.2 ng/mL; IQR 9.6–19.3) (P = 0.97). The frequency of vitamin D deficiency (≤10 ng/mL) was also not different in TB patients (36.2%) compared with controls (27.3%) (P = 0.21). In TB patients, the median 25‐OHD concentration decreased significantly during treatment, to 12.5 ng/mL at 1 month and 11.0 ng/mL on completion of treatment (P = 0.01).
Conclusions: Vitamin D levels do not appear to be associated with the development of TB in the Korean population. The median 25‐OHD concentration decreased after treatment for TB.
25‐OHD levels were compared in TB patients and control subjects, and changes in 25‐OHD during TB treatment were monitored. In this Korean population, the prevalence of vitamin D deficiency did not differ between the two groups, but the median 25‐OHD concentration decreased after TB treatment. |
doi_str_mv | 10.1111/j.1440-1843.2012.02172.x |
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Background and objective: Vitamin D deficiency has been reported to be associated with the development of active tuberculosis (TB), but many discrepancies exist among studies. The aims of this study were to compare the frequency of vitamin D deficiency in a Korean population of TB patients and control subjects, and to monitor the changes in vitamin D levels during TB treatment.
Methods: Patients with newly diagnosed TB were prospectively enrolled. In addition, healthy volunteers or patients with diseases other than TB were enrolled as controls. Baseline serum 25‐hydroxyvitamin D (25‐OHD) levels were measured in both groups and compared. In the TB patients, measurements of serum 25‐OHD were repeated 1 month after the initiation of treatment and again after completion of treatment.
Results: In total, 116 patients with TB and 86 control subjects were recruited. The median 25‐OHD concentration was not different in TB patients at diagnosis (13.9 ng/mL; interquartile range (IQR) 8.80–21.8) compared with control subjects (13.2 ng/mL; IQR 9.6–19.3) (P = 0.97). The frequency of vitamin D deficiency (≤10 ng/mL) was also not different in TB patients (36.2%) compared with controls (27.3%) (P = 0.21). In TB patients, the median 25‐OHD concentration decreased significantly during treatment, to 12.5 ng/mL at 1 month and 11.0 ng/mL on completion of treatment (P = 0.01).
Conclusions: Vitamin D levels do not appear to be associated with the development of TB in the Korean population. The median 25‐OHD concentration decreased after treatment for TB.
25‐OHD levels were compared in TB patients and control subjects, and changes in 25‐OHD during TB treatment were monitored. In this Korean population, the prevalence of vitamin D deficiency did not differ between the two groups, but the median 25‐OHD concentration decreased after TB treatment.</description><identifier>ISSN: 1323-7799</identifier><identifier>EISSN: 1440-1843</identifier><identifier>DOI: 10.1111/j.1440-1843.2012.02172.x</identifier><identifier>PMID: 22449254</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>25-Hydroxyvitamin D ; Adult ; Aged ; Antitubercular Agents - therapeutic use ; Case-Control Studies ; change ; Comorbidity ; Female ; Humans ; Male ; Middle Aged ; Mycobacterium ; Nutrient deficiency ; Prevalence ; Prospective Studies ; Republic of Korea - epidemiology ; Risk Factors ; Severity of Illness Index ; treatment ; Tuberculosis ; Tuberculosis - blood ; Tuberculosis - drug therapy ; Tuberculosis - epidemiology ; Vitamin D ; Vitamin D - blood ; vitamin D deficiency ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - ethnology</subject><ispartof>Respirology (Carlton, Vic.), 2012-07, Vol.17 (5), p.808-813</ispartof><rights>2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology</rights><rights>2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4412-1daeae5a5928026f5c8f42bc068015770ba3e8619304d1786eee9bff52e838733</citedby><cites>FETCH-LOGICAL-c4412-1daeae5a5928026f5c8f42bc068015770ba3e8619304d1786eee9bff52e838733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-1843.2012.02172.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-1843.2012.02172.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22449254$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KOO, HYEON-KYOUNG</creatorcontrib><creatorcontrib>LEE, JI SUN</creatorcontrib><creatorcontrib>JEONG, YUN JEONG</creatorcontrib><creatorcontrib>CHOI, SUN MI</creatorcontrib><creatorcontrib>KANG, HYO JAE</creatorcontrib><creatorcontrib>LIM, HYO-JEONG</creatorcontrib><creatorcontrib>JEONG, INA</creatorcontrib><creatorcontrib>PARK, JONG SUN</creatorcontrib><creatorcontrib>LEE, SANG-MIN</creatorcontrib><creatorcontrib>YANG, SEOK-CHUL</creatorcontrib><creatorcontrib>YOO, CHUL-GYU</creatorcontrib><creatorcontrib>KIM, YOUNG WHAN</creatorcontrib><creatorcontrib>HAN, SUNG-KOO</creatorcontrib><creatorcontrib>YIM, JAE-JOON</creatorcontrib><title>Vitamin D deficiency and changes in serum vitamin D levels with treatment among tuberculosis patients in South Korea</title><title>Respirology (Carlton, Vic.)</title><addtitle>Respirology</addtitle><description>ABSTRACT
Background and objective: Vitamin D deficiency has been reported to be associated with the development of active tuberculosis (TB), but many discrepancies exist among studies. The aims of this study were to compare the frequency of vitamin D deficiency in a Korean population of TB patients and control subjects, and to monitor the changes in vitamin D levels during TB treatment.
Methods: Patients with newly diagnosed TB were prospectively enrolled. In addition, healthy volunteers or patients with diseases other than TB were enrolled as controls. Baseline serum 25‐hydroxyvitamin D (25‐OHD) levels were measured in both groups and compared. In the TB patients, measurements of serum 25‐OHD were repeated 1 month after the initiation of treatment and again after completion of treatment.
Results: In total, 116 patients with TB and 86 control subjects were recruited. The median 25‐OHD concentration was not different in TB patients at diagnosis (13.9 ng/mL; interquartile range (IQR) 8.80–21.8) compared with control subjects (13.2 ng/mL; IQR 9.6–19.3) (P = 0.97). The frequency of vitamin D deficiency (≤10 ng/mL) was also not different in TB patients (36.2%) compared with controls (27.3%) (P = 0.21). In TB patients, the median 25‐OHD concentration decreased significantly during treatment, to 12.5 ng/mL at 1 month and 11.0 ng/mL on completion of treatment (P = 0.01).
Conclusions: Vitamin D levels do not appear to be associated with the development of TB in the Korean population. The median 25‐OHD concentration decreased after treatment for TB.
25‐OHD levels were compared in TB patients and control subjects, and changes in 25‐OHD during TB treatment were monitored. In this Korean population, the prevalence of vitamin D deficiency did not differ between the two groups, but the median 25‐OHD concentration decreased after TB treatment.</description><subject>25-Hydroxyvitamin D</subject><subject>Adult</subject><subject>Aged</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Case-Control Studies</subject><subject>change</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Nutrient deficiency</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>treatment</subject><subject>Tuberculosis</subject><subject>Tuberculosis - blood</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis - epidemiology</subject><subject>Vitamin D</subject><subject>Vitamin D - blood</subject><subject>vitamin D deficiency</subject><subject>Vitamin D Deficiency - blood</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - ethnology</subject><issn>1323-7799</issn><issn>1440-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1PFDEYgCdGIwj-BdOjlxn7Oe1cTBQQDKsQQE28NJ3OO9B1Pta2A7v_3g6Le6aXNnmf9-nhyTJEcEHS-bAsCOc4J4qzgmJCC0yJpMX6Rba_G7xMb0ZZLmVV7WVvQlhijJnA4nW2RynnFRV8P4s_XTS9G9AxaqB11sFgN8gMDbJ3ZriFgNIsgJ96dL8jO7iHLqAHF-9Q9GBiD0NEph-HWxSnGrydujG4gFYmJmF8lFyPU8LPx8QfZq9a0wV4-3QfZD--nNwcneWLi9OvR58WueWc0Jw0BgwIIyqqMC1bYVXLaW1xqTARUuLaMFAlqRjmDZGqBICqbltBQTElGTvI3m-9Kz_-nSBE3btgoevMAOMUNMFMlVjwkj8DpZRJyblKqNqi1o8heGj1yrve-E2C9JxHL_VcQc8V9JxHP-bR67T67umXqe6h2S3-75GAj1vgwXWwebZYX51cX87PJMi3AhcirHcC4__oUjIp9K_vp_ry8-Lsd3XO9Df2D_PdraE</recordid><startdate>201207</startdate><enddate>201207</enddate><creator>KOO, HYEON-KYOUNG</creator><creator>LEE, JI SUN</creator><creator>JEONG, YUN JEONG</creator><creator>CHOI, SUN MI</creator><creator>KANG, HYO JAE</creator><creator>LIM, HYO-JEONG</creator><creator>JEONG, INA</creator><creator>PARK, JONG SUN</creator><creator>LEE, SANG-MIN</creator><creator>YANG, SEOK-CHUL</creator><creator>YOO, CHUL-GYU</creator><creator>KIM, YOUNG WHAN</creator><creator>HAN, SUNG-KOO</creator><creator>YIM, JAE-JOON</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>201207</creationdate><title>Vitamin D deficiency and changes in serum vitamin D levels with treatment among tuberculosis patients in South Korea</title><author>KOO, HYEON-KYOUNG ; LEE, JI SUN ; JEONG, YUN JEONG ; CHOI, SUN MI ; KANG, HYO JAE ; LIM, HYO-JEONG ; JEONG, INA ; PARK, JONG SUN ; LEE, SANG-MIN ; YANG, SEOK-CHUL ; YOO, CHUL-GYU ; KIM, YOUNG WHAN ; HAN, SUNG-KOO ; YIM, JAE-JOON</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4412-1daeae5a5928026f5c8f42bc068015770ba3e8619304d1786eee9bff52e838733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>25-Hydroxyvitamin D</topic><topic>Adult</topic><topic>Aged</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Case-Control Studies</topic><topic>change</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mycobacterium</topic><topic>Nutrient deficiency</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>treatment</topic><topic>Tuberculosis</topic><topic>Tuberculosis - blood</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis - epidemiology</topic><topic>Vitamin D</topic><topic>Vitamin D - blood</topic><topic>vitamin D deficiency</topic><topic>Vitamin D Deficiency - blood</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KOO, HYEON-KYOUNG</creatorcontrib><creatorcontrib>LEE, JI SUN</creatorcontrib><creatorcontrib>JEONG, YUN JEONG</creatorcontrib><creatorcontrib>CHOI, SUN MI</creatorcontrib><creatorcontrib>KANG, HYO JAE</creatorcontrib><creatorcontrib>LIM, HYO-JEONG</creatorcontrib><creatorcontrib>JEONG, INA</creatorcontrib><creatorcontrib>PARK, JONG SUN</creatorcontrib><creatorcontrib>LEE, SANG-MIN</creatorcontrib><creatorcontrib>YANG, SEOK-CHUL</creatorcontrib><creatorcontrib>YOO, CHUL-GYU</creatorcontrib><creatorcontrib>KIM, YOUNG WHAN</creatorcontrib><creatorcontrib>HAN, SUNG-KOO</creatorcontrib><creatorcontrib>YIM, JAE-JOON</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Respirology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KOO, HYEON-KYOUNG</au><au>LEE, JI SUN</au><au>JEONG, YUN JEONG</au><au>CHOI, SUN MI</au><au>KANG, HYO JAE</au><au>LIM, HYO-JEONG</au><au>JEONG, INA</au><au>PARK, JONG SUN</au><au>LEE, SANG-MIN</au><au>YANG, SEOK-CHUL</au><au>YOO, CHUL-GYU</au><au>KIM, YOUNG WHAN</au><au>HAN, SUNG-KOO</au><au>YIM, JAE-JOON</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin D deficiency and changes in serum vitamin D levels with treatment among tuberculosis patients in South Korea</atitle><jtitle>Respirology (Carlton, Vic.)</jtitle><addtitle>Respirology</addtitle><date>2012-07</date><risdate>2012</risdate><volume>17</volume><issue>5</issue><spage>808</spage><epage>813</epage><pages>808-813</pages><issn>1323-7799</issn><eissn>1440-1843</eissn><abstract>ABSTRACT
Background and objective: Vitamin D deficiency has been reported to be associated with the development of active tuberculosis (TB), but many discrepancies exist among studies. The aims of this study were to compare the frequency of vitamin D deficiency in a Korean population of TB patients and control subjects, and to monitor the changes in vitamin D levels during TB treatment.
Methods: Patients with newly diagnosed TB were prospectively enrolled. In addition, healthy volunteers or patients with diseases other than TB were enrolled as controls. Baseline serum 25‐hydroxyvitamin D (25‐OHD) levels were measured in both groups and compared. In the TB patients, measurements of serum 25‐OHD were repeated 1 month after the initiation of treatment and again after completion of treatment.
Results: In total, 116 patients with TB and 86 control subjects were recruited. The median 25‐OHD concentration was not different in TB patients at diagnosis (13.9 ng/mL; interquartile range (IQR) 8.80–21.8) compared with control subjects (13.2 ng/mL; IQR 9.6–19.3) (P = 0.97). The frequency of vitamin D deficiency (≤10 ng/mL) was also not different in TB patients (36.2%) compared with controls (27.3%) (P = 0.21). In TB patients, the median 25‐OHD concentration decreased significantly during treatment, to 12.5 ng/mL at 1 month and 11.0 ng/mL on completion of treatment (P = 0.01).
Conclusions: Vitamin D levels do not appear to be associated with the development of TB in the Korean population. The median 25‐OHD concentration decreased after treatment for TB.
25‐OHD levels were compared in TB patients and control subjects, and changes in 25‐OHD during TB treatment were monitored. In this Korean population, the prevalence of vitamin D deficiency did not differ between the two groups, but the median 25‐OHD concentration decreased after TB treatment.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22449254</pmid><doi>10.1111/j.1440-1843.2012.02172.x</doi><tpages>6</tpages></addata></record> |
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subjects | 25-Hydroxyvitamin D Adult Aged Antitubercular Agents - therapeutic use Case-Control Studies change Comorbidity Female Humans Male Middle Aged Mycobacterium Nutrient deficiency Prevalence Prospective Studies Republic of Korea - epidemiology Risk Factors Severity of Illness Index treatment Tuberculosis Tuberculosis - blood Tuberculosis - drug therapy Tuberculosis - epidemiology Vitamin D Vitamin D - blood vitamin D deficiency Vitamin D Deficiency - blood Vitamin D Deficiency - epidemiology Vitamin D Deficiency - ethnology |
title | Vitamin D deficiency and changes in serum vitamin D levels with treatment among tuberculosis patients in South Korea |
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