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
Hauptverfasser: 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
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container_issue 5
container_start_page 808
container_title Respirology (Carlton, Vic.)
container_volume 17
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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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. 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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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