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11738

Study of Vitamin D3 Supplementation on Chronic Kidney Disease (Mineral Bone Disease (CKD – MBD) Parameters in Patients with Chronic Kidney Disease Stage 3)

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Last updated: 03 Jan 2025

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Abstract

Background: Bone profile parameters are affected by decreased estimated GFR within chronic kidney disease  stage 3. We aimed to investigate if  bone  profile  parameters  response   to vitamin  D3 supplementation , within  this  stage , became  affected  by  the  presence or absence of  diabetic  state.  Materials and methods: 30 patients having chronic kidney disease (stage 3)   were  enrolled  in  the  study. 19 patients constituted non – diabetic group I and 11 patients constituted  diabetic  group II . All of them   have received vitamin D3  1000 IU  daily  for  3  months . For all patients the following measurements were  performed  before  and  after  vitamin  D3  use :CBC , ESR1 & ESR2 , blood urea , serum  creatinine , estimated  GFR , complete  urine  analysis  , serum Na , protein / creatinine  ratio , serum calcium , serum phosphorus , calcium – phosphorus  product , serum  albumin  , serum  alkaline phosphatase  ,  and  intact  serum  parathyroid  hormone. Results: Serum calcium levels have increased, while   intact parathyroid  hormone   has  decreased  within  both  groups  , with  a  more  obvious  response  within  the  diabetic  group . Serum alkaline phosphatase , serum  phosphorus , and  calcium – phosphorus  product   did  not  show  any significant   change, they were   within  their  level  after  vitamin  d3  use .ESR 1 and  ESR 2 levels were  higher  from the  start of  the study    within the  diabetic  group. Their mean  level  values   have significantly   decreased   in  a  highly  significant  way  within  this  group . Kidney function parameters  and  proteinuria  have  been  deteriorated  within  the  two  groups , being  worse  within  the  diabetic  group . Conclusion: Vitamin D3 use within stage 3 chronic renal disease patients  is  effective  for  patients  support  against  bone  mineral  disturbances  occurring  within  this  disease    .  

DOI

10.12816/0040627

Keywords

vitamin D3, CKD-MBD – Bone profile – Diabetes Mellitus – CKD stage 3

Authors

First Name

Mona Hosny

Last Name

Abdel Salam

MiddleName

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Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

salamhosnymona2015@gmail.com

City

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Orcid

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First Name

Mohamed Mostafa

Last Name

Mohamed

MiddleName

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Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Cherry Reda

Last Name

Kamel

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Abdelkhalek Fouad

Last Name

Mahmoud

MiddleName

-

Affiliation

Internal Medicine, Ministry of Health, Cairo , Egyp

Email

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City

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Orcid

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Volume

69

Article Issue

2

Related Issue

2165

Issue Date

2017-10-01

Receive Date

2018-08-28

Publish Date

2017-10-01

Page Start

1,941

Page End

1,949

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11738.html

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https://ejhm.journals.ekb.eg/service?article_code=11738

Order

25

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Study of Vitamin D3 Supplementation on Chronic Kidney Disease (Mineral Bone Disease (CKD – MBD) Parameters in Patients with Chronic Kidney Disease Stage 3)

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Article

Created At

22 Jan 2023