Yıl: 2017 Cilt: 9 Sayı: 2 Sayfa Aralığı: 150 - 155 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?

Öz:
Objective: Stoss vitamin D treatment has been recommended for its non-skeletal benefits in adults, but there is a lack of data on the optimal dose of vitamin D stoss therapy in children with vitamin D deficiency/insufficiency without rickets. This study aimed to compare efficiency/side effects of two different stoss therapy regimens (10 000 IU/kg and 300 000 IU vitamin D3) administered in children with vitamin D deficiency/insufficiency without rickets.Methods: Sixty-four children who had vitamin D deficiency/insufficiency were studied. A serum 25-hydroxyvitamin-D (25-OH-D) level of 15-20 ng/mL was considered as vitamin D insufficient and <15 ng/mL was considered as vitamin D deficient. The patients were divided into two groups according to the stoss therapy doses they received. Serum calcium, phosphate, alkaline phosphatase, 25-OH-D, parathyroid hormone levels, and spot urine calcium/creatinine ratios before/after treatment were recorded. Wrist radiography and renal ultrasonography were performed.Results: The mean age of the subjects was 10.6±4.4 years. Thirty-two children were treated with a single vitamin D3 dose of 10 000 IU/kg and 32 patients received 300 000 IU. No difference was found in 25-OH-D levels between the two groups at presentation. The mean level of 25-OH-D was higher in the 10 000 IU/kg group at the second week of therapy. There was no difference between the groups at post-treatment weeks 4 and 12. The 25-OH-D was found to be below optimal levels (>=30 ng/mL) in 66.5% and <20 ng/mL in 21.8% of patients at the third month in both groups. None developed hypercalcemia and/or hypercalciuria. Nephrolithiasis was not detected in any patient.Conclusion: This study showed that both doses of stoss therapy used in the treatment of vitamin D insufficiency/deficiency are effective and safe. However, an optimal level of 25-OH-D cannot be maintained for more than three months.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Pediatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Carmeliet G, Dermauw V, Bouillon R. Vitamin D signaling in calcium and bone homeostasis: a delicate balance. Best Pract Res Clin Endocrinol Metab 2015;29:621-631. Epub 2015 Jun 30
  • Spedding S, Vanlint S, Morris H, Scragg R. Does vitamin D sufficiency equate to a single serum 25-hydroxyvitamin D level or are different levels required for non-skeletal diseases? Nutrients 2013;5:5127-5139.
  • Manson JE, Bassuk SS. Vitamin D research and clinical practice: at a crossroads. JAMA 2015;313:1311-1312.
  • Ozkan B. Nutritional rickets. J Clin Res Pediatr Endocrinol 2010;2:137- 143. Epub 2010 Nov 1
  • McNally JD, Iliriani K, Pojsupap S, Sampson M, O'Hearn K, McIntyre L, Fergusson D, Menon K. Rapid normalization of vitamin D levels: a meta-analysis. Pediatrics 2015;135:152-166. Epub 2014 Dec 15
  • Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM. Guidelines for preventing and treating vitamin D deficiency and insufficiency revisited. J Clin Endocrinol Metab 2012;97:1153-1158. Epub 2012 Mar 22
  • Aloia JF. Clinical Review: The 2011 report on dietary reference intake for vitamin D: where do we go from here? J Clin Endocrinol Metab 2011;96:2987-2996. Epub 2011 Jul 27
  • Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96:1911-1930. Epub 2011 Jun 6
  • Abrams SA; Committee on Nutrition. Calcium and vitamin D requirements of enterally fed preterm infants. Pediatrics 2013;131:1676-1683. Epub 2013 Apr 29
  • Pettifor JM. Rickets and vitamin D deficiency in children and adolescents. Endocrinol Metab Clin North Am 2005;34:537-553.
  • Emel T, Doğan DA, Erdem G, Faruk O. Therapy strategies in vitamin D deŞciency with or without rickets: efŞciency of low-dose stoss therapy. J Pediatr Endocrinol Metab 2012;25:107-110.
  • Esposito S, Lelii M. Vitamin D and respiratory tract infections in childhood. BMC Infect Dis 2015;15:487.
  • Gatti D, El Ghoch M, Viapiana O, Ruocco A, Chignola E, Rossini M, Giollo A, Idolazzi L, Adami S, Dalle Grave R. Strong relationship between vitamin D status and bone mineral density in anorexia nervosa. Bone 2015;78:212-215. Epub 2015 May 14
  • Voloc A, Esterle L, Nguyen TM, Debray O, Colofitchi A, Jehan F, Garabedian M. High prevalence of genu varum/valgum in European children with low vitamin D status and insufficient dairy products/ calcium intakes. Eur J Endocrinol 2010;163:811-817. Epub 2010 Aug 25
  • IOM (Institute of Medicine). Dietary reference intakes for calcium and vitamin D. Washington DC: The National Academies Press. 2011.
  • Mittal H, Rai S, Shah D, Madhu SV, Mehrotra G, Malhotra RK, Gupta P. 300,000 IU or 600,000 IU of oral vitamin D3 for treatment of nutritional rickets: a randomized controlled trial. Indian Pediatr 2014;51:265-272.
  • Özkan B, Büyükavcı M, Energin M, Dirican ME. Comparison of different treatment modalities (300,000 U oral, 300,000 U IM, 600,000 U oral vitamin D) in nutritional rickets. Çocuk Sağlığı ve Hastalıkları Dergisi 2000;43:30-35.
  • Cesur Y, Caksen H, Gündem A, Kirimi A, Odabaş D. Comparison of low and high dose of vitamin D treatment in nutritional vitamin D deficiency rickets. J Pediatr Endocrinol Metab 2003;16:1105-1109.
  • Lubani MM, al-Shab TS, al-Saleh QA, Sharda DC, Quattawi SA, Ahmed SA, Moussa MA, Reavey PC. Vitamin D-deficiency rickets in Kuwait: the prevalence of a preventable disease. Ann Trop Paediatr 1989;9:134- 139.
  • Shah BR, Finberg L. Single-day therapy for nutritional vitamin D-deficiency rickets: a preferred method. J Pediatr 1994;125:487-490.
APA KOÇYİĞİT C, Çatlı G, İnce G, ÖZKAN BÜŞRA E, DÜNDAR B (2017). Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. , 150 - 155.
Chicago KOÇYİĞİT Cemil,Çatlı Gönül,İnce Gülberat,ÖZKAN BÜŞRA Elif,DÜNDAR Bumin Nuri Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. (2017): 150 - 155.
MLA KOÇYİĞİT Cemil,Çatlı Gönül,İnce Gülberat,ÖZKAN BÜŞRA Elif,DÜNDAR Bumin Nuri Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. , 2017, ss.150 - 155.
AMA KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. . 2017; 150 - 155.
Vancouver KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. . 2017; 150 - 155.
IEEE KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B "Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?." , ss.150 - 155, 2017.
ISNAD KOÇYİĞİT, Cemil vd. "Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?". (2017), 150-155.
APA KOÇYİĞİT C, Çatlı G, İnce G, ÖZKAN BÜŞRA E, DÜNDAR B (2017). Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. Journal of Clinical Research in Pediatric Endocrinology, 9(2), 150 - 155.
Chicago KOÇYİĞİT Cemil,Çatlı Gönül,İnce Gülberat,ÖZKAN BÜŞRA Elif,DÜNDAR Bumin Nuri Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. Journal of Clinical Research in Pediatric Endocrinology 9, no.2 (2017): 150 - 155.
MLA KOÇYİĞİT Cemil,Çatlı Gönül,İnce Gülberat,ÖZKAN BÜŞRA Elif,DÜNDAR Bumin Nuri Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. Journal of Clinical Research in Pediatric Endocrinology, vol.9, no.2, 2017, ss.150 - 155.
AMA KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. Journal of Clinical Research in Pediatric Endocrinology. 2017; 9(2): 150 - 155.
Vancouver KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?. Journal of Clinical Research in Pediatric Endocrinology. 2017; 9(2): 150 - 155.
IEEE KOÇYİĞİT C,Çatlı G,İnce G,ÖZKAN BÜŞRA E,DÜNDAR B "Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?." Journal of Clinical Research in Pediatric Endocrinology, 9, ss.150 - 155, 2017.
ISNAD KOÇYİĞİT, Cemil vd. "Can Stoss Therapy Be Used in Children with Vitamin D Deficiency or Insufficiency without Rickets?". Journal of Clinical Research in Pediatric Endocrinology 9/2 (2017), 150-155.