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Archives of Osteoporosis

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01-12-2018 | Original Article

Calcitriol treatment in patients with low vitamin D levels

Authors: Refik Tanakol, Nurdan Gül, Ayşe Kubat Üzüm, Ferihan Aral

Published in: Archives of Osteoporosis | Issue 1/2018

Abstract

Summary

The aim of the the study is to compare the effects of cholecalciferol and calcitriol on bone mineral metabolism in women with vitamin D deficiency. Calcitriol was associated with a significant increase in bone mineral density at the lumbar spine in patients with low vitamin D levels.

Purpose/introduction

Active vitamin D analogs may have larger impact in decreasing bone loss and fracture rate compared to cholecalciferol in osteoporosis. However, their effects in the treatment of vitamin D deficiency compared to cholecalciferol are not clear. The aim of the present study is to compare the effects of cholecalciferol and calcitriol on bone mineral metabolism and bone mineral density in pre- and postmenopausal women with vitamin D deficiency.

Methods

This was a 6-month prospective, open-label, controlled clinical trial. Eligible 120 participants were pre- and postmenopausal women diagnosed with vitamin D deficiency. Forty-three subjects (group 1) received 1000 IU of cholecalciferol and 1 g of calcium daily. The other 77 subjects (group 2) received 0.5 μg calcitriol in addition to 400 IU of cholecalciferol and 1 g of calcium daily.

Results

Oral vitamin D supplementation did not increase bone mineral density after 6 months of intervention in group 1. On the other hand, bone mineral density at the lumbar spine increased from 0.809 ± 0.172 to 0.848 ± 0.161 g/cm² in group 2 patients (p < 0.017 vs baseline).

Conclusions

Oral daily calcitriol was associated with a significant increase in bone mineral density at the lumbar spine in patients with low vitamin D, elevated PTH, and osteoporosis.

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Title: Calcitriol treatment in patients with low vitamin D levels
Authors: Refik Tanakol
Nurdan Gül
Ayşe Kubat Üzüm
Ferihan Aral
Publication date: 01-12-2018
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2018
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-018-0529-2

At a glance: The STEP trials

Springer Medicine

Calcitriol treatment in patients with low vitamin D levels

Abstract

Summary

Purpose/introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Purpose/introduction

Methods

Results

Conclusions

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