Hypovitaminosis D in internal medicine inpatients.

Details

Serval ID
serval:BIB_4BB04D3D8558
Type
Article: article from journal or magazin.
Collection
Publications
Title
Hypovitaminosis D in internal medicine inpatients.
Journal
Calcified tissue international
Author(s)
Corino A., D'Amelio P., Gancia R., Del Rizzo P., Gabasio S., Limone P., Isaia G.
ISSN
0171-967X (Print)
ISSN-L
0171-967X
Publication state
Published
Issued date
02/2007
Peer-reviewed
Oui
Volume
80
Number
2
Pages
76-80
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Some studies have suggested that hypovitaminosis D may be a consequence of protein-calorie malnutrition. This study assessed both the relationship between vitamin D status, malnutrition, calcium and phosphorus metabolism indices and the importance attached by internists to these alterations. There were 239 patients admitted to an internal medicine division who underwent examinations to assess nutritional state, liver and renal function, and bone metabolism. At the end of the study, the clinical data included in the discharge letter, the treatment prescribed, and the diagnosis assigned to patients on their hospital discharge form were collected. Hypovitaminosis D was found in 72% and hypoalbuminemia in 34.3% of patients. Subjects with hypovitaminosis were generally older and had lower albumin levels than those with mild or no hypovitaminosis. 25-Hydroxyvitamin D was inversely related with parathyroid hormone and directly related with albumin. Alterations of calcium and phosphorus metabolism were present in 55.6% and recorded by the division's physicians for only 13.53% of patients, of whom 72.37% were not specifically treated. There is a direct correlation between 25-hydroxyvitamin D and albumin levels. The high incidence and the metabolic consequence of hypovitaminosis D and of protein-calorie malnutrition is significantly underestimated and undertreated by physicians.
Keywords
Aged, Aged, 80 and over, Calcium/metabolism, Female, Humans, Inpatients, Internal Medicine, Male, Middle Aged, Phosphorus/metabolism, Protein-Energy Malnutrition/blood, Protein-Energy Malnutrition/epidemiology, Protein-Energy Malnutrition/metabolism, Vitamin D/blood, Vitamin D Deficiency/blood, Vitamin D Deficiency/epidemiology, Vitamin D Deficiency/metabolism
Pubmed
Web of science
Create date
23/01/2020 14:40
Last modification date
24/01/2020 6:26
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