Vitamin D assay and supplementation: still debatable issues.

Autor:	Plebani M; University of Padova, Padova, Italy.; QI.LAB.MED, Spin-off of the University of Padova, Padova, Italy., Zaninotto M; QI.LAB.MED, Spin-off of the University of Padova, Padova, Italy., Giannini S; Clinica Medica 1, Department of Medicine, -DIMED, University of Padova, Padova, Italy., Sella S; Clinica Medica 1, Department of Medicine, -DIMED, University of Padova, Padova, Italy., Fusaro M; National Research Council (CNR), Institute of Clinical Physiology (IFC), Pisa, Italy., Tripepi G; National Research Council (CNR), Institute of Clinical Physiology (IFC), Reggio Calabria, Italy., Gallieni M; Department of Biomedical and Clinical Sciences 'Luigi Sacco', University of Milano, Milan, Italy., Herrmann M; Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria., Cozzolino M; Renal Division, Department of Health Sciences, University of Milan, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Diagnosis (Berlin, Germany) [Diagnosis (Berl)] 2024 Sep 20. Date of Electronic Publication: 2024 Sep 20.
DOI:	10.1515/dx-2024-0147
Abstrakt:	Over the last decades, in addition to the improvement of pathophysiological knowledge regarding the role and mechanisms of action of vitamin D, there has been a progressive advancement in analytical technologies for its measurement, as well as in methodological standardization. A significant number of scientific works, meta-analyses, and guidelines have been published on the importance of vitamin D and the need for supplementation in deficient individuals. However, it appears necessary to clarify the fundamental elements related to the measurement of vitamin D (both at the strictly analytical and post-analytical levels) and the scientific evidence related to the efficacy/safety of supplementation. In particular, there is a need to discuss current recommended levels for deficiency, insufficiency and possible toxicity in the light of evidence from standardization projects. Additionally, given the important interrelations between vitamin D, parathyroid hormone (PTH), and fibroblast growth factor-23 (FGF23), the analytical issues and clinical utility of these biomarkers will be discussed. (© 2024 the author(s), published by De Gruyter, Berlin/Boston.)
Databáze:	MEDLINE
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