Analysing the effect of multiple sclerosis on vitamin D related biochemical markers of bone remodelling

Autor: Barbara Murray, Ricardo Segurado, Mark Kilbane, Roisin Lonergan, Malachi J. McKenna, Niall Tubridy
Rok vydání: 2017
Předmět:
Zdroj: The Journal of steroid biochemistry and molecular biology. 177
ISSN: 1879-1220
Popis: The Irish population is at risk of vitamin D deficiency during the winter months, but the secular trend over the past 40 years is for marked improvement. Multiple sclerosis (MS) is common in Ireland with a latitudinal pattern favouring highest incidence in northern regions; MS is linked strongly with vitamin D status as a causal factor. We sought firstly to study the relationship between vitamin D status and vitamin D-related bone biochemistry, and secondly to evaluate if MS had an independent effect on vitamin D related markers of bone remodelling. Using a case-control design of 165 pairs (MS patient and matched control) residing in three different geographic regions during winter months, we measured serum 25-hydroxyvitamin D (25OHD), parathyroid hormone (PTH), C-terminal telopeptide of type I collagen (CTX) and total procollagen type I amino-terminal propeptide (PINP). Given the paired case-control design, associations were explored using mixed-effects linear regression analysis with the patient-control pair as a random effect and after log transformation of 25OHD. A two-way interaction effect was tested for vitamin D status (25OHD
Databáze: OpenAIRE