Serum 25-hydroxy-vitamin D3 concentrations increase during tuberculosis treatment in Tanzania

Autor: A, Tostmann, J P M, Wielders, G S, Kibiki, H, Verhoef, M J, Boeree, A J A M, van der Ven
Rok vydání: 2010
Předmět:
Zdroj: The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 14(9)
ISSN: 1815-7920
Popis: Vitamin D deficiency is associated with susceptibility to active tuberculosis (TB) in many settings. In vitro studies and studies on human volunteers showed that two of the first-line anti-tuberculosis drugs, isoniazid and rifampicin, reduce 25-hydroxy vitamin D (25[OH]D) concentrations.To study changes in vitamin D status during treatment of Tanzanian hospitalised patients with pulmonary TB (PTB).We compared serum 25[OH]D concentrations in 81 Tanzanian PTB patients before and after 2 months of treatment.Median serum 25[OH]D concentrations increased from 91 nmol/l at baseline to 101 nmol/l after 2 months of TB treatment (median increase 6.0 nmol/l, IQR -0.7-25.0, P = 0.001). Median serum parathyroid hormone concentrations increased from 1.6 to 2.0 pmol/l (median increase 0.46, IQR -0.2-1.1, P0.001).25[OH]D serum concentrations increased during the first 2 months of TB treatment in 81 PTB patients in northern Tanzania. Improved dietary intake and increased sunlight exposure may have contributed to the increased 25[OH]D concentrations.
Databáze: OpenAIRE