Serum Vitamin D levels in Chronic Obstructive Pulmonary Disease

  • Dr. Ajay Kumar PG Student, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
  • Dr. Sanjay Tandon Professor and Head, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
  • Dr. S T Nagdeote Professor, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
  • Dr. Kapil Sharma Assistant Professor, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
  • Dr. Akash Shrikhande Assistant Professor, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
  • Dr. Krishna Gopal PG Student, Department of Pulmonary Medicine, People College of Medical Sciences RC, Bhanpur, Bhopal,MP, India
Keywords: Chronic Obstructive Pulmonary Disease (COPD), mMRC, FEV1%, Serum 25 (OH) vitamin D, Acute Exacerbation, pack years, socioeconomic, 6 minute walk test

Abstract

Introduction: Lower serum 25 (0H) Vitamin D is associated with decreased lung function in healthy population and various lung disease. Information on the relationship of levels of serum 25 (OH) Vitamin D with severity of Chronic Obstructive Pulmonary Disease (COPD) is important in standardizing the treatment, in planning appropriate follow up and improving quality of life. This study also warranted further trial to assess the effect of serum 25 (OH) vitamin D on morbidity and mortality in COPD patients.

Material and Methods: It was a prospective (observational), cross-sectional study which included all patients with Chronic Obstructive Pulmonary Disease (COPD) attended the Department of Pulmonary Medicine, People’s College of Medical Sciences & RC, Bhopal, over a period of 1 year 6 months.

Results: The mean serum 25 (OH) vitamin D level in COPD patients was 27.86±16.47 ng/ml. There was no significant difference in serum 25 (OH) vitamin D between patients in different age groups. The serum 25 (OH) vitamin D levels varied significantly between different GOLD stages and different mMRC dyspnea grades. The patient who had a history of admission for twice or more in the past 1 year had a lower mean serum 25 (OH) vitamin D level as compared to patient with just one or no hospitalization in the past.

Conclusion: Decrease serum 25(0H) vitamin D levels were associated with increase airway obstruction.

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References

Persson LJ, Aanerud M, Hiemstra PS, Hardie JA, Bakke PS, Eagan TM. Chronic obstructive pulmonary disease is associated with low levels of vitamin D. PLoS One. 2012;7(6):e38934. doi: https://doi.org/10.1371/journal.pone.0038934. Epub 2012 Jun 21.

Esposito S, Lelii M. Vitamin D and respiratory tract infections in childhood. BMC Infect Dis. 2015 Oct 28;15:487. doi: https://doi.org/10.1186/s12879-015-1196-1.

Litonjua AA. Childhood asthma may be a consequence of vitamin D deficiency. Curr Opin Allergy Clin Immunol. 2009 Jun;9(3):202-7. doi: https://dx.doi.org/10.1097%2FACI.0b013e32832b36cd.

Ginde AA, Mansbach JM, Camargo CA Jr. Association between serum 25-hydroxyvitamin D level and upper respiratory tract infection in the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2009 Feb 23;169(4):384-90. doi: https://doi.org/10.1001/archinternmed.2008.560.

Black PN, Scragg R. Relationship between serum 25-hydroxyvitamin d and pulmonary function in the third national health and nutrition examination survey. Chest. 2005 Dec;128(6):3792-8.

Kocabas A. vitamin d deficiency in copd. M J Resir Care Med. 2013; 187. A2901.

Cutillas-Marco E, Fuertes-Prosper A, Grant WB, Morales-Suárez-Varela M. Vitamin D deficiency in South Europe: effect of smoking and aging. Photodermatol Photoimmunol Photomed. 2012 Jun;28(3):159-61. doi: https://doi.org/10.1111/j.1600-0781.2012.00649.x.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). 2014; Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: revised 2014.Available from: http://goldcopd.org/.

Prakash C Gupta, Samira Asma. Bidi Smoking and Public Health. Ministry of Health and Family Welfare, Government of India World Health Organization. 2008 March. 66-93.

Modified Prasad BG. Social classification of Indian families. J Indian Med Assoc. 2014;51:365.

Subramaniam V. Seasonal variation in the incidence of preeclampsia and eclampsia in tropical climatic conditions. BMC Womens Health. 2007 Oct 15;7:18.

FLETCHER CM. The clinical diagnosis of pulmonary emphysema; an experimental study. Proc R Soc Med. 1952 Sep;45(9):577-84.

Hollis BW, Wagner CL, Drezner MK, Binkley NC. Circulating vitamin D3 and 25-hydroxyvitamin D in humans: An important tool to define adequate nutritional vitamin D status. J Steroid Biochem Mol Biol. 2007 Mar;103(3-5):631-4. Epub 2007 Jan 10.

Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R. Estimates of optimal vitamin D status. Osteoporos Int. 2005 Jul;16(7):713-6. Epub 2005 Mar 18.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7.

Janssens W, Lehouck A, Carremans C, Bouillon R, Mathieu C, Decramer M. Vitamin D beyond bones in chronic obstructive pulmonary disease: time to act. Am J Respir Crit Care Med. 2009 Apr 15;179(8):630-6. doi: https://doi.org/10.1164/rccm.200810-1576PP. Epub 2009 Jan 22.

Kunisaki KM, Niewoehner DE, Singh RJ, Connett JE. Vitamin D status and longitudinal lung function decline in the Lung Health Study. Eur Respir J. 2011 Feb;37(2):238-43. doi: https://doi.org/10.1183/09031936.00146509. Epub 2010 Jul 1.

Van der Wielen RP, Lowik MR, van den Berg H, de Groot LC, Haller J. Serum vitamin D concentrations among elderly people. Europe Lancert, 2005; 346: 207–210.

Lips P. Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications. Endocr Rev. 2001 Aug;22(4):477-501.

Jindal SK, Aggarwal AN, Chaudhry K, Chhabra SK, D'Souza GA, Gupta D, Katiyar SK, Kumar R, Shah B, Vijayan VK; Asthma Epidemiology Study Group. A multicentric study on epidemiology of chronic obstructive pulmonary disease and its relationship with tobacco smoking and environmental tobacco smoke exposure. Indian J Chest Dis Allied Sci. 2006 Jan-Mar;48(1):23-9.

Mahesh PA, Jayaraj BS, Prahlad ST, Chaya SK, Prabhakar AK, Agarwal AN, Jindal SK. Validation of a structured questionnaire for COPD and prevalence of COPD in rural area of Mysore: A pilot study. Lung India. 2009 Jul;26(3):63-9. doi: https://dx.doi.org/10.4103%2F0970-2113.53226.

Parasuramalu BG, Huliraj N, Prashanth Kumar SP; Gangaboraiah, Ramesh Masthi NR, Srinivasa Babu CR. Prevalence of chronic obstructive pulmonary disease and its association with tobacco smoking and environmental tobacco smoke exposure among rural population. Indian J Public Health. 2014 Jan-Mar;58(1):45-9. doi: http://www.ijph.in/text.asp?2014/58/1/45/128166.

J. De Batlle, I. Romieu, J.M. Antó, M. Mendez, E. Rodríguez, E. Balcells. PAC-COPD Study Group: Dietary habits of firstly admitted Spanish COPD patients. Respir Med. 2009;103:1904-1910.

Rezk A. effect of vitamin D replacement in COPD. EJCDT. 2015; 64.2.

Kocabaş A, Karagüzel G, Imir N, Yavuzer U, Akçurin S. Effects of vitamin D receptor gene polymorphisms on susceptibility to disease and bone mineral density in Turkish patients with type 1 diabetes mellitus. J Pediatr Endocrinol Metab. 2010 Dec;23(12):1289-97.

Wang TT, Nestel FP, Bourdeau V, Nagai Y, Wang Q, Liao J, Tavera-Mendoza L, Lin R, Hanrahan JW, Mader S, White JH. Cutting edge: 1,25-dihydroxyvitamin D3 is a direct inducer of antimicrobial peptide gene expression.. J Immunol. 2004 Sep; 54: 64-9.

Sanket S. Relation between vitamin d deficiency and severity of COPD. J Clin Diag 2016. 10(1); oc16-9. 173(5):2909-12.

Brehm JM, Celedón JC, Soto-Quiros ME, Avila L, Hunninghake GM, Forno E, Laskey D, Sylvia JS, Hollis BW, Weiss ST, Litonjua AA. Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. Am J Respir Crit Care Med. 2009 May 1;179(9):765-71. doi: https://doi.org/10.1164/rccm.200808-1361OC. Epub 2009 Jan 29.

Kunisaki KM, Niewoehner DE, Singh RJ, Connett JE. Vitamin D status and longitudinal lung function decline in the Lung Health Study. Eur Respir J. 2011 Feb;37(2):238-43. doi: https://doi.org/10.1183/09031936.00146509. Epub 2010 Jul 1.

Cilingir BM, Gunbatar H. Relationship between COPD and levels of vitamin D. Dicle medical journal.2015:42 (2):158-165.

Sanjari M, Soltani A. The effect of vitamin D on COPD exacerbation. J Diabetes Metab Disord. 2015; 15(1):33.

Moberg M, Vestbo J. prognostic value of CRP and Vitamin D in severe COPD. The scientific World Journal 2014: 140736, 7.doi: http://dx.doi.org/10.1155/2014/140736.

Serum Vitamin D levels in Chronic Obstructive Pulmonary Disease
CITATION
DOI: 10.17511/ijmrr.2017.i02.06
Published: 2017-02-28
How to Cite
1.
Kumar A, Tandon S, Nagdeote ST, Sharma K, Shrikhande A, Gopal K. Serum Vitamin D levels in Chronic Obstructive Pulmonary Disease. Int J Med Res Rev [Internet]. 2017Feb.28 [cited 2024Nov.23];5(2):128-36. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/814
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Original Article