Vitamin D: Methods of 25 hydroxyvitamin D analysis, targeting at risk populations and selecting thresholds of treatment

Interest in vitamin D has intensified with the association of vitamin D deficiency (VDD) with many diseases. This review will outline the limitations of current 25 hydroxyvitamin D (25OHD) methods, the target treatment threshold, and review the classical (endocrine/bone) and non-classical (paracrine...

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Published inClinical biochemistry Vol. 45; no. 12; pp. 901 - 906
Main Authors Glendenning, Paul, Inderjeeth, Charles A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2012
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Abstract Interest in vitamin D has intensified with the association of vitamin D deficiency (VDD) with many diseases. This review will outline the limitations of current 25 hydroxyvitamin D (25OHD) methods, the target treatment threshold, and review the classical (endocrine/bone) and non-classical (paracrine/non-bone) actions of vitamin D. Recent standardisation by the National Institutes of Standards and Technology and use of LC tandem mass methodology has reduced inter-method bias but insensitivity and imprecision of automated methods have challenged assay performance. Many diseases are associated with VDD but randomised clinical trial data demonstrating the benefit of un-activated sterol supplementation only exists for the prevention of falls and fractures. Consequently, 25OHD measurement should be restricted to high falls or fracture risk patients. Controversy regarding the 25OHD target of therapy requires consensus. Until resolved, widespread adoption of screening programmes and measurement of 25OHD in patients at risk of non-musculoskeletal disease is premature, costly and not supported by evidence.
AbstractList Interest in vitamin D has intensified with the association of vitamin D deficiency (VDD) with many diseases. This review will outline the limitations of current 25 hydroxyvitamin D (25OHD) methods, the target treatment threshold, and review the classical (endocrine/bone) and non-classical (paracrine/non-bone) actions of vitamin D. Recent standardisation by the National Institutes of Standards and Technology and use of LC tandem mass methodology has reduced inter-method bias but insensitivity and imprecision of automated methods have challenged assay performance. Many diseases are associated with VDD but randomised clinical trial data demonstrating the benefit of un-activated sterol supplementation only exists for the prevention of falls and fractures. Consequently, 25OHD measurement should be restricted to high falls or fracture risk patients. Controversy regarding the 25OHD target of therapy requires consensus. Until resolved, widespread adoption of screening programmes and measurement of 25OHD in patients at risk of non-musculoskeletal disease is premature, costly and not supported by evidence.
Author Glendenning, Paul
Inderjeeth, Charles A.
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Issue 12
Keywords Vitamin D
Methods of 25OHD analysis
25OHD target of treatment
Language English
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Snippet Interest in vitamin D has intensified with the association of vitamin D deficiency (VDD) with many diseases. This review will outline the limitations of...
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SubjectTerms 25OHD target of treatment
Animals
Biomarkers - blood
Biomarkers - urine
Blood Chemical Analysis - standards
Bone Density
Calcifediol - blood
Calcifediol - therapeutic use
Dietary Supplements
Humans
Methods of 25OHD analysis
Reference Standards
Reference Values
Vitamin D
Vitamin D Deficiency - blood
Vitamin D Deficiency - diagnosis
Vitamin D Deficiency - drug therapy
Vitamins - blood
Vitamins - therapeutic use
Title Vitamin D: Methods of 25 hydroxyvitamin D analysis, targeting at risk populations and selecting thresholds of treatment
URI https://dx.doi.org/10.1016/j.clinbiochem.2012.04.002
https://www.ncbi.nlm.nih.gov/pubmed/22522083
https://search.proquest.com/docview/1026687976
Volume 45
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