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 in | Clinical biochemistry Vol. 45; no. 12; pp. 901 - 906 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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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. |
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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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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22522083$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1177_201010581302200311 crossref_primary_10_1111_j_1445_5994_2012_02908_x crossref_primary_10_1016_j_clinbiochem_2012_05_028 crossref_primary_10_1210_er_2012_1071 crossref_primary_10_1016_S2213_8587_20_30380_6 crossref_primary_10_1097_MCO_0b013e328364ca96 crossref_primary_10_1016_j_fertnstert_2020_12_001 crossref_primary_10_1017_S000711451400186X crossref_primary_10_1136_bmjopen_2021_059075 crossref_primary_10_1002_jms_3522 crossref_primary_10_1016_j_clinbiochem_2015_11_022 crossref_primary_10_1515_cclm_2015_0781 crossref_primary_10_1053_j_jfas_2015_08_002 |
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Keywords | Vitamin D Methods of 25OHD analysis 25OHD target of treatment |
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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 |
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