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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin D3(cholecalciferol).
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
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Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Vitamin D supplementation in CKD.

K J Martin1, E A González

  • 1Division of Nephrology, Saint Louis University, St. Louis, MO 63110, USA. martinkj@slu.edu

Clinical Nephrology
|March 24, 2011
PubMed
Summary

Vitamin D deficiency is prevalent in chronic kidney disease, increasing health risks. This review examines therapies like nutritional vitamin D and active hormones to correct deficiency in kidney patients.

Area of Science:

  • Nephrology
  • Endocrinology
  • Nutritional Science

Background:

  • Vitamin D deficiency is a common and serious complication in patients with chronic kidney disease (CKD).
  • This deficiency is linked to adverse health outcomes, including increased illness and death.
  • It also contributes to significant comorbidities such as secondary hyperparathyroidism and cardiovascular disease.

Purpose of the Study:

  • To review the clinical evidence on the efficacy of various vitamin D therapies in individuals with CKD.
  • To provide an overview of available treatment options for vitamin D deficiency in the context of renal disease.

Main Methods:

  • Literature review of clinical studies and therapeutic options for vitamin D deficiency in CKD.
  • Analysis of data concerning the effectiveness of nutritional vitamin D, pro-hormones, and active vitamin D hormones.

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Main Results:

  • The review synthesizes findings on the effectiveness of different vitamin D repletion strategies.
  • Clinical data highlights the impact of various therapeutic approaches on vitamin D status in CKD patients.

Conclusions:

  • Correction of vitamin D deficiency is crucial for managing CKD complications.
  • Different therapeutic agents show varying degrees of effectiveness, requiring careful consideration in clinical practice.