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Published on: June 28, 2021
Variations in serum 25-hydroxyvitamin D during acute pancreatitis: an exploratory longitudinal study
Ulrich C Bang1, Srdan Novovic, Anders Møller Andersen
1Department of Endocrinology, Hvidovre Hospital, Copenhagen, Denmark. ulrichbangbang@gmail.com
Acute inflammation, such as pancreatitis, significantly lowers 25-hydroxyvitamin D3 (25OHD) levels within two days. This suggests the body utilizes 25OHD during severe inflammatory responses.
Area of Science:
- Endocrinology
- Nutritional Science
- Critical Care Medicine
Background:
- Vitamin D plays a crucial role in immune function.
- Acute inflammatory conditions can impact various metabolic processes.
- The behavior of 25-hydroxyvitamin D3 (25OHD) during acute inflammation is not fully understood.
Purpose of the Study:
- To investigate changes in 25-hydroxyvitamin D3 (25OHD) levels during acute inflammation in humans.
- To test the hypothesis that 25OHD levels decrease during acute inflammatory states.
Main Methods:
- A cohort of patients experiencing their first episode of acute pancreatitis was enrolled.
- Blood samples were collected from patients upon admission and on days 1, 2, and 14.
Main Results:
- On admission, a significant proportion of patients presented with vitamin D deficiency or insufficiency (23% severely deficient, 20% deficient, 40% insufficient).
- A significant linear decline in 25OHD, albumin, and hemoglobin was observed from day 0 to day 2.
- The decrease in 25OHD levels correlated with changes in C-reactive protein, an inflammatory marker.
Conclusions:
- 25OHD levels dropped significantly within the first two days of acute pancreatitis, exceeding expected levels based on its half-life.
- This study supports the hypothesis that acute inflammation leads to the utilization of 25OHD.
- Other unelucidated mechanisms may also influence 25OHD levels during inflammation.
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