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The Effects of Vitamin D Supplementation on Pulmonary Function of Chronic Obstructive Pulmonary Disease Patients,
Seyed Ali Javad Moosavi1, Maryam Haddadzadeh Shoushtari2
1Department of Pulmonary, Iran University of Medical Sciences, Tehran 14174, Iran. Dr_Moosavi_pul@yahoo.ca.
Abstract:
Vitamin D has several extra calcemic effects. Vitamin D deficiency is highly prevalent in chronic obstructive pulmonary disease (COPD) patients but little is known about it's association with lung function.
Objective:
To investigate whether supplementation with vitamin D could improve pulmonary function in COPD patients.
Design:
Before and after, double center, clinical trial.
Setting:
Hazrat Rasoul University Hospital, Tehran, and Imam Khomaini University Hospital, Ahvaz, Iran.
Participants:
24 patients with mild to very severe COPD.
Intervention:
Loading dose of 300,000-600,000 International Units (IU) of vitamin D, then 50000 IU weekly for 12 weeks.
Measurements:
The outcomes included forced expiratory volume in one second (FEV1), forced vital capacity (FVC), vital capacity (VC), forced expiratory flow between 25%-75% of forced vital capacity (FEF 25%-75%), exercise capacity according to the six minute walk test(6MWT) and the saturation of oxygen during exercise.
Results:
The mean FEV1 (p-value = 0.866), FVC (p-value = 0.475) and VC (p-value = 0.425) were not significantly different before and after intervention. FEF 25%-75% did not improve with this intervention (p-value = 0.555). The vitamin D supplementation did not have any significant effect on the exercise capacity (p-value=0.175) or the saturation of oxygen (p-value = 0.635).
Conclusion:
Pulmonary function and exercise capacity did not improve with vitamin D supplementation in COPD patients.
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