Effect of vitamin D supplementation on bone health parameters of healthy young Indian women |
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Authors: | Nidhi Malhotra Ambrish Mithal Sushil Gupta Manoj Shukla Madan Godbole |
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Affiliation: | 1. Indraprastha Apollo Hospital, New Delhi, India 2. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
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Abstract: | Summary There is a huge prevalence of hypovitaminosis D in the Indian population. We studied the efficacy and safety of oral vitamin D supplementation in apparently healthy adult women. Monthly cholecalciferol given orally, 60,000 IU/month during summers and 120,000 IU/month during winters, safely increases 25-hydroxyvitamin D (25(OH)D) levels to near normal levels. Introduction There is a huge burden of hypovitaminosis D in the Indian population. The current recommendation for vitamin D supplementation is not supported by sufficient evidence. Methods Study subjects included 100 healthy adult women of reproductive age group from hospital staff. They were randomized into group A (control) and group B (supplement) by simple randomization. Group B received 60,000 IU of cholecalciferol/month administered orally for 3 months, and then group A received 60,000 IU and group B 120,000 IU/month for 6 months. Results Mean baseline 25(OH)D level was 4.5?±?3.1 ng/ml and parathyroid hormone level was 50?±?25 pg/ml. In group B, 25(OH)D levels increased from 4.8?±?3.5 to 31.6?±?15.5 ng/ml (P?0.001) in 3 months. Interestingly, the increase, although of lower magnitude, was also observed in control group A, from 4.5?±?3.4 ng/ml (in spring) to 10.8?±?7.2 ng/ml (in summer; P?0.001). In group A (60,000 IU/month), mean 25(OH)D level had increased to 22.3?±?12.4 ng/ml (P?0.001) at 9 months (winter). In group B (120,000 IU/month), 25(OH)D levels were maintained at 30.7?±?12.8 ng/ml at 9 months (winter). Conclusion Our data show that monthly administration of 60,000 IU cholecalciferol in healthy subjects with hypovitaminosis D may suffice in summer months, but higher doses may be more appropriate during winter months. |
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