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Valproic acid therapy decreases serum 25-hydroxyvitamin D level in female infants and toddlers with epilepsy-a pilot longitudinal study
引用本文:Jinchun Qiu,Hongli Guo,Ling Li,Zeyue Xu,Zejun Xu,Xia Jing,Yahui Hu,Xiaoyi Wen,Feng Chen,Xiaopeng Lu. Valproic acid therapy decreases serum 25-hydroxyvitamin D level in female infants and toddlers with epilepsy-a pilot longitudinal study[J]. 生物医学研究杂志, 2021, 35(1): 61-67. DOI: 10.7555/JBR.34.20200057
作者姓名:Jinchun Qiu  Hongli Guo  Ling Li  Zeyue Xu  Zejun Xu  Xia Jing  Yahui Hu  Xiaoyi Wen  Feng Chen  Xiaopeng Lu
作者单位:Department of Pharmacy;School of Basic Medicine and Clinical Pharmacy;Department of Neurology
基金项目:supported by the Specially Appointed Medical Expert Project of Jiangsu Commission of Health(2019),Wu Jieping Medical Foundation(No.320.6750.2020-04-38);National Natural Science Foundation of China(No.81800530);Natural Science Foundation of Jiangsu Province(No.BK20170149);Hospital Pharmacy Foundation of Nanjing Pharmaceutical Association(No.2019 YX003);Scientific Research Foundation for Young Scholars at the Children’s Hospital of Nanjing Medical University。
摘    要:
To evaluate if valproic acid(VPA)therapy is associated with vitamin D deficiency among infants and toddlers with epilepsy,a cross-sectional clinical study was conducted in 25 children with epilepsy taking VPA.Blood levels of calcium,phosphorus,alkaline phosphatase,and 25-hydroxy vitamin D[25(OH)D]and plasma VPA level were measured at 1-to 3-month intervals.At the initial and final measurements,vitamin D deficiency or insufficiency was recognized in 8(32%)and 12(42%),respectively.In girls,a decreasing trend in serum25(OH)D levels(P<0.05)was observed.Polytherapy had a significant negative effect on the longitudinal change of 25(OH)D(P<0.05)in girls.In conclusion,our study indicates that a high proportion of girls after VPA therapy had hypovitaminosis D.

关 键 词:valproic  acid  vitamin  D  hypovitaminosis  D  EPILEPSY  infants  and  toddlers

Valproic acid therapy decreases serum 25-hydroxyvitamin D level in female infants and toddlers with epilepsy— a pilot longitudinal study
Qiu Jinchun,Guo Hongli,Li Ling,Xu Zeyue,Xu Zejun,Jing Xia,Hu Yahui,Wen Xiaoyi,Chen Feng,Lu Xiaopeng. Valproic acid therapy decreases serum 25-hydroxyvitamin D level in female infants and toddlers with epilepsy— a pilot longitudinal study[J]. Journal of biomedical research, 2021, 35(1): 61-67. DOI: 10.7555/JBR.34.20200057
Authors:Qiu Jinchun  Guo Hongli  Li Ling  Xu Zeyue  Xu Zejun  Jing Xia  Hu Yahui  Wen Xiaoyi  Chen Feng  Lu Xiaopeng
Affiliation:Department of Pharmacy, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, China;Department of Pharmacy, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, China;School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu 211198, China;Department of Neurology, Children's Hospital of Nanjing Medical University, Naning, Jiangsu 210008, China
Abstract:
To evaluate if valproic acid (VPA) therapy is associated with vitamin D deficiency among infants and toddlers with epilepsy, a cross-sectional clinical study was conducted in 25 children with epilepsy taking VPA. Blood levels of calcium, phosphorus, alkaline phosphatase, and 25-hydroxy vitamin D [25(OH)D] and plasma VPA level were measured at 1- to 3-month intervals. At the initial and final measurements, vitamin D deficiency or insufficiency was recognized in 8 (32%) and 12 (42%), respectively. In girls, a decreasing trend in serum 25(OH)D levels (P<0.05) was observed. Polytherapy had a significant negative effect on the longitudinal change of 25(OH)D (P<0.05) in girls. In conclusion, our study indicates that a high proportion of girls after VPA therapy had hypovitaminosis D.
Keywords:valproic acid   vitamin D   hypovitaminosis D   epilepsy   infants and toddlers
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