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Research ArticleOriginal Article
Open Access

The effects of cholecalciferol treatment on mineral metabolism and inflammation markers in Turkish hemodialysis patients

Sultan Ozkurt and Ahmet Musmul
Saudi Medical Journal May 2013, 34 (5) 497-502;
Sultan Ozkurt
Department of Nephrology, Division of Nephrology, Hitit University Corum Education and Research Hospital, Corum 19100, Turkey. Tel. +90 5058614870. Fax. +90 3642230323. E-mail: [email protected]/[email protected]
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Ahmet Musmul
Department of Nephrology, Division of Nephrology, Hitit University Corum Education and Research Hospital, Corum 19100, Turkey. Tel. +90 5058614870. Fax. +90 3642230323. E-mail: [email protected]/[email protected]
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Abstract

OBJECTIVE: To evaluate the effects of 25-hydroxycholecalciferol 25-[OH] D on bone mineral metabolism and inflammation parameters in hemodialysis patients.

METHODS: The study was carried out at Hitit University Corum Education and Research Hospital, Corum, Turkey between July and September 2012. All of the 36 patients that underwent treatment in our hemodialysis unit were included in this study. Four patients were excluded from the study due to other complications. Of the remaining 32 patients, 28 patients mean age; 52+/- 18 years; 15 males and 13 females with a 25-OH vitamin D level of <30 ng/mL were included in the study. Four of the 32 remaining patients were excluded as their 25-OH vitamin D levels was >30 ng/ml. Patients with a 25-OH D level of <30 ng/mL were treated with 20,000 IU oral cholecalciferol once a week for 12 weeks. The level of vitamin D, mineral metabolism markers, and C-reactive protein CRP were evaluated.

RESULTS: After the treatment, the 25-OH D levels increased to >30 ng/mL in all patients 12.5+/-7.1 ng/mL versus 59.9+/-15.5 ng/mL; p<0.001. While there was a significant, but not life-threatening, increase in calcium levels 7.9 [7.26 to 8.32] mg/dL versus 8.48 [7.55 to 9.25] mg/dL, p<0.001, a statistically significant decrease was observed in CRP levels 9.34+/-4.4mg/L versus 4.4+/-1.6mg/L; p<0.001. Alkaline phosphatase, phosphorus, and parathyroid hormone levels did not change.

CONCLUSION: Vitamin D deficiency is a common problem in HD patients. Short-term weekly cholecalciferol treatment is safe and effective in this patient group, and cholecalciferol treatment had a positive effect on inflammatory markers.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 34 (5)
Saudi Medical Journal
Vol. 34, Issue 5
1 May 2013
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The effects of cholecalciferol treatment on mineral metabolism and inflammation markers in Turkish hemodialysis patients
Sultan Ozkurt, Ahmet Musmul
Saudi Medical Journal May 2013, 34 (5) 497-502;

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The effects of cholecalciferol treatment on mineral metabolism and inflammation markers in Turkish hemodialysis patients
Sultan Ozkurt, Ahmet Musmul
Saudi Medical Journal May 2013, 34 (5) 497-502;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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