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  4. An effective oral vitamin D replacement therapy in persons with spinal cord injury

An effective oral vitamin D replacement therapy in persons with spinal cord injury

The Journal of Spinal Cord Medicine, 2011 · DOI: 10.1179/2045772311Y.0000000032 · Published: January 1, 2011

Spinal Cord InjuryNutrition & Dietetics

Simple Explanation

This study investigated whether taking vitamin D3 supplements by mouth for 3 months could help people with spinal cord injuries (SCI) who have low vitamin D levels get their vitamin D levels back to normal. The study found that taking 2000 IU of vitamin D3 every day along with calcium supplements for 3 months was a safe and effective way to increase vitamin D levels in people with SCI. Increasing vitamin D levels may help improve calcium absorption and bone health in people with SCI, who are at risk for bone loss.

Study Duration
3 Months
Participants
7 individuals with chronic SCI and vitamin D deficiency
Evidence Level
Prospective drug-intervention study

Key Findings

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    Oral vitamin D3 supplementation (2000 IU daily) for 3 months safely raised serum 25(OH)D levels into the normal range in persons with chronic SCI on calcium supplementation.
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    Serum iPTH levels were significantly decreased at month 1 and month 3 compared to the value at baseline, indicating improved calcium metabolism.
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    Serum NTx levels were significantly lower at month 3 than at baseline, suggesting reduced bone turnover.

Research Summary

This study investigated the effectiveness of oral vitamin D3 supplementation in individuals with chronic spinal cord injury (SCI) and vitamin D deficiency. The results showed that a daily prescription of 2000 IU of oral vitamin D3 for 3 months safely raised serum 25(OH)D levels into the normal range in persons with chronic SCI on calcium supplementation. The study suggests that maintaining adequate vitamin D levels can help improve bone metabolism and potentially reduce bone loss in this population.

Practical Implications

Clinical Practice

Clinicians should monitor vitamin D levels in patients with SCI and prescribe appropriate supplementation to correct deficiencies.

Bone Health

Maintaining adequate vitamin D levels may help prevent or manage sublesional osteoporosis in individuals with SCI.

Further Research

Randomized clinical trials are needed to confirm the overall health benefit of raising 25(OH)D levels to >30 ng/ml in the SCI population.

Study Limitations

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