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  4. Effectiveness of two vitamin D3 repletion protocols on the vitamin D status of adults with a recent spinal cord injury undergoing inpatient rehabilitation: a prospective case series

Effectiveness of two vitamin D3 repletion protocols on the vitamin D status of adults with a recent spinal cord injury undergoing inpatient rehabilitation: a prospective case series

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0129-9 · Published: October 9, 2018

Spinal Cord InjuryNutrition & DieteticsRehabilitation

Simple Explanation

This study looked at how well two different amounts of vitamin D3 supplements improved vitamin D levels in adults who had recently experienced a spinal cord injury (SCI) and were in the hospital for rehabilitation. One group received a higher dose (10,000 IU weekly plus 1000 IU daily), while the other received a lower dose (1000 IU daily). The study found that while both amounts increased vitamin D levels, neither was very effective in bringing most people up to a sufficient level during their time in the rehabilitation center.

Study Duration
36.8 ± 11.9 days (HD) and 38.2 ± 11.6 days (LD)
Participants
Thirty adults with recent SCI
Evidence Level
Prospective case series

Key Findings

  • 1
    Both vitamin D3 protocols increased serum 25OHD levels, with the higher dose regimen showing a greater increase compared to the lower dose regimen.
  • 2
    None of the participants on the higher dose regimen remained vitamin D deficient, but only one achieved vitamin D sufficiency.
  • 3
    Nearly all individuals on the lower dose regimen remained vitamin D insufficient, with only two reaching vitamin D sufficiency.

Research Summary

This prospective case series evaluated the effectiveness of two vitamin D3 repletion protocols in adults with recent SCI undergoing inpatient rehabilitation. Participants received either 10,000 IU of weekly and 1000 IU of daily vitamin D3 (HD) or 1000 IU of daily vitamin D3 (LD) for approximately 37 days. Although both protocols increased serum 25OHD levels, they were largely unsuccessful in achieving vitamin D sufficiency during inpatient rehabilitation.

Practical Implications

Inpatient Rehabilitation Protocols

Current vitamin D repletion protocols may be insufficient for individuals with recent SCI during inpatient rehabilitation.

Future Research

Future studies should investigate higher-dose regimens to achieve vitamin D sufficiency in this population.

Clinical Practice

Clinicians should be aware of the limitations of current repletion protocols and consider alternative strategies.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Short duration of supplementation

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