Managing vitamin D deficiency in inflammatory bowel disease
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Managing vitamin D deficiency in inflammatory bowel disease. / Nielsen, Ole Haagen; Hansen, Thomas Irgens; Gubatan, John Mark; Jensen, Kim Bak; Rejnmark, Lars.
In: Frontline Gastroenterology, Vol. 10, No. 4, 31656565, 2019, p. 394-400.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Managing vitamin D deficiency in inflammatory bowel disease
AU - Nielsen, Ole Haagen
AU - Hansen, Thomas Irgens
AU - Gubatan, John Mark
AU - Jensen, Kim Bak
AU - Rejnmark, Lars
PY - 2019
Y1 - 2019
N2 - Management of inflammatory bowel disease (IBD), including ulcerative colitis and Crohn's disease, is generally cumbersome for patients and is a massive health-economic burden. In recent years, the immunomodulating effects of vitamin D have gained a huge interest in its possible pathogenic influence on the pathophysiology of IBD. Vitamin D deficiency is frequent among patients with IBD. Several clinical studies have pointed to a critical role for vitamin D in ameliorating disease outcomes. Although causation versus correlation unfortunately remains an overwhelming issue in the illusive chicken versus egg debate regarding vitamin D and IBD, here we summarise the latest knowledge of the immunological effects of vitamin D in IBD and recommend from available evidence that physicians regularly monitor serum 25(OH)D levels in patients with IBD. Moreover, we propose an algorithm for optimising vitamin D status in patients with IBD in clinical practice. Awaiting well-powered controlled clinical trials, we consider vitamin D supplementation to be an affordable and widely accessible therapeutic strategy to ameliorate IBD clinical outcomes.
AB - Management of inflammatory bowel disease (IBD), including ulcerative colitis and Crohn's disease, is generally cumbersome for patients and is a massive health-economic burden. In recent years, the immunomodulating effects of vitamin D have gained a huge interest in its possible pathogenic influence on the pathophysiology of IBD. Vitamin D deficiency is frequent among patients with IBD. Several clinical studies have pointed to a critical role for vitamin D in ameliorating disease outcomes. Although causation versus correlation unfortunately remains an overwhelming issue in the illusive chicken versus egg debate regarding vitamin D and IBD, here we summarise the latest knowledge of the immunological effects of vitamin D in IBD and recommend from available evidence that physicians regularly monitor serum 25(OH)D levels in patients with IBD. Moreover, we propose an algorithm for optimising vitamin D status in patients with IBD in clinical practice. Awaiting well-powered controlled clinical trials, we consider vitamin D supplementation to be an affordable and widely accessible therapeutic strategy to ameliorate IBD clinical outcomes.
KW - biologics
KW - clinical control
KW - inflammatory bowel disease
KW - therapy
KW - vitamin D
U2 - 10.1136/flgastro-2018-101055
DO - 10.1136/flgastro-2018-101055
M3 - Review
C2 - 31656565
AN - SCOPUS:85059769416
VL - 10
SP - 394
EP - 400
JO - Frontline Gastroenterology
JF - Frontline Gastroenterology
SN - 2041-4137
IS - 4
M1 - 31656565
ER -
ID: 212562347