Impact of vitamin D on spirometry findings and quality of life in patients with chronic obstructive pulmonary disease: a randomized, double-blinded, placebo-controlled clinical trial

被引:31
作者
Foumani, Ali Alavi [1 ]
Mehrdad, Mojtaba [1 ,2 ]
Jafarinezhad, Alireza [1 ]
Nokani, Khadijeh [3 ]
Jafari, Alireza [1 ]
机构
[1] Guilan Univ Med Sci, Sch Med, Razi Hosp, Inflammatory Lung Dis Res Ctr,Dept Internal Med, Sardar Jangal Ave, Rasht, Iran
[2] Guilan Univ Med Sci, Razi Clin Res Dev Ctr, Rasht, Iran
[3] Guilan Univ Med Sci, Dept Internal Med, Fac Med, Student Res Comm, Rasht, Iran
来源
INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE | 2019年 / 14卷
关键词
airflow obstruction; chronic; 25-hydroxyvitamin D-3; life quality; D DEFICIENCY; EXACERBATION; COPD;
D O I
10.2147/COPD.S207400
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
COPD is an irreversible chronic illness with airflow limitation. The aim of the current study was to assess the role of vitamin D-3 on quality of life and pulmonary function in patients with COPD. A randomized, double-blinded clinical trial was conducted in 63 patients with COPD. Patients were placed into intervention and placebo groups. Each individual in the intervention group took 50,000 IU vitamin D(3)once a week for 8 weeks and then once a month for 4 months. There was no significant difference among FEV1, FEV1/FVC, and number of exacerbations in patients with COPD (P>0.05). In the intervention group, a significant difference was observed in quality of life at 2 months (P<0.001) and 6 months (P<0.001). In addition, qualitative analysis showed that the status of exacerbation had not got worse six months after initiation in the intervention group. The current study shows that consumption of 50,000 IU vitamin D-3, as a convenient supplementation in a daily diet, is able to increase quality of life in patients with COPD.
引用
收藏
页码:1495 / 1501
页数:7
相关论文
共 23 条
[1]   Vitamin D analogues increase p53, p21, and apoptosis in a xenograft model of human retinoblastoma [J].
Audo, I ;
Darjatmoko, SR ;
Schlamp, CL ;
Lokken, JM ;
Lindstrom, MJ ;
Albert, DM ;
Nickells, RW .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2003, 44 (10) :4192-4199
[2]   Vitamin D modulates airway smooth muscle function in COPD [J].
Banerjee, Audreesh ;
Panettieri, Reynold, Jr. .
CURRENT OPINION IN PHARMACOLOGY, 2012, 12 (03) :266-274
[3]   Cigarette Smoke-induced Oxidative Stress A Role in Chronic Obstructive Pulmonary Disease Skeletal Muscle Dysfunction [J].
Barreiro, Esther ;
Peinado, Victor I. ;
Galdiz, Juan B. ;
Ferrer, Elisabet ;
Mann-Corral, Judith ;
Sanchez, Francisco ;
Gea, Joaquim ;
Albert Barbera, Joan .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2010, 182 (04) :477-488
[4]   Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials [J].
Bischoff-Ferrari, H. A. ;
Dawson-Hughes, B. ;
Staehelin, H. B. ;
Orav, J. E. ;
Stuck, A. E. ;
Theiler, R. ;
Wong, J. B. ;
Egli, A. ;
Kiel, D. P. ;
Henschkowski, J. .
BMJ-BRITISH MEDICAL JOURNAL, 2009, 339 :843
[5]   Role of vitamin D in uterine fibroid biology [J].
Brakta, Soumia ;
Diamond, Justin S. ;
Al-Hendy, Ayman ;
Diamond, Michael P. ;
Halder, Sunil K. .
FERTILITY AND STERILITY, 2015, 104 (03) :698-706
[6]  
COLSTON KW, 1989, LANCET, V1, P188
[7]   Relationship between exacerbation frequency and lung function decline in chronic obstructive pulmonary disease [J].
Donaldson, GC ;
Seemungal, TAR ;
Bhowmik, A ;
Wedzicha, JA .
THORAX, 2002, 57 (10) :847-852
[8]   The relationship between Vitamin D status and exacerbation in COPD patients- a literature review [J].
Ferrari, Renata ;
Caram, Laura M. O. ;
Tanni, Suzana E. ;
Godoy, Irma ;
Rupp de Paiva, Sergio Alberto .
RESPIRATORY MEDICINE, 2018, 139 :34-38
[9]   Vitamin D reduces the serum levels of inflammatory cytokines in rat models of periodontitis and chronic obstructive pulmonary disease [J].
Han, Jing ;
Cheng, Cheng ;
Zhu, Zhao ;
Lin, Mei ;
Zhang, Dong-Xue ;
Wang, Zuo-Min ;
Wang, Songlin .
JOURNAL OF ORAL SCIENCE, 2019, 61 (01) :53-60
[10]   Vitamin D deficiency [J].
Holick, Michael F. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (03) :266-281