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Evid. actual. práct. ambul ; 20(4): 102-104, 2017. ilus
Article in Spanish | LILACS | ID: biblio-1097209

ABSTRACT

Si bien los niveles bajos de vitamina D se han asociado con varios resultados de interés en salud, aún resulta motivo de controversia qué significa un nivel bajo, cual es la utilidad de su suplementación y cuales son sus potenciales efectos adversos. En ese contexto, se realizó en el Servicio de Medicina Familiar y Comunitaria del Hospital Italiano un taller de discusión denominado "Actividad ECCO" (Evidencia Científica en la Clínica Cotidiana) en la que fueron presentados los resulta-dos de estudios identificados que hubieran comparado el uso de vitamina D (con o sin suplementación de calcio) ver-sus placebo, con el objetivo de discutir cuál es la evidencia actual para el rastreo de deficiencia de vitamina D y para, eventualmente, recomendar o no su suplementación. Este artículo resume la evidencia identificada y las conclusiones consensuadas en dicha actividad. (AU)


Although low levels of vitamin D have been associated with several health outcomes, it is controversial what a low level means, the usefulness of its supplementation and its potential adverse effects. In this context, a workshop called "ECCO Activity" (Scientific Evidence in the Daily Clinic) was held in the Family and Community Medicine Division of Hospital Italiano de Buenos Aires, where the results of identified studies that compared the use of vitamin D (with or without calcium supplementation) versus placebo, with the aim of discussing what is the current evidence for screening of vitamin D deficiency and to, eventually, recommend or not its supplementation. This article summarizes the identified evidence and the agreed conclusions in that activity. (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Avitaminosis/diagnosis , Vitamin D/adverse effects , Osteoporosis/drug therapy , Exocrine Pancreatic Insufficiency/complications , Phenobarbital/adverse effects , Phenytoin/adverse effects , Sunscreening Agents/adverse effects , Vitamin D/administration & dosage , Vitamin D/blood , Vitamin D/therapeutic use , Accidental Falls/prevention & control , Accidental Falls/statistics & numerical data , Biomarkers , Gastric Bypass/adverse effects , Inflammatory Bowel Diseases/complications , Celiac Disease/complications , Calcium/administration & dosage , Calcium/therapeutic use , Risk , Adrenal Cortex Hormones/adverse effects , Irritable Bowel Syndrome/complications , Anti-Retroviral Agents/adverse effects , Hepatic Insufficiency/complications , Renal Insufficiency, Chronic/complications
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