RESUMO
Chronic kidney disease patients have a high prevalence of vitamin D insufficiency/deficiency. Vitamin D deficiency has been associated with a variety of bone, metabolic and cardiovascular disorders. However, the role of native vitamin D supplementation (ergocalciferol, cholecalciferol or calcifediol) remains unclear in chronic kidney disease (CKD), particularly in the pre-dialytic phase. Several international guidelines have been developed on CKD-Mineral and Bone Disorder, but the optimal strategy for native vitamin D supplementation and its clinical benefit remains a subject of debate in the scientific community. This paper aims to review the available literature, including randomized clinical trials that evaluated the effects of native vitamin D supplementation on pre-dialysis CKD on biochemical and clinically relevant outcomes
Los pacientes renales crónicos tienen una elevada prevalencia de insuficiencia/deficiencia de vitamina D. El déficit de vitamina D se ha asociado con una serie de cambios óseos, metabólicos y cardiovasculares. Sin embargo, continúa por aclarar el papel de la suplementación con vitamina D nativa (ergocalciferol, colecalciferol o calcifediol) en la enfermedad renal crónica (ERC), especialmente en la fase pre-dialítica. Varias pautas internacionales se han desarrollado sobre la enfermedad mineral y ósea relacionada con la ERC, pero la estrategia ideal de suplementación con vitamina D nativa y su beneficio clínico continúan siendo objeto de debate en la comunidad científica. Este trabajo pretende revisar la literatura disponible, incluyendo ensayos clínicos aleatorizados que evaluaron los efectos de la suplementación con vitamina D nativa en la ERC pre-diálisis en resultados bioquímicos y clínicamente relevantes
Assuntos
Humanos , Diálise Renal/métodos , Insuficiência Renal Crônica/sangue , Insuficiência Renal Crônica/terapia , Suplementos Nutricionais , Vitamina D/administração & dosagem , Deficiência de Vitamina D/tratamento farmacológico , Ergocalciferóis/administração & dosagem , Calcifediol/administração & dosagemRESUMO
Chronic kidney disease patients have a high prevalence of vitamin D insufficiency/deficiency. Vitamin D deficiency has been associated with a variety of bone, metabolic and cardiovascular disorders. However, the role of native vitamin D supplementation (ergocalciferol, cholecalciferol or calcifediol) remains unclear in chronic kidney disease (CKD), particularly in the pre-dialytic phase. Several international guidelines have been developed on CKD-Mineral and Bone Disorder, but the optimal strategy for native vitamin D supplementation and its clinical benefit remains a subject of debate in the scientific community. This paper aims to review the available literature, including randomized clinical trials that evaluated the effects of native vitamin D supplementation on pre-dialysis CKD on biochemical and clinically relevant outcomes.
