Vitamin D serum concentration is not related to the activity of spondyloarthritis : preliminary study

2018
journal article
article
9
cris.lastimport.scopus2024-04-24T05:17:28Z
cris.lastimport.wos2024-04-10T01:42:33Z
dc.abstract.enObjective: Vitamin D plays an important role in mineral turnover and bone remodeling and there are increasing data about its immunomodulatory potential in different rheumatologic disorders. Deficiency of vitamin D is frequent in patients with spondyloarthritis (SpA) and some data suggest its association with increased disease activity and structural damage. However, its exact role in the pathogenesis of SpA and its association with disease activity are still a matter of debate. Material and methods: A cross-sectional study of patients diagnosed with axial spondyloarthritis (axSpA) and peripheral spondyloarthritis (perSpA) according to Assessment of Spondyloarthritis International Society classification criteria was performed. The correlation between concentration of 25-hydroxyvitamin D - 25(OH)D - and disease activity scores (Bath Ankylosing Spondylitis Disease Activity Index - BASDAI, Ankylosing Spondylitis Disease Activity Score - ASDAS), inflammatory markers (C-reactive protein - CRP, erythrocyte sedimentation rate - ESR) and clinical symptoms (arthritis, enthesitis, dactylitis) was performed. Results: We included 40 patients with axSpA and 23 patients with perSpA. The mean concentration of 25(OH)D was 24.9 ng/ml (SD 12.49). Forty-seven (74.6%) patients had 25(OH)D below the recommended threshold (< 30 ng/ml). We found no statistically significant negative correlation between the level of 25(OH)D and disease activity of axSpA and perSpA in terms of clinical symptoms (arthritis, enthesitis, dactylitis), inflammatory markers (ESR, CRP) and disease activity scores (BASDAI, ASDAS). These results did not change after adjustment for supplementation of vitamin D and seasonal variation. Conclusions: Our data show no correlation between the concentration of 25(OH)D in the serum and disease activity in two subgroups of SpA. However, this does not exclude the potential role of vitamin D in pathogenesis of SpA. Further studies are required to evaluate the optimal range of 25(OH)D serum concentration in axSpA and perSpA patients with its possible immunomodulatory potential and influence on disease activity.pl
dc.affiliationWydział Lekarski : Zakład Reumatologii i Balneologiipl
dc.affiliationWydział Lekarski : Klinika Chorób Wewnętrznych i Geriatriipl
dc.cm.date2020-01-07
dc.cm.id92471
dc.contributor.authorGuła, Zofia - 362514 pl
dc.contributor.authorKopczyńska, Annapl
dc.contributor.authorHańska, Karolinapl
dc.contributor.authorSłomski, Maciejpl
dc.contributor.authorNowakowski, Jarosławpl
dc.contributor.authorKwaśny-Krochin, Beata - 130581 pl
dc.contributor.authorGąsowski, Jerzy - 129477 pl
dc.contributor.authorKorkosz, Mariusz - 130283 pl
dc.date.accessioned2020-01-17T10:02:57Z
dc.date.available2020-01-17T10:02:57Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number6pl
dc.description.physical388-391pl
dc.description.points14pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume56pl
dc.identifier.doi10.5114/reum.2018.80717pl
dc.identifier.eissn2092-9834pl
dc.identifier.issn0034-6233pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/145001
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.envitamin D deficiencypl
dc.subject.enspondyloarthritispl
dc.subject.endisease activitypl
dc.subtypeArticlepl
dc.titleVitamin D serum concentration is not related to the activity of spondyloarthritis : preliminary studypl
dc.title.journalReumatologiapl
dc.typeJournalArticlepl
dspace.entity.typePublication
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