Experience with different cholecalciferol dosing regimens to achieve adequate levels in patients with reproductive dysfunction


Дәйексөз келтіру

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Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To study the time course of changes in the serum level of 25(OH)D in the use of different doses of cholecalciferol as chewable tablets dispersed in the mouth (the dietary supplement (DS) Ultra-D Vitamin D3). Subjects and methods. A total of 125 reproductive-aged patients took cholecalciferol as chewable tablets dispersed in the mouth (DS Ultra-D Vitamin D3). Groups 1, 2, and 3 received DS Ultra-D Vitamin D3 in daily doses of 4.000, 5.000, and 6.000 IU, respectively. The use duration was 8 weeks. 25(OH)D was determined by a chemiluminescent microparticle immunoassay. Results. When the chewable tablets were used in a daily dose of 4.000 IU, the vitamin D levels above 30 ng/ml were achieved in 100% of patients; M ± s 45.75 ± 7.84ng/ml; the dynamics was 123 А%. When the chewable tablets were given in daily dose of 5.000 and 6.000 IU, the vitamin D level above 30 ng/ml was achieved in 93.5 and 96.8% of the patients, respectively; its mean concentrations for the group were 36.86 ± 6.03 and 40.64 ± 4.95ng/ml, respectively; the dynamics was 103 and 116.5 A%. Conclusion. The 8-week use of cholecalciferol at a daily dose of 4,000IU as chewable tablets dispersed in the mouth is sufficient to achieve an adequate vitamin D level.

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Толық мәтін

Рұқсат жабық

Авторлар туралы

Evgenia Chikh

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: chih@mail.ru
MD, professor, head of Department of Clinical Pharmacology and Propedeutics of Internal Diseases

Sergey Tikhomirov

Medical Centr «Ecopark»

Email: mcecopark@ya.ru
urologist, doctor of the highest category, head

Tatiana Zaitseva

Krasnoyarsky Centr of Reproductive Medicine, Group of company «Mother and child»

Email: t.zaytseva@mcclinic.s.ru
Endicrynolodist, Sexologist of the highest category

Evgenia Segedina

Medical Center «Serdolik»

Email: evgmix@rambler.ru
Gynecologist-endocrinologist oh first category

Lubov Treivish

Medical Centre «Avitsenna» Group of company «Mother and child»

Email: ms.lubov_tr@mail.ru
PhD, Gynecologist of the highest category, Chief of policlinic Obstetric-Gynecological department

Әдебиет тізімі

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  2. Al-Jaroudi D., Al-Banyan N., Aljohani N.J., Kaddour O., Al-Tannir M. Vitamin D. deficiency among subfertile women: case-control study. Gynecol. Endocrinol. 2016; 32(4): 272-5. https://dx.doi.org/10.3109/09513590.2015.1112784.
  3. Garbedian K., Boggild M., Moody J., Liu K.E. Effect of vitamin D. status on clinical pregnancy rates following in vitro fertilization. CMAJ Open. 2013; 1(2): e E77-82. https://dx.doi.org/10.9778/cmajo.20120032.
  4. Зазерская И.Е., ред. Витамин D. и репродуктивное здоровье женщины. СПб.: Эко-Вектор; 2017. 151с.
  5. Громова О.А., Торшин И.Ю., Джиджихия Л.К., Гоголева И.В. Роль витамина D. в профилактике и лечении женского бесплодия. Гинекология. 2016; 18(3): 34-9.
  6. Irani M., Merhi Z. Role of vitamin D. in ovarian physiology and its implication in reproduction: a systematic review. Fertil. Steril. 2014; 102(2): 460-8. e3.
  7. Umme Hani Abdullah, Salima Lalani, Fatima Syed, Sara Arif & Rehana Rehman. Association of Vitamin D. with outcome after intra cytoplasmic sperm injection. J. Matern. Fetal Neonatal Med. 2017; 30(1): 117-20.
  8. Carter G.D., Phinney K.W. Assessing Vitamin D. status: time for a rethink? Clin. Chem. 2014; 60(6): 809-11.
  9. Пигарова Е.А., Рожинская Л.Я., Белая Ж.Е., Дзеранова Л.К., Каронова Т.Л., Ильин А.В., Мельниченко Г.А., Дедов И.И. Клинические рекомендации Российской ассоциации эндокринологов по диагностике, лечению и профилактике дефицита витамина D. у взрослых. Проблемы эндокринологии. 2016; 62(4): 60-84.
  10. Thorne-Lyman A., Fawzi W.W. Vitamin D. during pregnancy and maternal, neonatal and infant health outcomes: a systematic review and meta-analysis. Paediatr. Perinat. Epidemiol. 2012; 26 (Suppl.1): 75-90. doi: 10.1111/j.1365-3016.2012.01283.x.
  11. Громова О.А. Особенности фармакологии водорастворимой формы витамина D. на основе мицелл. Практика педиатра. 2014; 12: 31-7.

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