Sensible Approach to the Issue of Vitamin D in Daily Medical Practice
DOI: 10.3238/zfa.2015.0275–0279german translation / full article
Background: There is an ongoing broad discussion by physicians as well as patients about the possible effects of vitamin D and its area of application. Nevertheless, there is no consensus regarding meaningful diagnostics and treatment with vitamin D. This review will critically analyze when it makes sense to give vitamin D supplement.
Methods: All articles of the discussion forum “Vitamin D Research Group” from 2009 to June 2012 were analyzed. In addition a selective literature research with the keywords “Vitamin D“, “Vitamin D-deficiency“, “Hypervitaminosis D“, “Vitamin D supplementation“ and “Vitamin D normal values“ was conducted using the electronic database “Pubmed”, as well as books and medical guidelines.
Results: Patients with reduced mobility, unusual bone fractures or with malabsorption are more likely to suffer from vitamin D deficiency. A diagnostic clarification would be useful for these patients. Patients at risk could get vitamin D supplement without prior measurement of vitamin D levels.
Conclusions: Several studies have shown that especially older people with limited mobility benefit from vitamin D supplementation. Additional studies to analyze the effectiveness of vitamin D therapy in different groups of patients should be considered.