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Vitamin D improves inflammatory bowel disease outcomes: basic science and clinical review.

World journal of gastroenterology
January 1, 1970
Krista M Reich et al. (4 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman StudyAnimal Study
Study Details

Study Goal

The researchers were examining the role of vitamin D in inflammatory bowel disease (IBD) and its potential therapeutic benefits, including immune modulation and inflammation reduction.

Results Summary

The study found that vitamin D deficiency is common in IBD patients and is linked to increased disease severity, relapse risk, and poor outcomes. Vitamin D supplementation was associated with improved immune function, reduced inflammation, and better clinical outcomes in IBD.

Population

Patients with inflammatory bowel disease (IBD).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
vitamin D supplementation
neutral
-
patients with inflammatory bowel disease (IBD)
-
is important
#1
vitamin D
increase
the innate immune system
experimental and human IBD
-
strengthening
#2
vitamin D
decrease
inflammation
experimental and human IBD
-
reducing
#3
1,25(OH)D3
increase
T helper (Th)2/regulatory T responses over Th1/Th17 responses
-
-
acts on T cells to promote
#4
1,25(OH)D3
decrease
dendritic cell inflammatory activity
-
-
suppresses
#5
1,25(OH)D3
increase
antibacterial activity
-
-
induces
#6
1,25(OH)D3
increase
an anti-inflammatory response
-
-
regulates cytokine production in favor of
#7
vitamin D
neutral
-
Murine and human IBD
-
therapeutic role
#8
Vitamin D normalization
decrease
relapse
-
-
associated with reduced risk of
#9
Vitamin D normalization
decrease
IBD-related surgeries
-
-
associated with reduced risk of
#10
Vitamin D normalization
increase
quality of life
-
-
associated with improvement in
#11
Vitamin D
increase
IBD outcomes
-
-
has been shown to improve
#12
Abstract

Vitamin D deficiency is commonly diagnosed among patients with inflammatory bowel disease (IBD). Patients with IBD are at risk of low bone density and increased fractures due to low vitamin D levels, long standing disease, and frequent steroid exposures; as a result, it is well established that vitamin D supplementation in this population is important. There is increasing support for the role of vitamin D in strengthening the innate immune system by acting as an immunomodulator and reducing inflammation in experimental and human IBD. The active form of vitamin D, 1,25(OH)D3, acts on T cells to promote T helper (Th)2/regulatory T responses over Th1/Th17 responses; suppresses dendritic cell inflammatory activity; induces antibacterial activity; and regulates cytokine production in favor of an anti-inflammatory response. Murine and human IBD studies support a therapeutic role of vitamin D in IBD. Risk factors for vitamin D deficiency in this population include decreased sunlight exposure, disease duration, smoking, and genetics. Vitamin D normalization is associated with reduced risk of relapse, reduced risk of IBD-related surgeries, and improvement in quality of life. Vitamin D is an inexpensive supplement which has been shown to improve IBD outcomes. However, further research is required to determine optimal serum vitamin D levels which will achieve beneficial immune effects, and stronger evidence is needed to support the role of vitamin D in inducing disease response and remission, as well as maintaining this improvement in patients' disease states.

Medical Subject Headings (MeSH)
AnimalsAnti-Inflammatory AgentsDietary SupplementsDisease Models, AnimalGastrointestinal AgentsHumansInflammatory Bowel DiseasesTreatment OutcomeVitamin DVitamin D Deficiency
Study Links
Quality Scores
SafetyNot Assessed
Quality75/10
Citation Metrics
Total Citations82
Citations/Year7.5
Relative Citation Ratio2.99
NIH Percentile84.9%
Research Impact Scores
APT Score0.95
Weight Score0.93
Normalized Score0.55
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