Vitamin D and Bone fragility in Individuals with Osteogenesis Imperfecta: A Scoping Review.
Study Goal
The researchers aimed to assess the incidence of vitamin D deficiency in osteogenesis imperfecta (OI) patients and the association between vitamin D status and supplementation in OI individuals.
Results Summary
The review found that low vitamin D levels were common in OI patients, and supplementation was often recommended alongside drug therapy and calcium intake, though its clinical use requires better characterization.
Population
Individuals affected by osteogenesis imperfecta (OI).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
vitamin D | neutral | several body functions and general health | - | - | affects | #1 |
vitamin D | neutral | bone metabolism | - | - | plays a key role in | #2 |
vitamin D deficiency | neutral | bone development | - | - | impacts | #3 |
vitamin D deficiency | neutral | the disorder | OI patients | - | can affect the expression of the phenotype and aggravate | #4 |
- | neutral | low levels of vitamin D | OI patients | - | was a frequent finding | #5 |
vitamin D supplementation | neutral | drug therapy and calcium intake | OI individuals | - | was mainly indicated along with | #6 |
Vitamin D affects several body functions, and thus general health, due to its pleiotropic activity. It plays a key role in bone metabolism, and its deficiency impacts bone development, leading to bone fragility. In osteogenesis imperfecta (OI), a group of hereditary connective tissue disorders characterized by bone fragility, additional factors, such as vitamin D deficiency, can affect the expression of the phenotype and aggravate the disorder. The aim of this scoping review was to assess the incidence of vitamin D deficit in OI patients and the association between vitamin D status and supplementation in individuals affected by OI. We searched the PubMed Central and Embase databases and included studies published between January/2000 and October/2022 evaluating vitamin D measurement and status (normal, insufficiency, deficiency) and supplementation for OI. A total of 263 articles were identified, of which 45 were screened by title and abstract, and 10 were included after a full-text review. The review showed that low levels of vitamin D was a frequent finding in OI patients. Vitamin D supplementation was mainly indicated along with drug therapy and calcium intake. Even if widely used in clinical practice, vitamin D supplementation for OI individuals still needs a better characterization and harmonized frame for its use in the clinical setting, as well as further studies focusing on its effect on bone fragility.