Serum Vitamin D, Renal Biomarkers, Protein Profile and Some Electrolytes in Chronic Kidney Disease Patients With a Clinical Trial of Vitamin D Therapy

Background: Vitamin D deficiency is involved in a broad spectrum of diseases including chronic kidney disease (CKD).Objectives: This study was designed to assess serum vitamin D, renal biomarkers, protein profile, and electrolytes in CKD patients with a clinical trial of vitamin D therapy.Methods: This case-control follow-up interventional study comprised ۴۲ CKD patients and ۴۲ apparently healthy controls. Patients and controls were matched for age and gender. Patients were assigned to receive, a weekly oral dose of vitamin D۳ (۵۰۰۰۰ IU) for ۳ successive months. The follow-up therapy was conducted under direct and full physician supervision.Results: Vitamin D was significantly lower in CKD patients compared to controls (۲۹.۶±۱۲.۴ versus ۳۵.۲±۹.۹ ng/dL, P=۰.۰۳۳). Significant increases were shown in the urea, creatinine, and uric acid in patients compared to controls whereas glomerular filtration rate (GFR), total protein, albumin, and calcium were significantly lower in patients. A significant improvement was noted for vitamin D and calcium where they registered mean values of ۴۳.۸±۹.۱ ng/dL and ۹.۶۵±۰.۷۰ mg/dL at the end of the therapeutic period compared to ۲۹.۶±۱۲.۴ ng/dL and ۸.۶۱±۰.۷۷ mg/dL in patients before vitamin D therapy (P=۰.۰۲۸ and P=۰.۰۳۳, respectively).Conclusion: General amelioration of the metabolic profile of CKD patients in response to vitamin D therapy has been shown. Besides a significant improvement in vitamin D and calcium. Consequently, vitamin D is a useful candidate in clinical settings for the improvement of renal function and controlling of CKD, and more importantly its complications.