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Opinion EDITORIAL Then Came the Randomized Clinical Trials Anika Lucas, MD; Myles Wolf, MD, MMSc Not long ago, vitamin D was riding high. Beyond its role in ary outcomes included time to the composite outcome of 40% calcium homeostasis and bone health, animal studies reduction in eGFR or ESKD or death, and change in albumin- uria from baseline to year 5. linked vitamin D deficiency to numerous chronic illnesses including hypertension, dia- At baseline, the mean eGFR was 85.8 mL/min/1.73 m ,16% betes, autoimmunity, and of participants had eGFR less than 60 mL/min/1.73 m , and 9% Related article page 1899 malignancy. Corroborating had microalbuminuria greater than 30 mg/g creatinine. The human observational stud- mean 25-hydroxyvitamin D level was 29.7 ng/mL, and 50% of ies reported associations between vitamin D deficiency and study participants had 25-hydroxyvitamin D levels less than increased risks of hypertension, diabetes, cardiovascular 30 ng/mL; only 16% had levels less than 20 ng/mL, which is disease, autoimmunity, and cancer. The lay press seized on considered inadequate. Self-reported adherence to the inter- this chorus of observational studies, testing of serum ventions was excellent and corroborated by substantial dif- 25-hydroxyvitamin D levels proliferated, and supplementa- ferences in serum
JAMA – American Medical Association
Published: Nov 19, 2019
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