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Vitamin D levels in patients receiving anticonvulsant treatment for epilepsy in an outpatient clinic in Colombia
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Vitamin D levels in patients receiving anticonvulsant treatment for epilepsy in an outpatient clinic in Colombia
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Journal Article
Vitamin D levels in patients receiving anticonvulsant treatment for epilepsy in an outpatient clinic in Colombia
2020
Overview
INTRODUCTION:Vitamin D acts in many tissues and different physiological processes. The objective was to determine vitamin D levels in patients with epilepsy treated with anticonvulsants.MATERIALS AND METHOD:Observational, descriptive, cross-section study in consecutive patients with epilepsy who attended the Neurology outpatient service of a university hospital in Neiva, Colombia, between March and October 31, 2018. We obtained serum levels of vitamin D, parathormone, albumin and calcium.RESULTS:There were 90 patients with a median age of 36.5 (range 18-81 years), 46 (51.1%) had low levels of vitamin D (38.8% in the range of insufficiency and 12.2% with deficiency). Females had more insufficient and deficient levels of vitamin D; not exercising was associated with insufficient levels of vitamin D, daily exposure to the sun under 15 minutes and not walking, with deficient levels of vitamin D. Vitamin D deficiency was associated with an increase in parathyroid hormone levels, median 103.9 pg / ml (range 30.7 - 182.9 pg / ml, P <0.01). No difference was found between vitamin D levels and the use of monotherapy, polytherapy, or the use of enzyme-inducing drugs.CONCLUSIONS:In epileptic patients with anticonvulsants it is common to find insufficient / deficient levels of vitamin D although we found no association with the use of monotherapy, polytherapy or hepatic enzyme inducers.
Publisher
Asociación Colombiana de Neurología
Subject
