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Ischemic stroke 17 X more likely if low vitamin D – April 2017


Vitamin D deficiency is associated with acute ischemic stroke, C-reactive protein, and short-term outcome.

Metab Brain Dis. 2017 Apr;32(2):493-502. doi: 10.1007/s11011-016-9939-2
Alfieri DF1, Lehmann MF2, Oliveira SR1, Flauzino T1, Delongui F1, de Araújo MC3, Dichi I4, Delfino VD4, Mezzaroba L5, Simão AN5, Reiche EM6.

Modified Rankin Scale (mRS) three-months later

Image

The aim of this study was to investigate whether vitamin D deficiency (VDD) is associated with acute ischemic stroke, inflammatory markers, and short-term outcome. 168 acute ischemic stroke patients and 118 controls were included. The modified Rankin Scale (mRS) was applied up to 8 h of admission (baseline) and after three-months follow-up, and blood samples were obtained up to 24 h of admission to evaluate serum levels of 25-hydroxivitamin D [25(OH)D] and inflammatory markers. Vitamin D levels classified the individuals in sufficient (VDS ≥ 30.0 ng/mL), insufficient (VDI 20.0-29.9 ng/mL), and deficient (VDD < 20.0 ng/mL) status.

Patients had lower levels of 25(OH)D, higher frequency of VDD (43.45% vs. 5.08%, OR: 16.64, 95% CI: 5.66-42.92, p < 0.001), and higher inflammatory markers than controls (p < 0.05).

Patients with VDD showed increased high sensitivity C-reactive protein (hsCRP) levels than those with VDS status (p = 0.043); those with poor outcome presented with lower 25(OH)D levels than those with good outcome (p = 0.008); moreover, 25(OH)D levels were negatively correlated with mRS after three-months follow-up (r = -0.239, p = 0.005). The associations between VDD and higher hsCRP levels and between 25(OH)D levels and poor outcome at short-term in acute ischemic stroke patients suggest the important role of vitamin D in the inflammatory response and pathophysiology of this ischemic event.
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VitaminDWiki – Stroke category contains

124 items in stroke category - see also Overview Stroke and vitamin D,
Overview Hypertension and Vitamin D  Overview Cardiovascular and vitamin D

Stroke more likely if low Vitamin D

Post-Stroke worse if low Vitamin D

Post-Stroke better if add Vitamin D

Post-Stroke better if Vitamin D actually gets to cells

9 studies in both categories Depression and Stroke


Stroke Meta-analysis


23+ VitaminDWiki Stroke pages have ISCHEMIC OR ISCHAEMIC in the title

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Created by admin. Last Modification: Thursday March 21, 2024 12:12:32 GMT-0000 by admin. (Version 5)

Attached files

ID Name Comment Uploaded Size Downloads
9175 Poor mRs.jpg admin 13 Jan, 2018 17.81 Kb 572
9174 Stroke 17X.pdf admin 13 Jan, 2018 592.79 Kb 596