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Published byAnthony Malcolm McKenzie Modified over 9 years ago
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Materials and methods Design Open-label, randomized trial, February 2010 to May 2011, avoiding the summer period Participants recruited from a primary care centre in Sweden, serving a population with a high proportion of non-European residents Inclusion criteria age 15 years or above and vitamin D deficiency 25(OH)D3 less than 25 nmol /L Exclusion criteria light-sensitive skin ongoing treatment with vitamin D supplementation sunny holidays intake of photosensitive medicine during the study period.
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UVB The average starting dose was 0.36 J increments were about 15% every second treatment session the average maximal (final) dose was 1.20 J. The mean cumulative dose was 9.0 J /cm2
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Results Significantly greater increase in 25(OH)D3 levels in the NB- UVB treated group compared with the tablet-treated group after 6 weeks of treatment (P = 0.02) in the NB-UVB treated group The 25(OH)D3 levels (mean ± SD) increased from 19.2 ± 6 nmol /L to 75 ± 16.8 nmol/L vs. 23.3 ±4.4 nmol /L to 60.6 ± 16.7 nmol /L in the oral vitamin D3 treated group
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Results No significant difference regarding PTH, calcium, albumin or HbA1c levels. A significant decrease in PTH A significant increase in calcium levels
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Limitations lack of compliance among the group who took vitamin D3 supplements high dropout number primarily non-European immigrants
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Conclusion exposure to a small dose of full body NB-UVB radiation three times a week is more efficient in raising vitamin D levels than prescription of a daily oral intake of 1600 IU vitamin D3
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Race ? Skin type ?
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Suscreen ?
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Winter vs summer
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NB UVB vs BB UVB ?
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Diet ?
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Screening ?
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Deficiency ?
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-Vitamin D deficiency is defined as a 25(OH)D below 20 ng/ml (50 nmol/liter) - Vitamin D insufficiency is defined as a 25(OH)D of 21–29 ng/ml
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Daily requirement ?
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Treatment
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